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Erschienen in: European Archives of Oto-Rhino-Laryngology 5/2019

14.03.2019 | Short Communication

Fortuitous discovery of non-fluorocholine-fixing papillary carcinoma of vesicular variant of the thyroid

verfasst von: Nicolas Guignard, Guillaume Chambon, Benjamin Chambert, Yaser Najaf, Benjamin Lallemant

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 5/2019

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Abstract

Purpose

Characterization of thyroid nodules is crucial to propose surgical intervention for histological verification. Cervical ultrasound potentially combined with fine needle aspiration is recommended, and fluorocholine positron emission tomography (FCH-PET), commonly used in prostatic cancers, has been evaluated in the diagnosis of thyroid cancers in recent publications.

Methods

We present two cases of patients with multinodular thyroid and primary hyperparathyroidism. The preoperative assessment consisted of an ultrasound, a MIBI scintigraphy and an FCH-PET in favor of a parathyroid adenoma.

Results

The imaging examinations pointed to a diagnosis of a parathyroid adenoma. In both cases, papillary thyroid carcinoma, missed by FCH-PET, was discovered incidentally at a distance from the parathyroid adenoma during the surgical procedure.

Conclusions

These are the first descriptions of thyroid papillary carcinoma without preoperative FCH-PET identification. These clinical cases are contrary to recent publications showing a benefit of this examination in the diagnosis of thyroid cancers.
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Metadaten
Titel
Fortuitous discovery of non-fluorocholine-fixing papillary carcinoma of vesicular variant of the thyroid
verfasst von
Nicolas Guignard
Guillaume Chambon
Benjamin Chambert
Yaser Najaf
Benjamin Lallemant
Publikationsdatum
14.03.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 5/2019
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05370-3

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