ESPE2023 Poster Category 2 Thyroid (13 abstracts)
Papillary thyroid carcinoma of the solitary hot nodule in a pediatric patient
Mohamad Ahangar Davoodi 1 , Fatemeh Ghobadi 2 , Babak Momeni 3 & Traneh Rezaee 4
1Department of pediatric endocrinology, Arak University of medical science, clinical research development center of Amirkabir Hospital, Arak, Iran, Islamic Republic of. 2Department of radiology, Saadat Abad clinic, Tehran, Iran, Islamic Republic of. 3Department of pathology, Sina Hospital, Arak, Iran, Islamic Republic of. 4Student Research Committee, Arak University of Medical Sciences, Arak, Iran, Islamic Republic of
Key words: hot nodule, pediatrics, papillary thyroid carcinoma A nodule over 1 centimeter observed in pediatrics need further evaluation. Not having ultrasound changes during monitoring does not mean being benign. Moreover, normal FNA does not rule out a malignancy and it is necessary to repeat the test every 3-6 months. The case was a 15-year-old girl with a 23 mm fixed nodule on ultrasound and normal FNA. She developed hyperthyroidism after two years; a hot nodule, and PTC were reported during a lobectomy. Hot nodules in pediatrics should be assessed with a lobectomy as soon as possible, regardless of the normal ultrasound and cytology findings of FNA. Constantly elevated thyroglobulin level even at the time of euthyroidism in a hot nodule can be a remarkable predictor of a malignancy.
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