Insidentaloma Tiroid
DOI:
https://doi.org/10.46799/jhs.v3i2.416Keywords:
insidentaloma tiroid, sidik tiroid, stratifikasi risikoAbstract
Thyroid cancer is the most common type of endocrine cancer. Thyroid cancer begins with the formation of nodule in the thyroid gland. Thyroid nodule is frequently discovered incidentally during physical examination and by anatomic or functional imaging (incidentaloma). The aim of thyroid scintigraphy in the evaluation of thyroid nodule is to determine the functional status of the thyroid nodule which will impact its management options. The risk of malignancy is low in a functional thyroid nodule. A 65-year-old woman was admitted with complaints of shortness of breath, difficulty in swallowing, and low voice. On physical examination, a nodule was found in the inferior part of the left thyroid gland with a size of approximately 4 cm. Multiple lymphadenopathies was also palpable in the bilateral jugular and supraclavicular areas. Ultrasound imaging showed an image of thyroiditis, then the thyroid scintigraphy and SPECT/CT was done using radiopharmaceutical Tc-99m Pertechnetate which showed an image of a functional nodule that was pressing against the trachea. Histopathological examination using fine needle aspiration biopsy with ultrasound guidance yielded papillary thyroid carcinoma. The risk of malignancy in functional nodule is very low but we should aware of malignancy if the assessment of risk stratification is high. Integrated planar and SPECT/CT of thyroid scintigraphy has an incremental value to predict thyroid cancer in patient who have a high risk of malignancy.
Published
Issue
Section
License
Copyright (c) 2022 Christilia Oktaviani, Erwin Affandi Soeriadi, Trias Nugrahadi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aCreative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
