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Follicular variant of papillary carcinoma presenting as a hyperfunctioning thyroid nodule. 2014
Filip Gabalec, and
Ioannis Svilias, and
Ivana Plasilova, and
Eva Hovorkova, and
Aler Ryska, and
Jiri Horacek
Departments of *Internal Medicine IV †Pediatrics ‡The Fingerland Department of Pathology, Charles University Faculty of Medicine and University Hospital in Hradec Kralove, Hradec Králové, Czech Republic.
In this study, we describe a case of papillary carcinoma in a 15-year-old girl who presented with a hyperfunctioning (hot) thyroid nodule and discuss it in the context of current management guidelines for patients with thyroid nodules. In adults, hot nodules rarely require cytologic or histologic evaluation, and hyperthyroidism is often treated with radioiodine (131I). However, in children and adolescents, the malignancy rate for nodules (both cold and hot) is higher and surgery is often necessary. Surgery may serve as a therapy, as well as a diagnostic tool, to treat hot nodules in children and adolescents.
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