| Autor: |
Suset Dueñas Disotuar, MD, Ana Romero-Lluch, MD, Cecilia Gallego Casado, MD, María Fontillón, MD, Elena Navarro González, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
AACE Clinical Case Reports, Vol 4, Iss 4, Pp e338-e341 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
2376-0605 |
| DOI: |
10.4158/ACCR-2017-0259 |
| Popis: |
ABSTRACT: Objective: To describe the diagnosis of a patient with thyroid metastasis from a bronchial carcinoid tumor, initially mistaken for a medullary thyroid carcinoma. Methods: We present the clinical, laboratory, and imaging findings, along with a literature review. Results: Typical bronchial carcinoids are well-differentiated neoplasms, which usually have a good prognosis. However, 15% of the cases may metastasize. This report describes the case of a 36-year-old woman with a history of a surgically removed bronchial carcinoid tumor, which did not relapse after a 4-year follow-up. Nine years later, the patient consulted for a thyroid nodule, and the anatomic pathology report showed a diagnosis of medullary thyroid carcinoma. Subsequently, immunohistochemistry showed that it was a thyroid metastasis from the bronchial carcinoid tumor, which completely changed the treatment and prognosis. Conclusion: This case highlights the importance of adequate surgery, as well as a detailed review of the past medical history and a proper immunochemistry as part of the histopathologic examination. This will facilitate the distinction between medullary thyroid carcinomas and primary extrathyroid neuroendocrine tumors that have metastasized into the thyroid gland. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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