Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation
Thyroid cancer is very rare in children and papillary thyroid carcinoma (PTC) represents the most common type. Patients are frequently in the second decade of life and complain of painless enlargement of the gland. Pediatric PTC has unique clinicopathologic characteristics that make it different fro...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021
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oai:doaj.org-article:33ad77c2c2294dfca49b859c6ba7ac332021-12-02T19:02:51ZPapillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation2231-07702249-446410.4103/ajm.ajm_288_20https://doaj.org/article/33ad77c2c2294dfca49b859c6ba7ac332021-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_288_20https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Thyroid cancer is very rare in children and papillary thyroid carcinoma (PTC) represents the most common type. Patients are frequently in the second decade of life and complain of painless enlargement of the gland. Pediatric PTC has unique clinicopathologic characteristics that make it different from the adult counterpart. The biologic behavior tends to be aggressive and patients frequently present with advanced disease. Herein, we report a case with an unusual presentation. A 5-year-old child manifested with fever, night sweats, cervical lymphadenopathy, and weight loss for 2 months. He also complained of mild cough and shortness of breath. Clinical suspicion of tuberculosis or lymphoma was raised, but laboratory workup was unremarkable. Cervical lymph node excision was done, and the histopathologic examination showed metastatic PTC. The patient underwent surgical and radioactive therapy and remained in complete remission for 5 years. Unfortunately, the disease ultimately relapsed with disseminated metastasis and the patient passed away.Tariq N AladilyMajd KhaderNadwa BustamiOsama A SamaraThieme Medical and Scientific Publishers Pvt. Ltd.articlelymphomapapillary thyroid carcinomapediatric cancerthyroid carcinomatuberculosisMedicineRENAvicenna Journal of Medicine, Vol 11, Iss 02, Pp 103-106 (2021) |
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lymphoma papillary thyroid carcinoma pediatric cancer thyroid carcinoma tuberculosis Medicine R |
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lymphoma papillary thyroid carcinoma pediatric cancer thyroid carcinoma tuberculosis Medicine R Tariq N Aladily Majd Khader Nadwa Bustami Osama A Samara Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
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Thyroid cancer is very rare in children and papillary thyroid carcinoma (PTC) represents the most common type. Patients are frequently in the second decade of life and complain of painless enlargement of the gland. Pediatric PTC has unique clinicopathologic characteristics that make it different from the adult counterpart. The biologic behavior tends to be aggressive and patients frequently present with advanced disease. Herein, we report a case with an unusual presentation. A 5-year-old child manifested with fever, night sweats, cervical lymphadenopathy, and weight loss for 2 months. He also complained of mild cough and shortness of breath. Clinical suspicion of tuberculosis or lymphoma was raised, but laboratory workup was unremarkable. Cervical lymph node excision was done, and the histopathologic examination showed metastatic PTC. The patient underwent surgical and radioactive therapy and remained in complete remission for 5 years. Unfortunately, the disease ultimately relapsed with disseminated metastasis and the patient passed away. |
format |
article |
author |
Tariq N Aladily Majd Khader Nadwa Bustami Osama A Samara |
author_facet |
Tariq N Aladily Majd Khader Nadwa Bustami Osama A Samara |
author_sort |
Tariq N Aladily |
title |
Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
title_short |
Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
title_full |
Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
title_fullStr |
Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
title_full_unstemmed |
Papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
title_sort |
papillary thyroid carcinoma in a 5-year old child, mimicking lymphoma in presentation |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
publishDate |
2021 |
url |
https://doaj.org/article/33ad77c2c2294dfca49b859c6ba7ac33 |
work_keys_str_mv |
AT tariqnaladily papillarythyroidcarcinomaina5yearoldchildmimickinglymphomainpresentation AT majdkhader papillarythyroidcarcinomaina5yearoldchildmimickinglymphomainpresentation AT nadwabustami papillarythyroidcarcinomaina5yearoldchildmimickinglymphomainpresentation AT osamaasamara papillarythyroidcarcinomaina5yearoldchildmimickinglymphomainpresentation |
_version_ |
1718377201254006784 |