Hürthle Cell Carcinoma in a Lingual Thyroid.

Med Princ Pract

Department of Oral Surgery, BRS Dental College, Panchkula, India.

Published: April 2019

AI Article Synopsis

  • A 37-year-old woman with dysphagia and recurrent bleeding was diagnosed with Hürthle cell carcinoma (HCC) in her lingual thyroid after histopathological examination.
  • The tumor was surgically removed using a trans-glossal approach, which minimized scarring and avoided the need for more invasive procedures.
  • Post-surgery, the patient had a tumor-positive resection margin, leading to referral for radio-iodine ablation, emphasizing the importance of follow-up and diagnostics like fine-needle aspiration for lingual thyroid cases.

Article Abstract

Objective: To present a case of lingual thyroid Hürthle cell carcinoma (HCC).

Clinical Presentation And Intervention: A 37-year-old female presented with dysphagia and recurrent haemorrhage. Histopathology was suggestive of HCC; the tumour was excised by the trans-glossal approach which provided adequate exposure and helped avert external scarring or mandibular osteotomy. Histopathology showed a tumour-positive right lateral resection margin. This prompted referral to nuclear medicine for radio-iodine ablation.

Conclusion: Lingual thyroid cases should be followed up closely and fine-needle aspiration biopsy should be considered when in doubt.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243912PMC
http://dx.doi.org/10.1159/000490854DOI Listing

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