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      Follicular variant of papillary thyroid carcinoma: an unusual cause of thyrotoxicosis

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          Abstract

          Thyroid carcinoma presenting as a hyperfunctioning thyroid nodule is rare. A further complexity is added when interpretation of the histopathology itself is not straightforward. We describe a case of a 16-year-old girl presenting with clinical and biochemical evidence of thyrotoxicosis, and a 4 cm thyroid mass. An ultrasound and thyroid uptake scan demonstrated a toxic adenoma. Owing to the nodule size, fine needle aspiration of the thyroid adenoma was performed, which showed findings consistent with toxic adenoma. However, in view of the size of the nodule, a hemithyroidectomy was performed. Histological examination of the thyroid revealed a follicular variant of papillary carcinoma of the thyroid, and the patient underwent completion thyroidectomy. We report on the case and briefly review the available literature relating to the diagnostic challenge of this presentation.

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          Author and article information

          Journal
          BMJ Case Rep
          BMJ Case Rep
          casereports
          bmjcasereports
          BMJ Case Reports
          BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
          1757-790X
          2015
          6 May 2015
          : 2015
          Affiliations
          [1 ] Department of Diabetes & Endocrinology, ABM University Health Board , Swansea, UK
          [2 ] College of Medicine, Swansea University , Swansea, UK
          Author notes
          [Correspondence to ] Dr David Owen Rees, davidowenrees@ 123456yahoo.co.uk
          Article
          PMC4434343 PMC4434343 4434343 bcr-2014-207091
          10.1136/bcr-2014-207091
          4434343
          25948842
          2015 BMJ Publishing Group Ltd
          Categories
          Article
          Rare Disease
          1523
          Female
          13-18 years
          White
          United Kingdom
          Case Report

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