Thyroid cancer presenting as a hot thyroid nodule: report of a case and review of the literature.
We report a patient with a papillary carcinoma of the thyroid occurring within a hyperfunctioning adenoma. This patient underwent surgery on the basis of a positive fine-needle aspiration biopsy even though the 123I scan showed a hyperfunctioning nodule suppressing the rest of the gland. To avoid overlooking a thyroid carcinoma in a patient with a thyroid nodule, fine-needle aspiration biopsy should be performed routinely and a surgical procedure should be done when indicated by cytological data, regardless of scan findings.
Rubenfeld
S
S
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Wheeler
T M
TM
D000236:Adenoma / Q000000981:diagnostic imaging*; D000328:Adult; D002291:Carcinoma, Papillary / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D011877:Radionuclide Imaging; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging*