Volume 26, Issue 130, December 2022

A rare case of papillary thyroid carcinoma (PTC) presenting as multinodular goiter (MNG) successfully operated with total thyroidectomy (TT)

Kshiti Mahuli¹, Chandrashekhar Mahakalkar², Suhas Jajoo³, Aravind Chava⁴, Vaishnavi Kantode⁵, Mayur Wanjari⁶

¹Junior Resident Department of General surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
²Professor and Head of Unit Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
³Professor Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁴unior Resident, Department of General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁵Nursing Student, Department of Medical Surgical Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India
⁶Research Scientist, Department of Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India

ABSTRACT

An enlarged, diffusely heterogeneous thyroid gland is known as multinodular goiter; papillary thyroid cancer is the utmost obvious type of this condition (MNG). The typical symptom of thyroid goiter, a prolonged benign swelling of the thyroid gland, is a generally asymptomatic anterior neck lump that can occasionally expand to the mediastinum. Retropharyngeal goiters usually manifest themselves. This case is of a 90-year female with large anterior neck swelling for 25 years associated with pain relieved by medications. Computed tomography (CT) of the neck suggests a heterogeneously enhancing solid cystic lesion suggestive of multinodular goiter. She underwent a total thyroidectomy; the postoperative period was uneventful. Histopathological examination suggested papillary thyroid carcinoma (TNM staging pT3apNxpMx). The patient had a stable postoperative period and got discharged within 15 days after the surgery. The prognosis of the patient is good.

Keywords: Multinodular goiter, Thyroid, Thyroidectomy, Papillary Carcinoma.

Medical Science, 2022, 26, ms533e2551

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DOI: https://doi.org/10.54905/disssi/v26i130/ms533e2551

Published: 16 December 2022