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Ann Thorac Surg 1999;67:856-857
© 1999 The Society of Thoracic Surgeons

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Case Reports

Thyroid lung metastasis diagnosed 47 years after thyroidectomy¹

^a Department of Cardiothoracic Surgery, National Naval Medical Center, Bethesda, Maryland, USA

Accepted for publication September 14, 1998.

Address reprint requests to Dr Fonseca, 505 Couch Avenue, Suite 250, St. Louis, MO 63122

A 75-year-old woman underwent excision of a middle lobe lung nodule that contained a separate, isolated focus of metastatic papillary thyroid carcinoma. A thyroid lobectomy for papillary cancer had been performed 47 years earlier. This interval is believed to be the longest time from initial diagnosis to identification of distant lung metastasis reported. The pertinent published reports are reviewed and methods of surveillance discussed.

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