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Vol. 14. Núm. 3.
Páginas 169-174 (Enero 2010)
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Vol. 14. Núm. 3.
Páginas 169-174 (Enero 2010)
DOI: 10.1016/S0123-9015(10)70097-4
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Carcinoma folicular de tiroides mínimamente invasivo en edad pediátrica
Minimally Invasive Follicular Thyroid Carcinoma in Pediatric Age
Visitas
...
Alfredo Romero1,
Autor para correspondencia
aromero@cancer.gov.co

Correspondencia: Grupo de Patología Oncológica. Instituto Nacional de Cancerología, Bogotá, D.C.,Colombia. Av. 1a No. 9-85, Bogotá, D.C., Colombia. Tel.:éfono: 334 1997.
, Julio Díaz2, Óscar Messa1, Sandra Chinchilla1, Constanza Gómez1, Ligia Restrepo1
1 Grupo de Patología Oncológica, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
2 Universidad de Santander (UDES), Bucaramanga, Colombia
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Resumen

Los carcinomas de la glándula tiroides son poco usuales en edad pediátrica, pero su presencia ha aumentado durante los últimos años; posiblemente, debido al incremento en la irradiación de la cabeza, cuello y mediastino. Entre estas neoplasias, el carcinoma papilar es el más habitual, y los carcinomas foliculares verdaderos son, por el contrario, bastante raros y se asocian al bocio endémico, a alteraciones genéticas y al incremento de los niveles de TSH. Sus características morfológicas son particulares y ayudan a su diagnóstico, el cual ha sido redefinido recientemente. Describiremos el caso de una adolescente de 13 años con carcinoma folicular de tiroides mínimamente invasivo, con nódulo tiroideo hipocaptante en el polo inferior del lóbulo izquierdo, de 6 meses de evolución. La punción aspiración con aguja fina demostró una lesión de células foliculares sospechosa de neoplasia. Se realizó lobectomía tiroidea, con reporte de carcinoma folicular mínimamente invasivo.

Palabras clave:
Neoplasias de la tiroides
carcinoma folicular de tiroides
adolescente
revisión de la literatura
reporte de caso
Abstract

Thyroid carcinomas are rare during childhood and adolescence. They have increased recently probably due to a higher frequency radiation over the head, neck and mediastinum. The papillary carcinoma is the most common and true follicular carcinoma is far less common. Follicular thyroid carcinoma is associated with endemic goiter, genetic disorders, and increased TSH levels. Its morphological characteristics are peculiar and have been recently redefined, thus helping the diagnosis. A minimally invasive follicular thyroid carcinoma in 13 years old girl is described, presenting a hypocaptant thyroid nodule in the left lobe lower pole. The fine needle aspiration biopsy revealed a follicular cell lesion suspicious of malignancy. Thyroid lobectomy was performed reporting minimally invasive follicular carcinoma.

Keys words:
Thyroid neoplasms
follicular thyroid carcinoma
adolescent
review
case report
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Copyright © 2010. Instituto Nacional de Cancerología
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