Abstract：
:The prevalence of concomitant thyroid carcinoma with Grave's disease has been reported to range from 0 to 10%. Many controversies exist in the literature regarding the diagnostic workup and management in these types of patients. We are reporting a case of a 31 year old woman who had Graves' disease, a palpable thyroid nodule, and results from a thyroid scan revealed a "hot" nodule. Interestingly, an ultrasound guided FNA of the "hot" nodule showed papillary thyroid microcarcinoma. Finally, a total thyroidectomy showed multilobar tumor involvement. The diagnostic tools employed to establish the proper management strategy for this patient were based on data in the literature that is full of discrepancies. The fact that Grave's disease occurs concomitantly with thyroid cancer, specifically the papillary type, is an indisputably rare combination. One rare feature on our clinical case was the reported malignancy of a papillary carcinoma within a "hot" nodule which usually is much less that 1%. Many studies describe an increasing incidence of Grave's disease patients with concomitant papillary thyroid carcinoma. One possible explanation for these findings could be improvements in medical technology of screening tools. We propose that, thyroid ultrasonography should be integrated in the diagnostic workup in patients presenting with Graves' disease, especially in those presenting with palpable nodules. Fine needle biopsy should not be restricted to cold nodules.
journal_name
P R Health Sci Jjournal_title
Puerto Rico health sciences journalauthors
Hernán-Martínez J,Uzcategui M,Corder E,Castillo M,Sostre S,Alicea Lsubject
Has Abstractpub_date
2010-03-01 00:00:00pages
78-82issue
1eissn
0738-0658issn
2373-6011journal_volume
29pub_type
杂志文章abstract：:Surveillance for emerging diseases is critically dependent on four factors: reporting methods, case definition, laboratory diagnosis, and knowledge of the disease among health-care professionals. The dengue hemorrhagic fever (DHF) surveillance system in Puerto Rico collects patient data from three sources: dengue case...
journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：1999-12-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that fermentable fiber prevents Salmonella typhimurium infection-associated symptoms by enhancing innate and adaptive immune system in neonatal pigs. METHODS:Two-d-old piglets (n=120) were randomized to receive either a nutritionally complete sow milk replacer formula (CON), or supplem...
journal_title：Puerto Rico health sciences journal
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:Alzheimer's Disease. The untold story. After considering the potential relationship between amyloid deposits and myxedematous infiltrations, the hypothesis is formulated that Alzheimer's disease may be due to functional hypothyroidism and may thus respond to thyroid therapy. ...
journal_title：Puerto Rico health sciences journal
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更新日期：1993-06-01 00:00:00
abstract：OBJECTIVE:People with type 1 diabetes (T1D) may experience significant changes in their daily routines due to this condition, which frequently results in depressive symptoms and the deterioration of their quality of life. We examined the factors associated with suicidal ideation (SI) and diabetes-related quality of lif...
journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
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更新日期：2018-03-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：2020-03-01 00:00:00
abstract：:Aspiration of foreign bodies is more common in children than adults. The clinical and radiological findings between these two age groups are different. It is a clinical diagnosis often overlooked in adults. We hereby present an elderly male patient who was referred to us due to a one year history of hemoptysis. He was...
journal_title：Puerto Rico health sciences journal
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doi：
更新日期：1999-03-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章,评审
doi：
更新日期：1997-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：2016-09-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2010-06-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章,评审
doi：
更新日期：2018-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：1987-08-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2020-06-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2018-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：1988-08-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2015-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 历史文章,杂志文章
doi：
更新日期：1991-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：2009-03-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：2012-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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更新日期：2007-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：1992-04-01 00:00:00
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journal_title：Puerto Rico health sciences journal
pub_type： 杂志文章,评审
doi：
更新日期：2004-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：2017-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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更新日期：2013-12-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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更新日期：2010-09-01 00:00:00
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journal_title：Puerto Rico health sciences journal
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doi：
更新日期：1998-03-01 00:00:00
