Hyperfunctioning papillary thyroid carcinoma: A case report with literature review

IntroductionThyroid malignant tumors are rarely associated with hyperfunctioning thyroid. The incidence of this co-incidence is highly variable. Here we report a rare case of papillary thyroid cancer associated with hyperthyroidism with brief literature review.Case reportA 40-year-old male, presented with palpitation, excess sweating and weight loss for one month duration.

There was asymmetrical swelling of the neck, more on right side, mobile. Free T3: 11.09 pmol/L, free T4: 34.41 pmol/L, TFT: less than 0.005 mIU/ml, Neck ultrasound showed features of background thyroiditis. Left lobe contained 9 × 7 × 5 mm nodule with irregular outline and multiple dots of calcification, other nodules are of the same features.

Under ultrasound guide, fine needle aspiration cytology showed features of papillary carcinoma. After preparation, total thyrodectomy done and the result of histopathological examination confirmed papillary …