ECE2017 Eposter Presentations: Thyroid Thyroid (non-cancer) (260 abstracts)
1Trakya University, Medical Faculty, Department of Internal Medicine, Edirne, Turkey; 2Trakya University, Medical Faculty, Department of Endocrinology and Metabolism, Edirne, Turkey; 3Trakya University, Medical Faculty, Department of Pathology, Edirne, Turkey; 4Trakya University, Medical Faculty, Department of Surgery, Edirne, Turkey; 5Trakya University, Medical Faculty, Department of Nuclear Medicine, Edirne, Turkey.
Occurance of papiller carcinoma with foliculer thyroid carcinoma is a rare situation. We report a 49-year-old male with asymptomatic goiter. The first biopsy from the right tyroid lobe from a 6×6×4 cm iso-hypoechogen heterogeneous nodule showed bening, hurthe cell and thyrocyte rich cytology. Two months later the patient went through right lobectomy which patology defined as 4.3 cm minimal invasive follicular carcinoma. Two months after right thyroidectomy, a second operation was performed on the left thyroid to complete the process of total thyroidectomy. The speciment was sent to patology which bore the following result: Papillary microcarcinoma with follicular variant. This was evaluated as high-risk thyroid carcinoma and treated with radioactive iodine(RAI-131) at 100 mCi. At post-RAI whole body scan screening, 2 local foci were observed in the thyroid location and were followed up. This work shows two different carcinomas that belong to different lineages existing in two different lobes of the thyroid with no coheisive malignity triggering factors.