CASE 18: Thyroid Cancer Sacroiliac Joint Metastasis

• 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 thyroid cancer metastasis, 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.

Before the surgery: X-ray and CT scans show bone destruction in the posterior part of the right pelvic bone and tumor tissue extending beyond the bone.

During and after surgery: After the tumorous portion of the bone is removed, the fibula bone is inserted and secured with screws.