Upcoming Events
World Congress on Thyroid Cancer 3.5
Rome, Italy | 2019World Congress on Thyroid Cancer 4.0
July 29 – August 1, 2021
Boston, Massachusetts
EP132 – Dual hyperfunctioning thyroid ectopia: dual surgical approach
Salazar Osorio, Alejandro1; Moreno, Andrey2; Rojas, Andres Felipe3
1 Specialist in Training in Surgical Oncology, National Cancer Institute, Bogota, Colombia
2 Head & Neck Surgeon, National Cancer Institute, Bogota, Colombia
3 Specialist in Training in Head & Neck Surgery, National Cancer Institute, Bogota, Colombia
Case report: A case of 36-year-old female patient is presented, who is being treated since 2012 with nilotinib for a chronic myeloid leukemia. Based on clinical symptoms and functional thyroid testing, hyperthyroidism was diagnosed, (TSH <0.0005 T4L 2.25 ng/ml T3 11.39 pg/ml AcTG 62.32) treatment was initiated with methimazole and propranolol. Subsequent studies showed an absence of the thyroid gland in its usual anatomical site. A fusion of its lobes were identified (3 X 4.5CM) and localized at the level of the thyroid cartilage . Incidentally a 1.7 X 1.7 CM nodule was found at the base of the tongue. Due to hepatic toxicity associated with concomitant chronic use of nilotininb, methimazole and propranolol, a total thyroidectomy was considered. Due to her age and wish to avoid scars on her neck, a video assisted axillary thyroidectomy as well as a trans oral approach to her ectopic lingual thyroid, was successfully performed. Post op pathology confirmed thyroid tissue at both sites while excluding malignancy. The patient fully recovered from the operation and has minimal scars at axillary access ports.
Conclusion: A combined minimally invasive thyroidectomy and a trans oral approach are described in successfully treating a hyperthyroid, dual thyroid ectopia patient. While these approaches are not considered the standard of care in our country, efforts are being made in order to implement technological advancements along with non-conventional access techniques in order to provide patients with the best available surgical outcomes.
References:
World Congress on Thyroid Cancer 3.5
Rome, Italy | 2019
World Congress on Thyroid Cancer 4.0
July 29 – August 1, 2021
Boston, Massachusetts
This course is intended for participants with a diverse background in head and neck ultrasound ranging from a beginner to those with a moderate amount of clinical or educational exposure. This course will include a didactic session as well as a hands-on practical lab. The didactic session will review the physics principles of ultrasound and outline in a detailed fashion scanning techniques and ultrasonographic appearance of normal head and neck anatomy. In addition, use of ultrasound for the diagnostic evaluation of thyroid, parathyroid, and neck pathology will be discussed. Finally, technical considerations for ultrasound guided procedures as well as an overview of incorporating point-of-care ultrasound in a clinical practice will be presented. The practical lab will be a small group activity in which participants will be proctored through skills stations in which the participant will be able to perform different components of an ultrasound exam on patient models. It also includes a session for ultrasound-guided fine needle aspiration.
Upon completion of the course and a post-course test an ACS certificate of completion will be given.