CASE 16: Thyroid Cancer Metastasis to the Sacroiliac Joint

• 64-year-old male patient
• He underwent surgery for thyroid cancer and received radioactive iodine treatment.
• The pain in the back of my right hip, which had been present for 3 months, had worsened over time and made walking difficult.
• The patient, whose biopsy revealed metastasis of thyroid cancer, did not show any additional metastases in subsequent scans.
• After the tumorous portion of the bone was removed in one piece, a piece of fibula bone taken from the same leg was transferred to the resulting gap and secured with titanium screws.
• The patient experienced no problems during or after the surgery and was referred for radiotherapy following wound healing.

Pre-operative examination: X-rays and CT scans show bone damage in the posterior part of the right pelvic bone and tumor tissue extending beyond the bone.

During and after the operation: The image shows the fibula bone being placed in between and secured with screws after the tumorous portion of the bone was removed.