Un caso de carcinoma de tiroides de células de Hürthle. Abordando la incertidumbre del papel del yodo I-131

Translated title of the contribution: A case of Hürthle cell thyroid carcinoma. Dealing with the uncertainty of the role of iodinel-131

Claudia Gutiérrez-Villamil, Juan Francisco-Alonso, Arturo Mejía-López, Franklin Carofilis-Mendoza, José Sinay Arévalo-Leal, Víctor Marín-Oyaga

Research output: Contribution to journalArticlepeer-review

Abstract

Objetive: The objective is to present a case with successful I-131 uptake in a patient with Hürthle cell carcinoma. Case presentation: A 60 years old female patient with diagnosed goiter, that was treated with thyroid hormone analogues that didn’t decreased the growth of the mass; due to that, it was biopsied. The report of the pathology reported a Hürthle cell neoplasm with indeterminate behavior, lately oncologic thyroidectomy and lymphadenectomy were performed, from which the pathology plates were revised showing a definitive diagnosis of Hurthle cell carcinoma. The case was reviewed in a medical board where I-131 therapy was suggested. In the postheraphy scan performed, there was evidence of I-131 uptake in the neck and in an adenopathy. Twelve months later, there was evidence of pulmonary relapse. Is an uncertainty to know if the patient in this case would have been able to benefit from an early ablative therapy with I-131 decreasing the risk of relapse after having documented tumor avidity for it. The Hürthle thyroid carcinoma is rare, and its natural history is still controversial because it’s challenging diagnosis, treatment and monitoring. Because there is no definitive agree about his integral approach despite it has been considered differentiated thyroid cancer even therapy with I-131 is still debated.

Translated title of the contributionA case of Hürthle cell thyroid carcinoma. Dealing with the uncertainty of the role of iodinel-131
Original languageSpanish
Pages (from-to)165-172
Number of pages8
JournalRevista ciencias de la salud
Volume15
Issue number1
DOIs
StatePublished - Jan 31 2017
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Health(social science)

Author Keywords

  • Concept

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