World Journal of Endocrine Surgery

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VOLUME 13 , ISSUE 2 ( May-August, 2021 ) > List of Articles

CASE REPORT

Medullary Thyroid Cancer with Normal Serum Calcitonin and Tubercular Neck Nodes: A Rare and Challenging Presentation

Suman Kharkwal, J Anish Atchaya, Rabishankar Singh

Keywords : Calcitonin, Medullary thyroid cancer, Total thyroidectomy

Citation Information : Kharkwal S, Atchaya JA, Singh R. Medullary Thyroid Cancer with Normal Serum Calcitonin and Tubercular Neck Nodes: A Rare and Challenging Presentation. World J Endoc Surg 2021; 13 (2):61-63.

DOI: 10.5005/jp-journals-10002-1401

License: CC BY-NC 4.0

Published Online: 31-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

We report a highly unusual case of medullary carcinoma thyroid with normal serum calcitonin and tuberculous lymphadenitis mimicking metastatic neck nodes. A 26-year-old married woman was diagnosed with sporadic medullary carcinoma of thyroid on fine needle aspiration cytology (FNAC). Preoperative ultrasonography (USG) and contrast-enhanced computed tomography (CECT) neck suggested a metastasis in level IIB neck nodes. Patient underwent total thyroidectomy with central neck dissection with right modified neck dissection type III. Final histopathological report revealed medullary carcinoma thyroid (MTC) with tubercular lymphadenitis, none of 47 nodes retrieved had metastasis. She remains disease free after 2 years following surgery.


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