ECE2022 Eposter Presentations Thyroid (219 abstracts)
1Central Hospital of Army, Endocrinology, Algeria; 2Central Hospital of Army, Anatomopathology, Algeria; 3Central Hospital of Army, Nucleary, Algeria
Introduction: The Marine-Lenhart syndrome (MLS) is commonly defined as a combination of Graves disease and autonomous functioning thyroid nodule (s). the risk of malignancy of these nodules is less than 1% We report a case.
Observation: 27-year-old patient, hospitalized for treatment of a basal disease, cervical ultrasound found a 1.5 cm lower left lobe thyroid nodule classified eutirads 4. the sintigraphy found an aspect of diffuse hypercaptive goiter, TSI rate at 18 ui/l, confirming the SML. fine needle aspiration of the nodule is suspected of malignancy. a total thyroidectomy is performed after preparation with lugol. anatomo-pathological examination found a papillary carcinoma of the thyroid of 1.5 cm classified PT1bNxMx supplemented by iratherapy of 30mci
Discussion: MLS can affect up to 4% of Graves disease cases. Since the reported incidence of malignancy in all cold nodules is about 1%, its recommend to practice ultrasound and FNAC before treatments.