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‘Miliary metastasis’ in a child with papillary thyroid cancer
  1. Andre Gie1,
  2. Pawel Schubert2,
  3. Wilhelmina Conradie3 and
  4. Pierre Goussard1
  1. 1Paediatrics and Child Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa
  2. 2Pathology, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa
  3. 3Surgical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South Africa
  1. Correspondence to Professor Pierre Goussard; pgouss{at}sun.ac.za

Abstract

Lung disease with diffuse nodules has a broad differential diagnosis. We present a case of childhood papillary thyroid carcinoma with diffuse lung metastases in which the diagnosis was delayed due to fact that the diffuse nodules were considered to be pathognomonic of miliary tuberculosis. Diffuse nodular lung disease in children requires a careful diagnostic approach. The role of multidisciplinary involvement in these rare cases is invaluable.

  • Paediatric oncology
  • Paediatrics
  • Respiratory medicine

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Footnotes

  • Contributors AG and PG were responsible for the clinical management of the patient. WC was responsible for the surgical management. PS was responsible for the histology. All the authors contributed to the report, reviewed the script and agreed on the content.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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

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