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  • Gastric metastasis presenting as an overt upper gastrointestinal bleeding treated with chemoembolisation in a patient diagnosed with papillary thyroid carcinoma

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Unusual presentation of more common disease/injury
Case report
Gastric metastasis presenting as an overt upper gastrointestinal bleeding treated with chemoembolisation in a patient diagnosed with papillary thyroid carcinoma
  1. Lester Jan Alvarado Olimba1,
  2. Ruter Magtibay Maralit1,
  3. Davidson Viar Pastrana2 and
  4. Jose Louie Dela Cerna Remotigue3
  1. 1Division of Gastroenterology, Department of Medicine, University of the Philippines, Philippine General Hospital, Manila, Philippines
  2. 2Division of Nuclear Medicine, Department of Medicine, University of the Philippines, Philippine General Hospital, Manila, Philippines
  3. 3Department of Laboratories, University of the Philippines, Philippine General Hospital, Manila, Philippines
  1. Correspondence to Dr Lester Jan Alvarado Olimba; lester.jan.olimba{at}gmail.com

Abstract

We present a case of a patient with known papillary thyroid carcinoma presenting with overt upper gastrointestinal bleeding from a metastatic gastric mass. The gastric mass was diagnosed through transnasal endoscopy with tissue biopsies, revealing papillary thyroid carcinoma cells on histopathological studies. Bleeding was persistent despite standard medical therapy. Chemoembolisation of the major feeding vessels of such tumour provided resolution of bleeding.

  • GI bleeding
  • endoscopy
  • endocrine cancer
  • interventional radiology

https://doi.org/10.1136/bcr-2020-237022

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    Footnotes

    • Contributors LJAO was involved during the identification and management of case. He was the head for planning, conceptualisation and reporting of the case and as such, a guarantor for this paper. He contributed in all parts of the papers, collaborated with all coauthors and proofread all parts of the manuscript. RMM was involved during the identification and management of case. He provided guidance in paper writing, reviewing, proofreading, validating and finalisation of the document. DVP was part of the team taking care of the patient and had contributed valuable information during the management of the case. Furthermore, he assisted in literature review and appraisal of available information for inclusion in the discussion part of the final document. JLDCR had contributed with the processing of the specimen, review of photomicrographs and provided description for all histopathological images included in the final paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.