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ODP585 Occult metastatic medullary thyroid carcinoma without detectable primary tumor
- Source :
- Journal of the Endocrine Society. 6:A792-A793
- Publication Year :
- 2022
- Publisher :
- The Endocrine Society, 2022.
-
Abstract
- Background Occult thyroid cancer is a particularly rare type of thyroid carcinomas. The absolute majority is presented by papillary thyroid carcinoma. We report a case of a medullary thyroid carcinoma (MTC) that was detected as a primary tumor neither on preoperative ultrasound examination nor on postoperative morphological examination. Case A 57-year-old patient with no personal or family history of thyroid disease presented to the surgeon with the complaint of swelling in the cervical lymph nodes. Ultrasonography of the thyroid showed a hypoechoic 4 mm zone with peripheral calcification in the right lobe and two suspicious malignant lymph nodes 14×12 mm and 10×7 mm in the right paratracheal region. A blood test revealed no abnormalities in thyroid function (TSH 0.9 mUI/L, fT3 4.25 pmol/l, fT4 10.2 pmol/l). However, the calcitonin (CT) and the carcinoembryonic antigen (CEA) levels were significantly elevated – 144 pg/ml (N for male Conclusion Metastatic medullary thyroid carcinoma without detectable primary tumor is a rare but real occurrence that might be encountered in practice. The lack of malignant findings in the thyroid gland during preoperative examination complicates the diagnostic. Presentation: No date and time listed
- Subjects :
- Endocrinology, Diabetes and Metabolism
Subjects
Details
- ISSN :
- 24721972
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of the Endocrine Society
- Accession number :
- edsair.doi...........3820cbcab3333608a06339d9bac9f5e3