Portal de investigação
Hyperfunctioning papillary thyroid carcinoma - a case report and literature review
Autores da FMUP
Participantes de fora da FMUP
- Pereira-Macedo, J
- Freire, B
- Macedo-Oliveira, C
- Mendes, J
- Carvalho, M
- Fonseca, S
- Vinagreiro, M
- Lemos, R
- Silva, N
- Sampaio, F
Unidades de investigação
Abstract
Background Malignant hyperfunctioning thyroid nodules are rare and more likely to occur in follicular cancer types rather than papillary variants. The authors present a case of a papillary thyroid carcinoma associated with a hyperfunctioning nodule. Methods A single adult patient submitted to total thyroidectomy with the presence of thyroid carcinoma within hyperfunctioning nodules was selected. Additionally, brief literature was conducted. Results An asymptomatic 58-year-old male was subjected to routine blood analysis and a TSH level of <0.003 mIU/L was found. Ultrasonography revealed a 21 mm solid, hypoechoic, and heterogenous nodule with microcalcifications in the right lobe. A fine needle aspiration guided by ultrasound resulted in a follicular lesion of undetermined significance. A Tc-99m thyroid scintigram was followed and identified a right-sided hyperfunctioning nodule. Another cytology was performed and a papillary thyroid carcinoma was derived as a result. The patient underwent a total thyroidectomy. Postoperative histology confirmed the diagnosis and a tumor-free margin with no vascular or capsular invasions. Conclusion Hyperfunctioning malignant nodules are a rare association, although a careful approach should be led since major clinical implications arise. Selective fine needle aspiration in all suspicious & GE;1 cm nodules should be considered.
Dados da publicação
- ISSN/ISSNe:
- 0001-5458, 2577-0160
- Tipo:
- Review
- Páginas:
- 1-152
Acta Chirurgica Belgica Taylor and Francis Ltd.
Documentos
- Não há documentos
Filiações
Keywords
- Thyroid nodule; hyperthyroidism; thyroid tumor; malignant nodule; hot nodule
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Citar a publicação
Pereira J,Freire B,Macedo C,Mendes J,Carvalho M,Rocha J,Fonseca S,Vinagreiro M,Lemos R,Silva N,Sampaio F. Hyperfunctioning papillary thyroid carcinoma - a case report and literature review. Acta Chir. Belg. 2023. 124(2):p. 1-152. IF:0,800. (4).
