Abstract

DIAZ ACOSTA, Julio Cesar et al. Hyalinizing trabecular tumor of thyroid gland: diagnostic challenge, case report. Rev. Univ. Ind. Santander. Salud [online]. 2014, vol.46, n.2, pp.189-193. ISSN 0121-0807.

Introduction: The hyalinized trabecular tumor of thyroids is a clinical condition, rarely frequent of uncertain behavior and difficult diagnosis due to the fact that is hard to differentiate it from other thyroid tumors such as the papillary and medullar carcinoma due to its histological similarities. Case report: 53 year old patient who attended medical consult because of an irregular growth in the thyroids gland and the dysphagia, previous diagnose studies were made and led to a benign pathology, but for symptomatology it was decided to make a total thyroidectomy. The histopathology of the mass reported a medullar carcinoma and in the immune-histo-chemistry as an incidental finding a final diagnose was made, showing a hyalinized trabecular adenoma of thyroids. Discussion: The hyalinized trabecular tumor of thyroids presented diagnosis and therapeutic challenges. Duo to is necessary necessary to make immune-histo-chemistry tests. The surgical approach is not clear because of its uncertain behavior and the lack of studies that report its forecast and treatment. Conclusions: The hyalinized trabecular tumor of thyroids is a disease with low rates of incidence, usually badly diagnosed, over which there is no clear existing information for its treatment. The clinical surveillance of these patients and future observational studies will allow us to make some conclusions in the future regarding its behavior and forecast.

Keywords : Thyroid Nodule; Adenoma Trabecular; Carcinoma Medullary; Carcinoma Papillary.

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