title: Follicular carcinoma arising from the pyramidal lobe of the thyroid.
abstract: We present a rare case of follicular carcinoma arising from the pyramidal lobe of the thyroid in a 21-year-old woman. Radical resection of the thyroid isthmus was performed, followed by adjuvant hormonal therapy with levothyroxine. After 15 months of follow-up, the patient remains disease-free. Thyroid carcinoma in children and adolescents is rare, and also rarely arises in the pyramidal lobe. To our knowledge, this is the first report of this type of neoplasm arising from the thyroid pyramidal lobe. We are following up this case carefully, and if recurrence or metastasis or both occur, we plan to perform total thyroidectomy and ablation with (131)I. This case suggests the importance of the differential diagnosis of midline cervical masses and the management of this type of neoplasm in adolescents.
authors: Kanaji Thyroid Hospital, Tokyo, Japan.
authors: Chie
authors: C
authors: Ogawa
authors: Makoto
authors: M
authors: Kammori
authors: Hiroyuki
authors: H
authors: Onose
authors: Emiko
authors: E
authors: Yamada
authors: Kazuo
authors: K
authors: Shimizu
authors: Tetsu
authors: T
authors: Yamada
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000473:pathology* / Q000628:therapy; D001707:Biopsy, Needle; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000628:therapy; D013965:Thyroidectomy; D013974:Thyroxine / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D013974:Thyroxine