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Revista Venezolana de Endocrinología y Metabolismo
versión impresa ISSN 1690-3110
Resumen
PINEDA, Henri et al. Diferentiated thyroid cancer type folicular in childhood and adolescence: A case report. Rev. Venez. Endocrinol. Metab. [online]. 2016, vol.14, n.2, pp.137-143. ISSN 1690-3110.
Objective: To present a case of follicular thyroid carcinoma in an adolescent, uncommon condition in the pediatric population and management review. Clinical case: Male patient 14 years old who consulted for filing increased volume in anterior neck of rapid growth, 3 months of evolution associated with persistent pain, dysphonia and dysphagia. Physical exam: Weight: 65 kg, Height: 1.68 m, BMI 23 kg/m2. Macrocephalic. Enlarged thyroid gland size: 3x4 cm (3N) at the expense of right lobe, increased consistency and smooth surface. No lymph nodes were palpated. Ultrasound (US) reported thyroid nodule that measured 33 x 33 x 32 mm in the right lobe. Functionally euthyroid. The cytological study of the nodule FNA reported follicular neoplasm. In April 2014 he underwent total thyroidectomy whose biopsy reported minimally invasive follicular thyroid carcinoma, 4.7x 4.6x 3.8 cm. This neoplasm was classified as T3N0M0 (St I AJCC 2010 <45 years), low risk of recurrence (ATA 2009). Metabolic radioiodine therapy (150 mCi) was administered. Conclusion: The estimated risk of recurrence is consistent with the characteristics of low risk, however the therapeutic management was decided taking into account the size of the lesion (greater than 4 cm) and aggressivity that shows the differentiated thyroid cancer in this group of age where more frequently is observed multifocality, invasion of the capsule and metastasis to regional lymph nodes or distant, at diagnosis.
Palabras clave : Differentiated thyroid carcinoma; children and adolescents; follicular; papillary; metastasis.