ORTHOPEDIC, SURGICAL AND RADIONUCLEIC COOPERATIVE TREATMENT OF FOLLICULAR CARCINOMA OF THE THYROID WITH SPINAL CORD COMPRESSION -A CASE REPORT-

Abstract

A 51-year-old woman was admitted because of a thyroid tumor and development of paralysis of the lower half of the body. Physical examination and a ²⁰¹T1-chloride whole-body scan disclosed a metastatic lesion in the 11th thoracic vertebra. Four days after admission, the patient underwent a laminectomy which relieved the symptoms of lower-half paralysis. One month later, a total thyroidectomy was carried out and after one further month, radioiodine treatment was carried out. The spinal lesion decreased in size after two sessions of ¹³¹I treatment and the serum thyroglobulin level markedly decreased from 5, 500ng/ml to 950ng/ml.