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A rare coexistence of non-functional adrenocortical carcinoma and multicentric papillary thyroid microcarcinoma: a case report.

Karakose M, Hasdemir O, Cakal E, Delibasi T - J Med Case Rep (2013)

Bottom Line: The patient did not have specific signs and symptoms of hormone excess.The patient was also found to have a multicentric papillary thyroid microcarcinoma.When an endocrine tumor is diagnosed, endocrinologists must be consider the possibility of the existence of another endocrine tumor.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Endocrinology and Metabolism, Diskapi Yildirim Beyazit Training and Research Hospital, Altindag, Ankara, Turkey. meliakarakose@yahoo.com.

ABSTRACT

Introduction: In this report, we describe a rare case of papillary thyroid carcinoma with adrenocortical carcinoma without excess hormone production.

Case presentation: A 40-year-old Turkish man was admitted to our institution with a large left adrenal mass that was identified during the work-up for shortness of breath. The patient did not have specific signs and symptoms of hormone excess. The mass was removed surgically. The pathological findings were consistent with adrenocortical carcinoma. The patient was also found to have a multicentric papillary thyroid microcarcinoma.

Conclusion: Most adrenocortical carcinomas and papillary thyroid carcinomas are sporadic; however, the occurrence of two different endocrine neoplasms during the same period of time is a rare situation, but it is possible, as in our patient. When an endocrine tumor is diagnosed, endocrinologists must be consider the possibility of the existence of another endocrine tumor.

No MeSH data available.


Related in: MedlinePlus

Elastosonographic and ultrasound images of the thyroid nodule.
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Figure 2: Elastosonographic and ultrasound images of the thyroid nodule.

Mentions: The elastosonography score of the nodule was 5, and the strain index was calculated as 7.85 (FigureĀ 2). The patient had neither a history of radiation exposure nor a family history positive for thyroid carcinoma. A fine-needle aspiration biopsy of the nodule was suspicious for malignancy. The patient underwent total thyroidectomy and central neck dissection. Tumors were detected in two foci with diameters of 0.9cm and 0.4cm in the left lobe. There was neither lymphovascular nor capsular invasion or lymph node metastasis. Immunohistochemical studies showed that thyroglobulin was positive. The pathologic diagnosis was multicentric papillary thyroid microcarcinoma.


A rare coexistence of non-functional adrenocortical carcinoma and multicentric papillary thyroid microcarcinoma: a case report.

Karakose M, Hasdemir O, Cakal E, Delibasi T - J Med Case Rep (2013)

Elastosonographic and ultrasound images of the thyroid nodule.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750629&req=5

Figure 2: Elastosonographic and ultrasound images of the thyroid nodule.
Mentions: The elastosonography score of the nodule was 5, and the strain index was calculated as 7.85 (FigureĀ 2). The patient had neither a history of radiation exposure nor a family history positive for thyroid carcinoma. A fine-needle aspiration biopsy of the nodule was suspicious for malignancy. The patient underwent total thyroidectomy and central neck dissection. Tumors were detected in two foci with diameters of 0.9cm and 0.4cm in the left lobe. There was neither lymphovascular nor capsular invasion or lymph node metastasis. Immunohistochemical studies showed that thyroglobulin was positive. The pathologic diagnosis was multicentric papillary thyroid microcarcinoma.

Bottom Line: The patient did not have specific signs and symptoms of hormone excess.The patient was also found to have a multicentric papillary thyroid microcarcinoma.When an endocrine tumor is diagnosed, endocrinologists must be consider the possibility of the existence of another endocrine tumor.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Endocrinology and Metabolism, Diskapi Yildirim Beyazit Training and Research Hospital, Altindag, Ankara, Turkey. meliakarakose@yahoo.com.

ABSTRACT

Introduction: In this report, we describe a rare case of papillary thyroid carcinoma with adrenocortical carcinoma without excess hormone production.

Case presentation: A 40-year-old Turkish man was admitted to our institution with a large left adrenal mass that was identified during the work-up for shortness of breath. The patient did not have specific signs and symptoms of hormone excess. The mass was removed surgically. The pathological findings were consistent with adrenocortical carcinoma. The patient was also found to have a multicentric papillary thyroid microcarcinoma.

Conclusion: Most adrenocortical carcinomas and papillary thyroid carcinomas are sporadic; however, the occurrence of two different endocrine neoplasms during the same period of time is a rare situation, but it is possible, as in our patient. When an endocrine tumor is diagnosed, endocrinologists must be consider the possibility of the existence of another endocrine tumor.

No MeSH data available.


Related in: MedlinePlus