Multiple cerebral metastases as a primary presentation in papillary thyroid carcinoma.

Cerebral metastases from papillary thyroid carcinoma are rare. They are aggressive tumours associated with a poor prognosis. We report a patient presenting with multiple cerebral metastases as the primary presentation of her disseminated disease. These metastases were treated with surgical resection followed by external beam radiotherapy and radioactive iodine therapy. We suggest that early diagnosis and treatment of cerebral metastases of papillary thyroid carcinoma can result in good outcomes. Crown Copyright 2009. Published by Elsevier Ltd. All rights reserved.