alexa Metastatic Papillary Thyroid Carcinoma in an Autonomous Hyperfunctioning Thyroid Nodule in an Adolescent: Case Report and Literature Review
ISSN: 2167-7948

Journal of Thyroid Disorders & Therapy
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Case Report

Metastatic Papillary Thyroid Carcinoma in an Autonomous Hyperfunctioning Thyroid Nodule in an Adolescent: Case Report and Literature Review

Simsek E1*, Binay C1, Ilhan H2, Ihtiyar E3, Demiral M1, AkSivrikoz I4, Dundar E5 and Akcar N6
1 Department of Pediatric Endocrinology, School of Medicine, Eskisehir Osmangazi University,Turkey
2 Department of Pediatric Surgery, School of Medicine, Eskisehir Osmangazi University, Turkey
3 Department of Adult Surgery, School of Medicine, Eskisehir Osmangazi University, Turkey
4 Department of Nuclear Medicine, School of Medicine, Eskisehir Osmangazi University, Turkey
5 Department of Pathology, School of Medicine, Eskisehir Osmangazi University, Turkey
6 Department of Radiology, School of Medicine, Eskisehir Osmangazi University, Turkey
Corresponding Author : EnverSimsek
Eskisehir Osmangazi University School of Medicine
Departments of Pediatric Endocrinology and Division of Pediatric Endocrinology, Turkey
Tel: 905054962302
E-mail: [email protected]
Received February 26, 2014; Accepted April 28, 2014; Published May 01, 2014
Citation: Simsek E, Binay C, Ilhan H, Ihtiyar E, Demiral M et al. (2014) Metastatic Papillary Thyroid Carcinoma in an Autonomous Hyperfunctioning Thyroid Nodule in an Adolescent: Case Report and Literature Review. Thyroid Disorders Ther 3:154. doi:10.4172/2167-7948.1000154
Copyright: © 2014 Simsek E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Background: Although thyroid nodules are less common in children and adolescents, the malignancy rate for nodules is higher among children and adolescents than adults. A nodule that is discovered in a patient presenting with hyperthyroidism is usually a benign nodule or benign toxic adenoma and, thus, nodules are biopsied only infrequently. Objective: To report a case of papillary thyroid carcinoma presenting with a hyperfunctioning (hot) thyroid nodule. Case report: A 14-year-old female presented with symptoms of thyrotoxicosis and multi-nodular goitre. Laboratory findings were consistent with the diagnosis of thyrotoxicosis. Thyroid ultrasonography showed an enlarged thyroid gland with cystic and solitary nodules, diffuse heterogeneous echo, and microcalcifications. Doppler scans revealed increased vascularity within the left thyroid lobe and a solitary nodule. Thyroid scintigraphy revealed an autonomous nodule. Cytological examination of fine-needle aspirations from the solid nodule and left thyroid lobe revealed papillary thyroid carcinoma. The patient underwent total thyroidectomy. Histopathology of the thyroid gland and lymph nodes were also consistent with papillary thyroid carcinoma with nodal metastases. Conclusion: Contrary to the guidelines published by major endocrine societies, the detection of an autonomously functioning thyroid nodule in children and adolescents does not exclude the possibility of thyroid carcinoma. Suspicious hot nodules should be evaluated cytologically.

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