"Papillary Thyroid Cancer in a Patient with Germline TTN Mutation" by Payal Shukla MD, MS and Emily B. Schroeder MD
 

Abstract

Poster Presented at the ACP Indiana Chapter 2022 Annual Scientific Meeting, October 2022.

Case Presentation:

• A 60-year-old male presented with new onset atrial fibrillation and hyperthyroidism.

• His past medical history was significant for germline TTN mutation and recurrent ventricular tachycardia status post implantable cardiac defibrillator placement.

• He had been treated with amiodarone for two and a half years and had stopped the medication eight months prior to presentation.

• Laboratory workup was done (table 1) and an ultrasound of the thyroid gland showed a multinodular goiter with subcentimeter cysts and a right lower lobe nodule.

• A follow-up thyroid ultrasound twelve months later showed a new 11 mm nodule in the left lower lobe and a stable 5 mm nodule in the right lower lobe.

• Fine needle aspiration of the left nodule was suspicious for follicular neoplasm with suspicious Afirma Genome Sequence Classifier testing (corresponding to ~ 50% risk of malignancy).

Document Type

Article

Publication Date

10-2022

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