Endocrine Abstracts

We present the case of a 32 yeas old male, diagnosed 7 years ago with Basedow disease, with numerous recidives which needed anti-thyroid medication, with poor response (hypo to hyper-thyroid status, with high variations of TSH and FT4) whom after a period of remission (8 months, no treatment) came in for a polymorphic symptomatology sugestive for hyperthyroidism. The hyperthyroid state was confirmed he had high TrAb ()31 UI/ml vs <1.75 UI/ml)- and we need to mention that on his last check in the detection rate of TrAb was under 0.3. The thyroid ultrasound revels on the left lobe a small mass of 0.8/0.8 cm, with EU-TIRADS score of 4, that was newly diagnosed. At that moment we initiated thyamazole 30 mg/day and non-selective beta-bloker for the four weeks until surgery. Postoperative histopathology revealed papillary microcarcinoma developed on hashitoxicosis- pT1aN0, of 1 mm in the middle of left thyroidian lobe. The particularity of this case consists in a long evolution of Basedow-Graves disease with numerous recalls, the appearance of a thyroid nodule after 7 years in which they identified a papillary microcacinoma associated with Hashimoto thyroiditis and also the postoperative recovery that was slowed by the parathyreoprive tetany.