Occult Metastatic Papillary Thyroid Cancer in an Adolescent.

التفاصيل البيبلوغرافية
العنوان: Occult Metastatic Papillary Thyroid Cancer in an Adolescent.
المؤلفون: Chin A; Division of Pediatric Endocrinology and Diabetes, Hasbro Children's Hospital, Providence, Rhode Island.; Warren Alpert Medical School of Brown University, Providence, Rhode Island., Robilliard R; Division of Pediatric Endocrinology and Diabetes, Hasbro Children's Hospital, Providence, Rhode Island.; Warren Alpert Medical School of Brown University, Providence, Rhode Island., Groblewski JC; Division of Otolaryngology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island., Tarro JM; Rhode Island ENT Physicians, Inc, Providence, Rhode Island., Chen S; Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, Ohio.; Department of Pathology, The Ohio State University College of Medicine, Columbus, Ohio., Topor LS; Division of Pediatric Endocrinology and Diabetes, Hasbro Children's Hospital, Providence, Rhode Island.; Warren Alpert Medical School of Brown University, Providence, Rhode Island.
المصدر: AACE clinical case reports [AACE Clin Case Rep] 2023 Nov 15; Vol. 10 (1), pp. 27-30. Date of Electronic Publication: 2023 Nov 15 (Print Publication: 2024).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101670593 Publication Model: eCollection Cited Medium: Internet ISSN: 2376-0605 (Electronic) Linking ISSN: 23760605 NLM ISO Abbreviation: AACE Clin Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: 2021- : [New York] : Elsevier Inc.
Original Publication: Jacksonville, FL : American Association of Clinical Endocrinologists, [2015]-
مستخلص: Background/objective: Occult papillary thyroid carcinoma (PTC) is PTC with metastasis but without identification of primary thyroid cancer on preoperative ultrasonography. Published reports on occult PTC in children are limited.
Case Report: We describe a 16-year-old female with occult PTC who initially presented with a painless left sided cystic neck mass. Diffuse sclerosing variant papillary thyroid cancer was found in the resected neck mass and thyroid ultrasound did not show any nodules or features of carcinoma. After total thyroidectomy, pathological examination of the thyroid revealed papillary thyroid microcarcinoma.
Discussion: We describe a rare case of occult diffuse sclerosing variant papillary thyroid cancer presenting as a cystic neck mass mimicking a second branchial cleft cyst in an adolescent patient. When metastatic PTC is found without evidence of nodule on thyroid imaging, occult PTC of the thyroid is the likely diagnosis.
Conclusion: Total thyroidectomy ± neck dissection followed by TSH suppression and radioactive iodine therapy remains the appropriate diagnostic and therapeutic interventions.
Competing Interests: The authors have no multiplicity of interest to disclose.
(© 2023 AACE. Published by Elsevier Inc.)
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فهرسة مساهمة: Keywords: adolescent papillary thyroid carcinoma; branchial cleft cyst; occult papillary thyroid carcinoma
تواريخ الأحداث: Date Created: 20240202 Latest Revision: 20240203
رمز التحديث: 20240205
مُعرف محوري في PubMed: PMC10829862
DOI: 10.1016/j.aace.2023.11.005
PMID: 38303765
قاعدة البيانات: MEDLINE