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Revista médica de Chile

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MOSSO G, Lorena et al. Thyroid microcarcinoma with an aggressive evolution. Rev. méd. Chile [online]. 2005, vol.133, n.3, pp.323-326. ISSN 0034-9887.

The treatment of papillary thyroid carcinoma of less than 10 mm diameter is a matter of controversy. The incidental finding of papillary microcarcinomas in autopsies is frequent and some authors postulate that these tumors are biologically inactive and should only be observed. We report a 21 years old woman with a papillary thyroid cancer of 6x5x5 mm and bilateral paratracheal metastases, that was subjected to a total thyroidectomy. She received 200 mCi of radioiodine. Two years after surgery, a new nodule of 9.6 mm diameter was detected by ultrasound, that was treated with a new dose of 200 mCi of radioiodine. One year later a suprasternal mass of 2 cm diameter and 3 enlarged lymph nodes were detected. She was subjected to a surgical lymph node dissection of the neck and the biopsy confirmed the presence of cancer. She received a new dose of 300 mCi of radioiodine. The mother of the patient had a 7 mm thyroid nodule that was also a papillary carcinoma (Rev Méd Chile 2005; 133: 323-6)

Keywords : Carcinoma, papillary; Thyroid neoplasms; Thyroid nodule.

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