Thyroid Warthin-Like Cancer Concurrent With Multiple Sclerosis: A Case Report.
| Autor: | Curto LS; Unit of Clinical Surgery, Department of Medical and Surgical Sciences, Magna Graecia University Medical School, Catanzaro, Italy., Gervasi R; Unit of Endocrine Surgery, A.O.U. Mater Domini, Catanzaro, Italy., Zuccala V; Pathology Unit, 'Pugliese Ciaccio' Hospital, Catanzaro, Italy., Innaro N; Unit of Endocrine Surgery, A.O.U. Mater Domini, Catanzaro, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of medical cases [J Med Cases] 2021 Feb; Vol. 12 (2), pp. 71-73. Date of Electronic Publication: 2020 Dec 30. |
| DOI: | 10.14740/jmc3625 |
| Abstrakt: | Warthin like-papillary thyroid cancer (WL-PTC) is a rare malignancy; it is difficult to distinguish preoperatively a WLPTC from a classic PTC. Often it is associated with Hashimoto thyroiditis (HT) that determines a better prognosis with a very low probability of recurrence. The case concerns a 43-year-old female with a single thyroid nodule suspected for cancer; and she had multiple sclerosis (MS) from the age of 19. Thyroid hormone levels were normal such as thyroid antibodies. Total thyroidectomy with lymphadenectomy of central compartment was performed. Histological examination revealed a Warthin like-PTC without Hashimoto thyroiditis. The mechanisms involved in pathogenesis of thyroid cancer in patients with autoimmune disease are not completely clear. We hypothesized that not only a local autoimmune response, such as HT, could contribute to the determination of this type of cancer but also a systemic autoimmune disease such as MS. Competing Interests: None to declare. (Copyright 2021, Curto et al.) |
| Databáze: | MEDLINE |
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