International Journal of Clinical Case Reports 2016, Vol.6, No.24, 1-7
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The clinical examination showed a large nodular goiter (130/90mm), painful, fixed and suspect with a collateral
circulation. The cervical ultrasound revealed a left side basicervical mass richly vascularized (Figure 2). The
hormonal balance was normal. The thyroid scan showed cold nodules. The pathological results of the mass biopsy
(immunohistochemistry) confirmed the thyroid metastasis of cytokeratin clear cells carcinoma (AE1 / A3 +
vimentin + CD10 - PS 100 - Chromogranin A- Synaptophysin-).
Figure 2. Left side basicervical mass richly vascularize
The cervical-thoracic-abdominal CT scan showed a right lateral well encapsulated renal tumor (40/35mm) with a
development outside the kidney and multiple calcifications (Figure 3), and a left laterocervical process
(62/54/90mm), and a mediastinal process (55/53/82mm) with pulmonary nodules with tracheal compression and
upper thoracic parietal process 130/88/89mm, sternal bone loss and multiple inferior right pulmonary nodules
(Figure 4).
