DOI: 10.36347/sjmcr.2019.v07i08.015

Pages: 511-513

Visceral metastases induced by thyroid cancer are extremely rare. We report the case of a 43-year-old woman with a surgical history of thyroidectomy and radioiodine therapy with opotherapy for papillary carcinoma of the thyroid. Nine years after this treatment, the patient had presented a polyp in the uterine cervix. The excisional biopsy found a metastasis of papillary thyroid carcinoma. The morphological and immunohistochemical studies confirmed the thyroid origin of this metastasis. A total colpohysterectomy with pelvic lymph node dissection supplemented with radioactive iodine cures was performed. In addition, scanning scintigraphy revealed metastatic foci in the bone, liver and brain. After 11 treatments of radioiodine therapy, the evolution was marked by the progression of bone and liver metastases. The presence of cervical metastases of thyroid carcinoma has never been described in the screens. It has a pejorative prognosis, so thinking about a therapeutic strategy will be necessary.