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Med Ultrason. 2021 Apr 01; doi: 10.11152/mu-3019. Epub 2021 Apr 01.

An intrathyroidal nodule consisting of papillary thyroid cancer and ectopic hyperechoic parathyroid adenoma: a case report.

Medical ultrasonography

Serkan Guneyli, Adnan Kabaalioglu, Emre Altinmakas, Barbaros Erhan Cil, Orhun Cig Taskin, Secil Ozisik, Vugar Samadli, Hakan Dogan, Orhan Agcaoglu

Affiliations

  1. Department of Radiology, Medicana International Izmir Hospital, Izmir, Turkey. [email protected].
  2. Department of Radiology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  3. Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai New York, NY, USA. [email protected].
  4. Department of Radiology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  5. Department of Pathology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  6. Department of Endocrinology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  7. Department of Radiology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  8. Department of Radiology, Koc University School of Medicine, Istanbul, Turkey. [email protected].
  9. Department of General Surgery, Koc University School of Medicine, Istanbul, Turkey. [email protected].

PMID: 33793694 DOI: 10.11152/mu-3019

Abstract

A 53-year-old woman with fatigue lasting for 6 weeks and increased parathormone level underwent a neck ultrasound. It revealed a large, lobulated, solid intrathyroidal nodule consisting of hypoechoic component with microcalcifications and hy-perechoic component with vascularity on Doppler mode. There were also subcentimetric intrathyroidal hypo- and hyperechoic nodules. Upon the diagnosis of papillary thyroid cancer on fine-needle aspiration biopsy, a total thyroidectomy procedure was performed. In the histopathologic evaluation, the hypoechoic component was diagnosed as papillary thyroid cancer, while the hyperechoic component was diagnosed as ectopic parathyroid adenoma. Subcentimetric nodules were demonstrated as multi-foci of papillary thyroid cancer.

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