ABSTRACT
The hyperthyroidism is associated to different clinical situations with a relative frequency on the daily practice. Anyway, there have been discovered and published some clinical cases of thyroid cancer with insufficient symptoms, associated with a typical clinical hyperthyroidism and that have been related with Graves Basedow Disease. We expose here two different kinds of non typical thyroid cancer as a contribution to medical literature. In these cases, thanks to a careful exploration, further tests and, above all, fine needle aspiration puncture, hidden cancer was discovered. Cancer was not expected because of clinical symptoms. The definitive treatment was marked by fine needle aspiration puncture.
Subject(s)
Adenoma/diagnosis , Carcinoma, Papillary/diagnosis , Thyroid Neoplasms/diagnosis , Adenoma/surgery , Adult , Biopsy, Needle , Carcinoma, Papillary/surgery , Chronic Disease , Female , Graves Disease/diagnosis , Graves Disease/surgery , Humans , Thyroid Gland/pathology , Thyroid Neoplasms/surgery , ThyroidectomyABSTRACT
El hipertiroidismo va asociado a distintas entidades clínicas de relativa frecuencia en la practica diaria. No obstante no debemos olvidar que existen casos de cancer de tiroides de presentación larvada asociados a una clínica hipertiroidea típica que han sido publicados, y que se han relacionado principalmente con la enfermedad de Graves Basedow. Presentamos aquí, dos casos de cancer de tiroides de presentación atípica, para añadir a la literatura. En estos casos la exploración cuidadosa, las pruebas complementarias y sobre todo la PAAF fueron las que indicaron la existencia de un carcinoma oculto, que dada la presentación del cuadro clínico no se sospechaba inicialmente. Fue la PAAF la que permitió aplicar el tratamiento definitivo (AU)
Subject(s)
Adult , Female , Humans , Adenoma , Biopsy, Needle , Carcinoma, Papillary , Chronic Disease , Graves Disease/surgery , Graves Disease/diagnosis , Thyroid Gland/pathology , Thyroidectomy , Thyroid Neoplasms , Adenoma/surgery , Adenoma/diagnosis , Carcinoma, Papillary/surgery , Carcinoma, Papillary/diagnosis , Graves Disease , Thyroid Neoplasms/surgery , Thyroid Neoplasms/diagnosisSubject(s)
Choristoma , Congenital Hypothyroidism , Mouth Diseases , Ovarian Neoplasms/complications , Teratoma/complications , Thyroid Gland , Adult , Female , Humans , Mouth FloorABSTRACT
We present the case of a 42-year-old patient with a pheochromocytoma, whose clinical form of presentation was extremely rare, due to the high secretion of adrenalin compared to noradrenaline. We stress the relevance of the anamnesis for the diagnosis of this pathology, as well as the problems regarding its clinical, anaesthetic and surgical management. In addition, we review the literature.
