Carcinoma medular da tireóide associado a bócio nodular autônomo: relato de caso
DOI:
https://doi.org/10.32635/2176-9745.RBC.1994v40n1.2967Palabras clave:
Bócio Nodular Autônomo, Carcinoma Medular da Tireóide, Metástase Iodocaptante, Tratamento com 131-1Resumen
Os autores relatam caso de paciente feminina com 55 anos, que mostrou carcinoma medular da tireóide associado a bócio nodular autônomo compensado. Na evolução evidenciou metástase pulmonar iodocaptante, que se beneficiou do tratamento com 176mCi de 131-1. A despeito da raridade desta associação, sugerem que os nódulos quentes tenham conduta cirúrgica e que o tratamento com radioiodo seja considerado como alternativa nas metástases captantes.
Descargas
Citas
DE GROOT L. Thyroid neoplasia. In: De Groot L et al, editors. Endochnology. New York, Grune and Stratton, Vol, I, 1979: 509-521.
NICOLAU W. Tireotoxlcose. In: Wajchenberg BL, editor. Tratado de Endocrinologia Clínica. São Paulo, Roca, 1982:394-396.
SMITH M, McHENRY C, JAROSA H et al. Carcinoma of the thyroid In patients with autonomous nodules. Ann Surg 1988; 54(7): 448.
CROON RD, THOMAS CG, REDDtCK RL et al. Autonomously functioning thyroid nodules in childhood and adolescence. Surgery 1987; 102(6): 110-11.
ROSLER H, WIMPFHEIMER C, RUCHTI C et al. Hyperthyroldism in patients with thyroid cancer. Nukl Med 1984; 23(6): 293. DOI: https://doi.org/10.1055/s-0038-1624260
DE ROSA G, TESTA A, MAURIZI M et al. Thyroid carcinoma mimicking a toxic adenoma, Eur J Nucl Med 1990; 17:179. DOI: https://doi.org/10.1007/BF00811447
INTENZO CM, PARK CH, COHEN SN, Thyroid carcinoma presenting as an autonomous thyroid nodule. Cl Nucl Med 1990' 15:313. DOI: https://doi.org/10.1097/00003072-199005000-00006
MICHIGISHI T, MIZUKAMI Y, SHUKE N et al. An autonomously functioning thyroid carcinoma associated with euthyroid graves disease. J Nucl Med 1992; 3: 2024.
VIEIRA FILHO JPB, CERVANTES O, TAKAHASHI MH et al. Índia xavante com bócio nodular tóxico associado a carcinoma folicular. Arq Bras Endoc Metabol 1992;
NUSYNOWITZ ML, POLLAVRD E, BENEDETTOAR etal. Treatment of medullary carcinoma of the thyroid with 1-131, J Nucl Med 1982; 143-146.
NIEUWENHUIJZEN-KRUSEMAN AC, BUSSEMARER JK, FROLICH M. Radioiodine in the treatment of hereditary medullary carcinomaofthe thyroid. J Clin Endocrinol Metab 1984; 59(3)' 491 - 494. DOI: https://doi.org/10.1210/jcem-59-3-491
HELMAN DE, KARTCHNER M, VAN ANTWERP JD et al. Radioiodine in the treatment of medullary carcinoma of the thyroid. J Clin Endocrinol Metab 1979; 48(3): 415-455. DOI: https://doi.org/10.1210/jcem-48-3-451
MICHAELBE, FOROUHAR FA, SPENLER RP. Medullary thyroid carcinoma. Effectsofiodine-131 therapy and lithium administration. Cl Nucl Med 1985; 10(4): 274-279. DOI: https://doi.org/10.1097/00003072-198504000-00010
RYFF-DE LECHE A, STAUB J, KOHLER-FADEN R et al. Thyroglobulin production by malignant thyroid: immunocytochemical and radioimmunoassay study. Câncer 1986; 54(6): 1145-1153. DOI: https://doi.org/10.1002/1097-0142(19860315)57:6<1145::AID-CNCR2820570615>3.0.CO;2-X
OISHI S, SHIMADA T, TAJIRI J et al. Elevated serum calciotonin leveis in patients thyroid disorders. Acta Endocrinol 1984; 107(4)' 476-481. DOI: https://doi.org/10.1530/acta.0.1070476
JUSTIN EP, SEABOLD JE, RODINSON RA et al. Insular carcinoma: a distinct thyroid carcinoma with associated iodine-131 localization. J Nucl Med 1991; 32:1358-1363.
NUSYNOWITZ ML, Editorial: Differentiating anaplasic thyroid carcinomas. J Nucl Med 1991; 32:1363-1364.
PARTHASARATHY KL, SHIMAOKA K, BAKSHI SP et al. Radiotracer uptake in medullary carcinoma of the thyroid, Clin Nucl Med 1980; 5: 45-48. DOI: https://doi.org/10.1097/00003072-198002000-00001
