Nor Faezan Abdul RASHİD, Shahrun Niza ABDULLAH SUHAİMİ, Firdaus HAYATİ, Nornazirah AZİZAN

Metastatic Papillary Thyroid Cancer in Tuberculous Lymphadenopathy: An Unfortunate Dual Pathology

Papiller tiroid karsinomu genellikle lenfatik yoldan yayılır, servikal bölgelerin ekstrapulmoner tüberkülozuna benzer bölgesel lenfadenopati olarak ortaya çıkar. Bu yazıda, distal lenf nodlarında tüberküloz ve metastatik karsinomun eşzamanlı birlikteliği olan 77 yaşında bir kadın hasta sunuldu. Total tiroidektomi, klinik olarak pozitif boyun nodüllerinde ek boyun diseksiyonu ile tedavi standart tedavidir. Endemik bölgelerde ve daha önceki tüberküloz teması öyküsünde, bu iki patolojinin eşzamanlı birlikte oluşma ihtimali göz önünde bulundurulmalı, böylelikle anti-tüberküloz tedavi eşzamanlı olarak başlatılabilir

Tüberküloz Lenfadenopatisinde Metastatik Papiller Tiroid Kanseri: Beklenmeyen Dual Patoloji

Papillary thyroid carcinoma usually spreads through lymphatic route, presents as regional lymphadenopathy similar to extra-pulmonary tuberculosis of the cervical regions. We report the case of a 77-year-old woman with synchronous coexistence of tuberculosis and metastatic carcinoma in dissected lymph nodes. Total thyroidectomy is the standard care of treatment with additional neck dissection in clinically positive neck nodes. In the endemic areas and previous history of tuberculosis contact, the possibility of synchronous co-occurrence of these two pathologies should be considered thus anti-tuberculous treatment can be initiated concurrently

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