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European Archives of Oto-Rhino-Laryngology

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01-05-2019 | Ultrasound | Short Communication

Fortuitous discovery of non-fluorocholine-fixing papillary carcinoma of vesicular variant of the thyroid

Authors: Nicolas Guignard, Guillaume Chambon, Benjamin Chambert, Yaser Najaf, Benjamin Lallemant

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2019

Abstract

Purpose

Characterization of thyroid nodules is crucial to propose surgical intervention for histological verification. Cervical ultrasound potentially combined with fine needle aspiration is recommended, and fluorocholine positron emission tomography (FCH-PET), commonly used in prostatic cancers, has been evaluated in the diagnosis of thyroid cancers in recent publications.

Methods

We present two cases of patients with multinodular thyroid and primary hyperparathyroidism. The preoperative assessment consisted of an ultrasound, a MIBI scintigraphy and an FCH-PET in favor of a parathyroid adenoma.

Results

The imaging examinations pointed to a diagnosis of a parathyroid adenoma. In both cases, papillary thyroid carcinoma, missed by FCH-PET, was discovered incidentally at a distance from the parathyroid adenoma during the surgical procedure.

Conclusions

These are the first descriptions of thyroid papillary carcinoma without preoperative FCH-PET identification. These clinical cases are contrary to recent publications showing a benefit of this examination in the diagnosis of thyroid cancers.

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Title: Fortuitous discovery of non-fluorocholine-fixing papillary carcinoma of vesicular variant of the thyroid
Authors: Nicolas Guignard
Guillaume Chambon
Benjamin Chambert
Yaser Najaf
Benjamin Lallemant
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Hyperparathyroidism
Ultrasound
Scintigraphy
Thyroid Cancer
Thyroid Cancer
Thyroid Cancer
Published in: European Archives of Oto-Rhino-Laryngology / Issue 5/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05370-3

ACC 2024 Congress

Springer Medicine

Fortuitous discovery of non-fluorocholine-fixing papillary carcinoma of vesicular variant of the thyroid

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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