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Insular Thyroid Carcinoma in a Patient with Cowden Syndrome

โœ Scribed by Henry R. Diggelmann; Douglas J. Van; Thomas M. O'Dorisio; Henry T. Hoffman


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
427 KB
Volume
119
Category
Article
ISSN
0023-852X

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โœฆ Synopsis


Cowden syndrome is characterized hamartomatous lesions that can develop from all three germ cell derivatives. This disorder predisposes patients to develop malignant tumors of the breast, endometrium, and thyroid. We present a patient with clinically relevant manifestations of Cowden syndrome, with genetic verification, impacting by way of airway compromise due to hamartomas, urinary tract abnormalities, and insular thyroid cancer. This case illustrates the value of recognizing Cowden syndrome at an earlier stage to (1) permit early management to decrease the morbidity of untreated hamartomatous growths, and (2) perform an elective thyroidectomy to preempt the appearance of the thyroid malignancy. Through this case report, we provide further insight into management of this disorder.


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