PLUMMER THYROID ADENOMA: BACK TO THE BASIC
Plummer disease of the thyroid represents a traditional condition causing primary hyperthyroidism. Our aim is to introduce a short overview regarding the use of the term “Plummer adenoma” of the thyroid and to report a case with traditional diagnosis. In terms of method this is a case report and a...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
Amaltea Medical Publishing House
2018-06-01
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Series: | Romanian Medical Journal |
Subjects: | |
Online Access: | https://revistemedicale.amaltea.ro/Romanian_MEDICAL_Journal/Revista_MEDICALA_ROMANA-2018-Nr.2/RMJ_2018_2_Art-08.pdf |
Summary: | Plummer disease of the thyroid represents a traditional condition causing primary hyperthyroidism. Our aim
is to introduce a short overview regarding the use of the term “Plummer adenoma” of the thyroid and to report
a case with traditional diagnosis. In terms of method this is a case report and a historical data report using as
references PubMed and online sites of general endocrine and historical information.
This is a 43-year old female who had 2 months ago a mild episode of vertigo, followed by intermittent sweating and weight loss (2 kilos within 2 months). Hyperthyroidism is confirmed based on suppressed TSH. Thyroid scintigrame was performed using as thyroid tracer Tc99 Perthechnetate which revealed thyroid with
normal anatomy with a “hot” autonomous nodule at the level of right thyroid lobe. Thyroid ultrasound showed
a right lobe of 2.4 by 3.2 by 3.5 cm and a left lobe of 1.1 by 0.8 by 3.6 cm. Right lobe has a macronodule of
3.5 by 2.1 by 2.8 cm which entirely occupies the lobe; it has an inhomogeneous pattern, with microcalcifications and tracheal effect to the opposite site. The patient was offered daily thiamazole and a low dose of beta
blockers; follow-up is necessary; then the indication of thyroidectomy will be done because of thyroid dimensions and nodule aspect in association with tracheal effect. Plummer toxic nodule of the thyroid represents a
classical endocrine condition which requires thyroid scintigrame to be adequately identified even the management is not distinctive from other forms of primary hyperthyroidism. |
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ISSN: | 1220-5478 2069-606X |