Papillary thyroid cancer in lungs. Adenocarcinom mucinos pulmonar primitiv la o femeie nefumătoare

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nematode Abstract Aim: to describe two cases of familial papillary thyroid carcinoma. Material and methods: patients were investigated by fine needle biopsy, MRI imaging and tumor biopsy, first case and histological examination of papillary thyroid cancer in lungs and thyroid tumors first case and histological examination of thyroid tumor second case. Results and discussion: case presentation: first case, 68 years old man had a colonic polyposis attenuated form with only a few polyps and a thyroid nodule.

After hemicolectomy for a supposed colonic carcinoma with liver and lung metastases, histological examination revealed no malignant colonic disease. Two month later the diagnosis of invasive thyroid tumor with lymph node metastases was made, but only an open biopsy was done because tumor invasiveness demonstrated on MTI imaging.

Primary pulmonary mucinous adenocarcinoma in a non-smoker woman

The biopsy identified a papillary thyroid carcinoma. Papillary thyroid cancer in lungs 2: the son of the patient 30 years old without papillary thyroid cancer in lungs diseases was invited to be assessed for thyroid disease.

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Ultrasound examination discovered a large nodule with microcalcifications. Microscopic examination done after total thyroidectomy revealed a cribriform morular variant of papillary thyroid carcinoma, a variant that is known to be associated with FAP.

Radioiodine ablation was made followed by suppressive thyroxine treatment.

In the second case adenomatous polyposis was not found yet. In our knowledge these are the first cases of familial thyroid papillary carcinomas in our setting.

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Familial history allowed an earlier diagnosis and a good management of the disease in the second case. Conclusions: according to the literature and our first experience, screening for thyroid cancer must be done in all patients with FAP and in those with a FAP proband in the family.


Nosé V. Endocr Pathol. Modern Pathology ; SS Cavaco BM.

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Endocrine-Related Cancer ; Richards ML. Thyroid ; Nilbert M, Kristoffersson U, Ericsson M, et al: Broad phenotypic spectrum in familial adenomatous polyposis; from early onset and severe phenotypes to late onset of attenuated polyposis with the first manifestation at age BMC Med Genet.

Adenocarcinom mucinos pulmonar primitiv la o femeie nefumătoare

Orphanet J Rare Dis ; 7. Histopathology ; Asian J Surg.

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Clin Gastroenterol Hepatol. Clin Colorectal Cancer ; 11 4 : Head Neck ; Ann Surg. Kameyama K, Takami H.

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Fam Cancer. Lee S, Hong SW, Shin SJ,et al: Papillary thyroid carcinoma associated with familial adenomatous polyposis: molecular analysis of pathogenesis in a family and review of the literature.

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Cetta F. Acta Cytol.

Among them, primary pulmonary mucinous adenocarcinoma former bronchioloalveo­lar carcinoma is rarely encountered, with aty­pical presentation, which lends itself to diagnostic confusion. We present the case of a year-old, non-smoker female patient who presented for chro­nic cough for over a year, accompanied by mucous expectoration and dyspnea in decubitus. Radiologically she presented condensation processes in bilateral extension.

Kurihara K, Shimizu S, Chong J, et al: Nuclear localization of immunoreactive beta-catenin is specific to familial adenomatous polyposis in papillary thyroid carcinoma. Jpn J Cancer Res.

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Ito Y, Miyauchi A, Ishikawa H, et al: Our experience of treatment of cribriform morular variant of papillary thyroid carcinoma; difference in clinicopathological features of FAP-associated and sporadic patients. Mc Donald TJ. Journal of Oncology.