Young age - an unusual finding of Hürthle cell carcinoma

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Published Jan 3, 2019
DOI: https://doi.org/10.22551/2018.21.0504.10144
Laura Claudia Teodoriu Delia Gabriela Ciobanu-Apostol Alexandru Grigorovici Cristina Preda

Abstract

Hürthle cell carcinoma is a rare thyroid neoplasm which originates from the follicular epithelium of the thyroid gland and is considered a true rarity in young patients. A 30 year-old woman was admitted to our department with palpable anterior cervical mass due to enlarged thyroid. The ultrasound revealed a large thyroid nodule with central hypoechogenicity, peripheral hyperechogenicity and positive Doppler signal. The patient had no distinguishable lateral cervical lymphadenopathy. The TI-RADS calculation (thyroid image reporting data system) classified the nodule as TR4 (4 points), which indicated a fine needle aspiration biopsy (FNAB), declined by the patient. Total thyroidectomy was performed and the histological findings associated with immunohistochemical study revealed the diagnosis of Hürthle cell carcinoma with capsular and vascular invasion. Because the microscopic vascular invasion was < 4 foci the patient was classified as low-risk group. Even so, due to the young age she was referred to radioactive iodine therapy for completion of curative treatment. This case illustrates the difficulties in the management of thyroid nodules with suspicious features on ultrasound, in the absence of FNAB exploration, and the unusual presence of Hürthle cell carcinoma in a young age patient, knowing the 6th decade is the average age for this rare type of thyroid neoplasm.

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Keywords

thyroid neoplasm, Hürthle cell carcinoma, thyroid cancer, young patient, aggressive treatment

References
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How to Cite
Teodoriu, L. C., Ciobanu-Apostol, D. G., Grigorovici, A., & Preda, C. (2019). Young age - an unusual finding of Hürthle cell carcinoma. Archive of Clinical Cases, 5(4), Arch Clin Cases 2018; 5(4):159-164. https://doi.org/10.22551/2018.21.0504.10144
Issue
Vol. 5 No. 4 (2018)
Section
Case Reports

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How to Cite

Teodoriu, L. C., Ciobanu-Apostol, D. G., Grigorovici, A., & Preda, C. (2019). Young age - an unusual finding of Hürthle cell carcinoma. Archive of Clinical Cases, 5(4), Arch Clin Cases 2018; 5(4):159-164. https://doi.org/10.22551/2018.21.0504.10144