Metastatic Medullary Carcinoma Thyroid of the Palatine Tonsil: A Rare Case Report

Abstract

Background: Metastatic involvement of the palatine tonsil by primary thyroid tumors is an exceedingly rare clinical occurrence. Medullary carcinoma thyroid, which comprises only a small percentage of all thyroid malignancies, is known for its potential to metastasize, often resulting in a less favorable prognosis.

Case Details: We present the case of a 66-year-old male with no previous comorbidities, who had undergone a left thyroid lobectomy 35 years prior without histopathological examination. The patient was initially asymptomatic, presenting with an incidental finding of an opacity on a chest X-ray during routine examination. Subsequent investigations revealed a metastatic medullary carcinoma of the thyroid, with metastasis to the palatine tonsil, confirmed through histopathology after tonsillectomy. This case is reported to be the first of its kind involving metastasis of medullary thyroid carcinoma to the palatine tonsil.

Conclusion: This case underscores the importance of considering metastatic disease in unusual locations such as the palatine tonsil and highlights the need for thorough evaluations, including immunohistochemical analysis, for accurate diagnosis and treatment planning. The findings emphasize the necessity of a multidisciplinary approach in managing such rare occurrences to improve patient outcomes.