Erschienen in:
10.05.2017
MEN2 Syndrome-Related Medullary Thyroid Carcinoma with Focal Tyrosine Hydroxylase Expression: Does It Represent a Hybrid Cellular Phenotype or Functional State of Tumor Cells?
verfasst von:
Ozgur Mete, Ahmed Essa, Anil Bramdev, Navendren Govender, Runjan Chetty
Erschienen in:
Endocrine Pathology
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Ausgabe 4/2017
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Excerpt
A 38-year-old woman presented with abdominal pain, right-sided large thyroid mass with dysphagia, lower backache, and weight gain. During the clinical examination, she was pale and was found to have hypertension. The initial laboratory testing showed a normal thyroid function along with low hemoglobin (7.6 g/dl, normal: 12–15 g/dl). Ultrasound identified a large thyroid mass occupying almost the entire right lobe. No cervical lymphadenopathy was detected. A fine needle-aspiration biopsy of the thyroid mass was scheduled; however, the patient opted for total thyroidectomy given her elevated calcitonin (19930 ng/l; normal: 0–5 ng/l) and CEA (1425 ng/ml; normal: 0–5 ng/ml) levels. …