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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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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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. |
format | Article |
id | doaj-art-d7006b7809244c649cc1aab1b752a5f0 |
institution | Kabale University |
issn | 2090-6765 2090-6773 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
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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