A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts
Papillary thyroid cancer (PTC) can present as a thyroid cyst. In its more aggressive form, PTC may be multifocal in nature and is associated with a poorer prognosis. In patients whom PTC is diagnosed incidentally after a diagnostic lobectomy, the decision whether to offer completion thyroidectomy is...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/1656831 |
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| author | Anupama Roy Chowdhury Jack Kian Ch’ng Choon Chieh Tan |
| author_facet | Anupama Roy Chowdhury Jack Kian Ch’ng Choon Chieh Tan |
| author_sort | Anupama Roy Chowdhury |
| collection | DOAJ |
| description | Papillary thyroid cancer (PTC) can present as a thyroid cyst. In its more aggressive form, PTC may be multifocal in nature and is associated with a poorer prognosis. In patients whom PTC is diagnosed incidentally after a diagnostic lobectomy, the decision whether to offer completion thyroidectomy is sometimes challenging to make if such patients fall in the ‘low-to-intermediate’ risk category. We present a case of a 55-year-old lady who had a predominantly cystic left thyroid nodule with no suspicious features on ultrasound as well as 2 subcentimetre simple right-sided cysts. She subsequently underwent left hemithyroidectomy, and this reported a T2 PTC in the thyroid cyst. This was followed by completion thyroidectomy which yielded the surprising finding of PTC in the two tiny right sided cysts. This case highlights the need for vigilance in managing patients with thyroid cysts even though thyroid ultrasound scan did not reveal any overt suspicious features. |
| format | Article |
| id | doaj-art-cf6a7bd759f545feaeb3fee4f09c8f15 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-cf6a7bd759f545feaeb3fee4f09c8f152025-02-03T01:30:55ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/16568311656831A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid CystsAnupama Roy Chowdhury0Jack Kian Ch’ng1Choon Chieh Tan2Department of Internal Medicine, Sengkang General Hospital, Sengkang E Way, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, Bukit Merah, SingaporeDepartment of General Surgery, Sengkang General Hospital, Sengkang E Way, SingaporePapillary thyroid cancer (PTC) can present as a thyroid cyst. In its more aggressive form, PTC may be multifocal in nature and is associated with a poorer prognosis. In patients whom PTC is diagnosed incidentally after a diagnostic lobectomy, the decision whether to offer completion thyroidectomy is sometimes challenging to make if such patients fall in the ‘low-to-intermediate’ risk category. We present a case of a 55-year-old lady who had a predominantly cystic left thyroid nodule with no suspicious features on ultrasound as well as 2 subcentimetre simple right-sided cysts. She subsequently underwent left hemithyroidectomy, and this reported a T2 PTC in the thyroid cyst. This was followed by completion thyroidectomy which yielded the surprising finding of PTC in the two tiny right sided cysts. This case highlights the need for vigilance in managing patients with thyroid cysts even though thyroid ultrasound scan did not reveal any overt suspicious features.http://dx.doi.org/10.1155/2018/1656831 |
| spellingShingle | Anupama Roy Chowdhury Jack Kian Ch’ng Choon Chieh Tan A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts Case Reports in Medicine |
| title | A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts |
| title_full | A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts |
| title_fullStr | A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts |
| title_full_unstemmed | A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts |
| title_short | A Rare Case of Multifocal Papillary Thyroid Cancer in Bilateral Thyroid Cysts |
| title_sort | rare case of multifocal papillary thyroid cancer in bilateral thyroid cysts |
| url | http://dx.doi.org/10.1155/2018/1656831 |
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