Thyroid Hemiagenesis Associated with Papillary Thyroid Carcinoma
International Journal of Thyroidology
; : 43-46, 2016.
Article
em En
| WPRIM
| ID: wpr-196832
Biblioteca responsável:
WPRO
ABSTRACT
Thyroid hemiagenesis is a rare congenital anomaly that is caused by a developmental defect of a thyroid. Previous reports indicate that thyroid cancer associated with hemiagenesis is extremely rare. A 47-year-old woman presented with single nodule in the right thyroid gland that was incidentally detected during a routine medical checkup. Ultrasonography showed a 1.5×1.2 cm sized ill-defined irregular hypoehoic nodule in the right thyroid and the isthmus was present. However, the left thyroid was not seen and thyroid was disconnected at left paraisthmic area. Fine-needle aspiration cytology confirmed that the right thyroid nodule was papillary thyroid carcinoma. Total thyroidectomy with bilateral central compartment node dissection was performed. Permanent pathologic finding was 1.3×1 cm sized classical type papillary thyroid carcinoma with nodular hyperplasia. There was extensive lymphatic invasion and 3 metastatic lymph nodes out of 4 in central compartment. In conclusion, although thyroid hemiagenesis associated with thyroid carcinoma is extremely rare, treatment strategy is not different with patients with normal anatomy. And the possibility of developing a thyroid carcinoma should be considered in patients with hemiagenesis. Furthermore, it requires awareness of anatomical difference around the thyroid gland during operation.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Glândula Tireoide
/
Tireoidectomia
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Neoplasias da Glândula Tireoide
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Ultrassonografia
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Nódulo da Glândula Tireoide
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Biópsia por Agulha Fina
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Hiperplasia
/
Linfonodos
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
International Journal of Thyroidology
Ano de publicação:
2016
Tipo de documento:
Article