Logo American Journal of Case Reports

Call: 1.631.629.4328
Closed: National Holiday

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

24 January 2011

Mixed medullary thyroid cancer and follicular cancer

Subhashini Yaturu, Justin Fontinot, Tania Rowland

DOI: 10.12659/AJCR.881371

Am J Case Rep 2011; 12:1-4

Abstract

Abstract
Background: To report a rare case of mixed medullary thyroid cancer and follicular cancer.
Case Report: Sixty year old male was referred for an incidental thyroid nodule on carotid ultrasound, confirmed to be 1.1 cm mixed cyst on CT scan and a cold nodule on thyroid scan and 1.7 cm complex thyroid mass with intra-nodular vascularity, central calcification and an irregular posterior border on thyroid US. No evidence of thyroid dysfunction, compressive symptoms or radiation exposure. FNA of the nodule showed a follicular lesion. Calcitonin and CEA were elevated at 584 pg/L and 15.0 ng/mL respectively. Total thyroidectomy with central neck dissection done revealed a 1.7 cm medullary thyroid cancer with microscopic invasion into the surrounding thyroid tissue. Ipsilateral level VI node was positive for medullary thyroid cancer. Four weeks post-op Ultra sound neck and thyroid bed showed two right-sided lymph nodes less than 1 cm, both adjacent to the carotid arteries and US guided FNA was attempted with insufficient material. Given the soft-tissue invasion and the persistence of lymph nodes the patient had extensive bilateral neck dissection. One of forty lymph nodes at ipsilateral node was positive with an area of medullary thyroid cancer with an adjacent area of follicular thyroid epithelial differentiation.
Conclusions: This is the first reported case in the English literature of an area of follicular thyroid differentiation in a lymph node adjacent to a metastatic focus of medullary thyroid cancer in a patient without an identified primary follicular thyroid cancer.

Keywords: Medullary Thyroid Cancer, Follicular thyroid cancer, mixed thyroid cancer

Add Comment 0 Comments

In Press

Case report  Congo, the Democratic Republic of the

A Rare Case of Hyperglycemia, Ketoacidosis, and Central Facial Paralysis in a Newly-Diagnosed Diabetic Woman

Am J Case Rep In Press; DOI: 10.12659/AJCR.942425  

Case report  China (mainland)

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

Am J Case Rep In Press; DOI: 10.12659/AJCR.944371  

Case report  Jordan

Blue Toe Syndrome in Behçet’s Disease: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.943813  

Case report  South Korea

A Rare Case of Stroke in a 76-Year-Old Woman: Left Atrial Papillary Fibroelastoma as the Culprit

Am J Case Rep In Press; DOI: 10.12659/AJCR.943568  

Most Viewed Current Articles

07 Mar 2024 : Case report  USA 38,232

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany 31,087

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia 17,703

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

23 Feb 2022 : Case report  USA 17,653

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923