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Case Reports in Endocrinology
Volume 2017 (2017), Article ID 2790741, 4 pages
https://doi.org/10.1155/2017/2790741
Case Report

Isolated Liver Metastasis in Hürthle Cell Thyroid Cancer Treated with Microwave Ablation

1Endocrinology, Diabetes and Metabolism, The Ohio State University Wexner Medical Center, 5th Floor McCampbell Hall, 1581 Dodd Drive, Columbus, OH 43210, USA
2Surgical Oncology, The Ohio State University Wexner Medical Center, N-924 Doan Hall, 410 W. 10th Avenue, Columbus, OH 43210, USA

Correspondence should be addressed to Fadi Nabhan

Received 6 November 2016; Accepted 25 December 2016; Published 9 January 2017

Academic Editor: Osamu Isozaki

Copyright © 2017 Konstantinos Segkos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hürthle cell thyroid cancer (HCTC) is a less common form of differentiated thyroid cancer. It rarely metastasizes to the liver, and when it does, the metastasis is almost never isolated. Here we report a 62-year-old male with widely invasive Hürthle cell thyroid cancer, who underwent total thyroidectomy and received adjuvant treatment with I-131 with posttreatment scan showing no evidence of metastatic disease. His thyroglobulin however continued to rise after that and eventually an isolated liver metastasis was identified. He underwent laparoscopic microwave ablation of the liver metastasis, with dramatic decline in thyroglobulin and no structural disease identified to date. This case highlights the rare occurrence of isolated liver metastasis from HCTC and also illustrates the utility of thermoablation as an alternative to surgical resection in the treatment of small isolated liver metastases from HCTC.