Keywords
nódulo tiroideo
tiroides
neoplasia
thyroid nodule
thyroid
How to Cite
Abstract
Los teratomas tiroideos son tumores raros, de características en la mayoría de los casos benignas y de presentación predominantemente en la infancia, su importancia radica en la confusión que causa sobre cuál es el tejido de origen del tumor, por lo que es de vital importancia sospecharlos para evitar demoras en el diagnóstico y manejos inadecuados. Presentamos el caso de un niño de 3 años con teratoma tiroideo benigno, la biopsia por aspirado con aguja fina fue sospechosa de teratoma. Se realizó biopsia por congelación y hemitiroidectomía izquierda, con diagnóstico de teratoma benigno constituido principalmente por elementos condroides. El paciente se encuentra vivo y sin recaídas seis años después del manejo quirúrgico.
Abstract
Thyroid teratomas are very rare tumors, most are benign and usually occur during childhood. The importance of these tumors relies in the common confusion generated by uncertainties about the origin of the lesion. An early diagnosis it is very important to avoid a late management. A case of thyroid benign teratoma in a 3-year-old boy is presented. The fine needle aspiration biopsy was suspicious for this disease. A frozen biopsy followed by left hemithyroidectomy was done and the diagnosis of benign teratoma was confirmed based on the findings of chondroid elements. The patient is alive without recurrence of the disease 6 years after the initial management.
References
2. Pérez-Mies B, Regojo Zapata RM, García-Fernández E, Serrano MN. Malignant teratoma of the thyroid in a pregnant woman. Ann Diagn Pathol.
2010;14(4):264-7.
3. Mohammad MA. Thyroid cervico-thoracic teratoma in a 14-month old child. Afr J Paediatr Surg. 2010;7(2):117-9.
4. Thompson LD, Rosai J, Heffess CS. Primary thyroid teratomas: a clinicopathologic study of 30 cases. Cancer. 2000;88(5):1149-58.
5. Kim E, Bae TS, Kwon Y, Kim TH, Chung KW, Kim SW, et al. Primary malignant teratoma with a primitive neuroectodermal tumor component in thyroid gland: a case report. J Korean Med Sci. 2007;22(3):568-71.
6. Deb M, Mohanty S, Ananthamurthy A, Garg I, Das K. Atypical extragonadal germ cell tumors. J Indian Assoc Pediatr Surg. 2012;17(1):9-15.
7. LaRiviere CA, Waldhausen JH. Congenital cervical cysts, sinuses, and fistulae in pediatric surgery. Surg Clin North Am. 2012;92(3):583-97, viii.
8. Fan SQ, Liang QC, Jiang Y. Thyroid teratoma in an 11-month-old infant. Int J Surg. 2008;6(6):462-4.
9. Riedlinger WF, Lack EE, Robson CD, Rahbar R, Nosé V. Primary thyroid teratomas in children: a report of 11 cases with a proposal of criteria for their diagnosis. Am J Surg Pathol. 2005;29(5):700-6.
10. Ranaldi R, Morichetti D, Goteri G, Martino A. Immature teratoma of the mediastinum arising in ectopic thyroid tissue: a case report. Anal Quant Cytol Histol. 2009;31(4):233-8.
11. DeLellis R, Lloyd R, Heitz P, C E. World Health Organization Classification of Tumours. Pathology and Genetics of Tumors of Endocrine Organs. Lyon: IARCS Press; 2004.
12. Hazama K, Miyoshi S, Ohta M, Matsuda H. Matured mediastinal teratoma extending into the cervical neck of an adult. Interact Cardiovasc Thorac Surg. 2003;2(3):265-7.
13. Kimler SC, Muth WF. Primary malignant teratoma of the thyroid: case report and literature review of cervical teratomas in adults. Cancer. 1978;42(1):311-7.
14. Zhang YZ, Li WH, Zhu MJ, Li YH, Gao Y. An unusual mature thyroid teratoma on CT and 99Tcm scintigraphy imaging in a child. Pediatr Radiol.
2010;40(11):1831-3.
15. Al-Sobhi S, Bazarbashi S, Al-Jiffry B, Akhtar M, Ingemansson S. Immature teratoma of the thyroid gland: A case report and review of the literature. Ann Saudi Med. 1998;18(3):254-6.
16. Nishihara E, Miyauchi A, Hirokawa M, Kudo T, Ohye H, Ito M, et al. Benign thyroid teratomas manifest painful cystic and solid composite nodules: three case reports and a review of the literature. Endocrine. 2006;30(2):231-6.
17. Martins T, Carrilho F, Gomes L, Mesquita C, Martins MJ, Carvalheiro M. Malignant teratoma of the thyroid: case report. Thyroid. 2006;16(12):1311-3.
18. Tsang RW, Brierley JD, Asa SL, Sturgeon JF. Malignant teratoma of the thyroid: aggressive chemoradiation therapy is required after surgery. Thyroid. 2003;13(4):401-4.
19. Majhi U. Primary malignant teratoma of the thyroid in a child with nodal metastases. Indian J Pathol Microbiol. 2009;52(2):234-6.
20. Craver RD, Lipscomb JT, Suskind D, Velez MC. Malignant teratoma of the thyroid with primitive neuroepithelial and mesenchymal sarcomatous components. Ann Diagn Pathol. 2001;5(5):285-92.
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