A 54-year-old man was admitted to our hospital because of thyroid papillary carcinoma invading the upper mediastine. We performed an operation against local recurrence 3 times after the first operation for the primary lesion. Lung metastasis appeared about 6 years after the first operation, and we tried various kind of therapies, such as 131I therapy, external radiotherapy, chemotherapy, and immunotherapy, but none of them could control the metastatic lesions. Finally, hemoptysis from lung metastases occurred and it was controlled by BAE (bronchial artery embolization). The patient also had painful skin metastases, which were resected. We consider that the establishment of a new therapy for patients with thyroid papillary carcinoma which is effective and which supports QOL is very important.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)