Synchronous thyroid paraganglioma and urachal adenocarcinoma, an unusual diagnosis
DOI:
https://doi.org/10.34631/sporl.923Keywords:
Paraganglioma Vagal, thyroid neoplasms, men, urachal adenocarcinomaAbstract
Paragangliomas (PG) are uncommon head and neck tumors and their location in the thyroid gland is even more exceptional. Likewise, urachal adenocarcinomas are unusual and poorly studied neoplasms. We report the case of a patient where a left thyroid nodule was found in the course of an extended radiological study due to a urachal adenocarcinoma. Two inconclusive fine-needle aspirations (FNA) were performed, and in light of the oncological history, a diagnostic hemithyroidectomy was elected. The histological diagnosis was thyroid paraganglioma. The patient deceased as a consequence of lung metastasis from the urachal adenocarcinoma, so the following studies could not be fulfilled. This is de first reported case of synchronous thyroid PG and urachal adenocarcinoma and the seventh of PG in a male patient.
References
Sangtian J, Evasovich MR, Harindhanavudhi T. A Rarity in a Common Disease: Thyroid Paraganglioma. Am J Med. 2017 Apr;130(4):e133-e135. doi: 10.1016/j.amjmed.2016.11.030.
Navaratne L, Mathew RG, Kousparos G, McCombe A. The Management of Locally Invasive Primary Thyroid Paraganglioma: A Case Report and Review of the Literature. Head Neck Pathol. 2017 Jun;11(2):139-145. doi: 10.1007/s12105-016-0745-2.
González Poggioli N, López Amado M, Pimentel MT. Paraganglioma of the Thyroid Gland: A Rare Entity. Endocr Pathol. Spring 2009;20(1):62-5. doi: 10.1007/s12022-009-9066-2.
Szarvas T, Módos O, Niedworok C, Reis H, Szendröi A, Szász MA. et al. Clinical, prognostic, and therapeutic aspects of urachal carcinoma. A comprehensive review with meta-analysis of 1,010 cases. Urol Oncol. 2016 Sep;34(9):388-98. doi: 10.1016/j.urolonc.2016.04.012.
Foppiani L, Marugo A, Del Monte P, Sartini G, Bandelloni R, Marugo M. et al. Thyroid paraganglioma manifesting as hot toxic nodule. J Endocrinol Invest. 2005 May;28(5):479-80. doi: 10.1007/BF03347231.
Filipovic A, Vuckovic L, Pejakov L. Paraganglioma of the thyroid gland: A case report. Vojnosanit Pregl. [Internet] 2014 Sep;71(9):875-8. Available from: https://doi.org/10.2298/VSP130420043F
Lee SM, Policarpio-Nicolas ML. Thyroid Paraganglioma. Arch Pathol Lab Med. 2015 Aug;139(8):1062-7. doi: 10.5858/arpa.2013-0703-RS.
Erem C, Kocak M, Nuhoglu İ, Cobanoglu U, Ucuncu O, Okatan BK. Primary thyroid paraganglioma presenting with double thyroid nodule: a case report. Endocrine. 2009 Dec;36(3):368-71. doi: 10.1007/s12020-009-9238-3.
Armstrong MJ, Chiosea SI, Carty SE, Hodak SP, Yip L.Thyroid Paragangliomas Are Locally Aggressive. Thyroid. 2012 Jan;22(1):88-93. doi: 10.1089/thy.2011.0110.
Kronz JD, Argani P, Udelsman R, Silverberg L, Westra WH. Paraganglioma of the thyroid: two cases that clarify and expand the clinical spectrum. Head Neck. 2000 Sep;22(6):621-5. doi: 10.1002/1097-0347(200009)22:6<621::aid-hed12>3.0.co;2-h.
Yano Y, Nagahama M, Sugino K, Ito K, Kameyama K, Ito K. Paraganglioma of the thyroid: report of a male case with ultrasonographic imaging, cytologic, histologic and immunohistochemical features. Thyroid. 2007 Jun;17(6):575-8. doi: 10.1089/thy.2006.0284.
Yu B, Sheng W, Wang J. Primary paraganglioma of thyroid gland: A clinicopathologic and immunohistochemical analysis of three cases with a review of the literature. Head Neck Pathol. 2013 Dec;7(4):373-80. doi: 10.1007/s12105-013-0467-7.
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