Endocrine Abstracts

Introduction: Pulmonary adenocarcinoma is an epithelial tumor with differentiation glandular whose frequency increases sharply. The association with cancer thyroid is rare. In this context, we report a medical observation.

Observation: A 58-year-old patient with no history of smoking was admitted to one of our departments. Thyroidectomy 4 years ago, the pathological study a poorly differentiated carcinoma of 4.5 cm, class PT2 TNM. Our patient had benefited from an iodine 131 therapy course with a complete CT scan of body showing a white isotopic map. Thyroid suppressing the dose with bad adherence. She experienced exercise dyspnea and pain thoracic for 3 years, aggravated by a respiratory distress. A scanner showed a left lower lobe of 28 mm and a mass nodular of the same lobe of 20! 32 mm. Objective bronchoscopy bronchitis chronic without suspicious cells identifiable on the biopsy. A lobectomy left was found, which revealed a primary pulmonary glandular (positivity TTF1 and CK7).

Conclusion: This observation shows the coexistence of multiple malignancies in a patient, whose diagnosis and treatment may be delayed, which aggravates the prognosis.