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Medicina interna de México

Print version ISSN 0186-4866


MENDOZA ROMO-RAMIREZ, MA.; MENDOZA ROMO, MA.  and  RAMIREZ-ARRIOLA, MC.. Papillary cancer in giant multinodular bocio. Med. interna Méx. [online]. 2017, vol.33, n.5, pp.705-707. ISSN 0186-4866.

This paper reports the case of a 71-year-old female with a history of tobacco addiction who presented with recurrent infections. She had an increase of volume of left neck with nodule of 4 cm of diameter of 15 years of evolution until arriving at dimensions of 20 x 15 cm. It was completely dry except for its infiltration into the trachea that remained as a remnant. The histopathological diagnosis was: papillary carcinoma of the thyroid infiltrating to trachea. Regarding this case, it is recommended not to leave free evolution, since the incidence of papillary thyroid carcinoma associated with multinodular goiter is similar to that found in solitary cold nodules, which is why it is recommended to act early with surgery.

Keywords : multinodular goiter; papillary cancer; elderly.

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