Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis

Background. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigatio...

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Main Authors: Hiroki Sato, Kiyoaki Tsukahara, Ray Motohashi, Midori Wakiya, Hiromi Serizawa, Atsushi Kurata
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/4592783
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author Hiroki Sato
Kiyoaki Tsukahara
Ray Motohashi
Midori Wakiya
Hiromi Serizawa
Atsushi Kurata
author_facet Hiroki Sato
Kiyoaki Tsukahara
Ray Motohashi
Midori Wakiya
Hiromi Serizawa
Atsushi Kurata
author_sort Hiroki Sato
collection DOAJ
description Background. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigations of abnormal sensation during swallowing. A tumorous 1.4 cm lesion was also found on the side of the absent lobe, left of the isthmus. Fine-needle aspiration biopsy revealed class V papillary carcinoma, but no lymph node metastases. Total thyroidectomy was performed for stage cT1bN0M0 carcinoma. Histopathology revealed normal thyroid tissues in the right lobe and isthmus, while the left lobe was absent. The mostly papillary carcinoma was adjacent to the truncated thyroid tissue, with a portion histologically consistent with poorly differentiated carcinoma. Conclusions. All previously reported cases of thyroid cancer complicated by hemiagenesis have represented carcinoma occurring within the present lobe. This case is extremely rare.
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series Case Reports in Otolaryngology
spelling doaj-art-d7006b7809244c649cc1aab1b752a5f02025-02-03T06:06:59ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/45927834592783Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid HemiagenesisHiroki Sato0Kiyoaki Tsukahara1Ray Motohashi2Midori Wakiya3Hiromi Serizawa4Atsushi Kurata5Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, JapanDepartment of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, JapanDepartment of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, JapanDepartment of Pathology, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanDepartment of Pathology, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanDepartment of Molecular Pathology, Tokyo Medical University, Tokyo, JapanBackground. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigations of abnormal sensation during swallowing. A tumorous 1.4 cm lesion was also found on the side of the absent lobe, left of the isthmus. Fine-needle aspiration biopsy revealed class V papillary carcinoma, but no lymph node metastases. Total thyroidectomy was performed for stage cT1bN0M0 carcinoma. Histopathology revealed normal thyroid tissues in the right lobe and isthmus, while the left lobe was absent. The mostly papillary carcinoma was adjacent to the truncated thyroid tissue, with a portion histologically consistent with poorly differentiated carcinoma. Conclusions. All previously reported cases of thyroid cancer complicated by hemiagenesis have represented carcinoma occurring within the present lobe. This case is extremely rare.http://dx.doi.org/10.1155/2017/4592783
spellingShingle Hiroki Sato
Kiyoaki Tsukahara
Ray Motohashi
Midori Wakiya
Hiromi Serizawa
Atsushi Kurata
Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
Case Reports in Otolaryngology
title Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
title_full Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
title_fullStr Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
title_full_unstemmed Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
title_short Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis
title_sort thyroid carcinoma on the side of the absent lobe in a patient with thyroid hemiagenesis
url http://dx.doi.org/10.1155/2017/4592783
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