Multiple Bone Metastases in a Patient with Differentiated Thyroid Cancer (DTC) : Complete resolution following thyroidectomy and four ablation doses of I-131

Omayma T Elshafie, Samir Hussein, Aisha Al-Hamdani, Haddia Bererhi, Nicholas JY Woodhouse


Multiple bone metastases from a differentiated thyroid cancer are usually incurable. We report the case of a young Omani woman who presented with 8 discrete skeletal lesions three years after a total thyroidectomy. Following four ablation doses of I-131 she has remained in clinical and biochemical remission for over five years. An extraordinary aspect of this case was the persistent refusal of her husband to use contraception either for himself or his wife. This resulted in her treatment being delayed for more than 6 years during which time the patient delivered and breastfed four additional healthy babies.


Differentiated thyroid cancer; Thyroidectomy; Resolution of bone metastases; I-131 ablation.

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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