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Clinical case review

De Quervain’s thyroiditis and papillary thyroid carcinoma in a 39-year-old woman

Duncan J Topliss

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Abstract

Are subacute thyroiditis and papillary microcarcinoma of the thyroid related conditions or is the presence of both in this patient a coincidence?

Article Extract

Case scenario

A 39-year-old woman presented for a second opinion regarding a recent diagnosis of papillary carcinoma of the thyroid. She stated that this had been picked up after an aspiration of a thyroid nodule. She had presented with general malaise and tiredness to another GP about five months before and, after some preliminary tests, had complained of throat discomfort. On palpating her neck, the GP had found that her thyroid was enlarged. An ultrasound was ordered and two nodules were biopsied. One nodule was positive for papillary thyroid carcinoma, the other negative. They were both less than 1 cm in diameter.

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