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    Metastatic papillary thyroid carcinoma to lung diagnosed by bronchoalveolar lavage

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    Authors
    Mello, Curtis J.
    Veronikis, Irini E.
    Fraire, Armando E.
    Aronin, Neil
    Irwin, Richard S.
    Braverman, Lewis E.
    UMass Chan Affiliations
    Department of Medicine, Division of Pulmonary, Allergy, and Critical Care
    Department of Medicine, Division of Endocrinology and Metabolism
    Department of Pathology
    Document Type
    Journal Article
    Publication Date
    1996-01-01
    Keywords
    Adult
    Bronchoalveolar Lavage Fluid
    Carcinoma, Papillary
    Female
    Humans
    Lung Neoplasms
    Thyroid Neoplasms
    Life Sciences
    Medicine and Health Sciences
    
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    Link to Full Text
    https://doi.org/10.1210/jcem.81.1.8550785
    Abstract
    The diagnosis of papillary carcinoma of the thyroid metastatic to the lung frequently requires a battery of noninvasive tests. Occasionally, invasive procedures such as open lung biopsy, transthoracic needle biopsy, and transbronchial lung biopsy are employed to confirm the diagnosis. A 31-yr-old woman with papillary thyroid carcinoma treated previously by a near-total thyroidectomy and 131I ablation presented to our clinic with shortness of breath and a clear chest roentgenogram. A post-131I treatment whole body scan revealed widespread 131I pulmonary uptake, and the presence of papillary thyroid cancer was confirmed by bronchoalveolar lavage. We conclude that bronchoalveolar lavage should be considered when tissue confirmation of metastatic papillary carcinoma to the lung is needed. During the evaluation and follow-up of this patient, we were able to determine that metastatic papillary carcinoma to the lung may cause a methacholine bronchoprovocation test to be falsely positive for asthma.
    Source

    J Clin Endocrinol Metab. 1996 Jan;81(1):406-10.

    DOI
    10.1210/jcem.81.1.8550785
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/42660
    PubMed ID
    8550785
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1210/jcem.81.1.8550785
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