Toxic Adenoma in a Patient with Thyroid Hemiagenesis

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dc.contributor.authorGürleyik, Emin
dc.contributor.authorDoğan, Sami
dc.contributor.authorÇetin, Fuat
dc.contributor.authorGürsoy, Fatih
dc.contributor.authorİpor, Alper Murat
dc.date.accessioned2020-04-30T23:34:56Z
dc.date.available2020-04-30T23:34:56Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionIPOR, Alper Murat/0000-0002-9855-9050en_US
dc.descriptionWOS: 000453625000061en_US
dc.descriptionPubMed: 29159003en_US
dc.description.abstractThyroid hemiagenesis (TH) is a rare congenital anomaly that is usually asymptomatic. Functional disorders of the thyroid make the patient symptomatic. TH is usually and incidentally established during evaluation of patients with symptomatic thyroid pathology. We report the case of a patient of TH who became symptomatic with hyperactivity of the gland. The patient presented with signs and symptoms of thyrotoxicosis. Physical examination revealed asymmetric nodular goiter at the right lobe. Biochemical analysis established the diagnosis of hyperthyroidism. Ultrasound of the thyroid gland revealed the absence of the left lobe and a large, solitary hypoechoic solid nodule in the right lobe. Nuclear scan showed the absence of the left lobe and revealed a large, autonomous solitary nodule in the right lobe. The diagnosis was a toxic adenoma. After medical control of hyperthyroidism, the patient was surgically treated with hemithyroidectomy. We prescribed postoperative replacement medication with L-thyroxin. Hyperthyroidism makes TH cases symptomatic. Thyroid ultrasound and scintigraphy incidentally discover agenesis of one lobe during evaluation of thyrotoxicosis. Hemithyroidectomy, including the autonomous nodule, is the procedure of choice for patients with toxic adenoma. Hemithyroidectomy in TH cases technically becomes a total thyroidectomy with a need for postoperative thyroid replacement therapy.en_US
dc.identifier.doi10.7759/cureus.1695en_US
dc.identifier.issn2168-8184
dc.identifier.issue9en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.1695
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5245
dc.identifier.volume9en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCureus Incen_US
dc.relation.ispartofCureusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcongenital anomalyen_US
dc.subjectagenesisen_US
dc.subjecthyperthyroidismen_US
dc.subjectsurgeryen_US
dc.titleToxic Adenoma in a Patient with Thyroid Hemiagenesisen_US
dc.typeArticleen_US

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