Evidence map›Paper›PMID 41541842›Full record

ArticleJCEM case reports2026

Recurrent Orbital Metastases in Follicular Variant Papillary Thyroid Carcinoma After Recombinant Human Thyrotropin.

Eiman Ibrahim, Lilamani Kurukulasuriya, Tabitha Galloway, Mohamed Elbanan, Muhammad Moseeb Ali Hashim, Michael Gardner

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Eiman IbrahimDepartment of Endocrinology, University of Missouri School of Medicine, Columbia, MO 65201, USA.ORCID https://orcid.org/0000-0002-7445-6540
Lilamani KurukulasuriyaDepartment of Endocrinology, University of Missouri School of Medicine, Columbia, MO 65201, USA.
Tabitha GallowayDepartment of Otolaryngology, University of Missouri School of Medicine, Columbia, MO 65201, USA.
Mohamed ElbananDepartment of Diagnostic Radiology, University of Missouri School of Medicine, Columbia, MO 65201, USA.
Muhammad Moseeb Ali HashimDepartment of Pathology, University of Missouri School of Medicine, Columbia, MO 65201, USA.
Michael GardnerDepartment of Endocrinology, University of Missouri School of Medicine, Columbia, MO 65201, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recombinant human thyrotropin (rhTSH) is generally well tolerated with minimal adverse effects. Symptomatic tumor expansion following rhTSH has been previously reported in the literature. Generally, these cases have involved known metastasis of aggressive variants. In this report we present a case of follicular variant papillary thyroid carcinoma (FVPTC) with recurrent treated orbital metastases and adverse response to rhTSH. Following a second dose of rhTSH, the patient reported right eye proptosis, and edema was noted on imaging. Iodine-131 scan demonstrated intense right orbital uptake with intracranial extension verified on head scans. Biopsy confirmed FVPTC and she underwent orbitotomy and enucleation. Our case illustrates the potential risk of symptomatic expansion even in cases of previously treated metastasis.

Indexed as

follicular variant papillary thyroid carcinomaorbital metastasespapillary thyroid carcinomarecombinant human thyrotropin

Identifiers

PMID41541842
PMCPMC12800446

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.