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. 2013 May 4;6:7. doi: 10.1186/1756-6614-6-7

Table 2.

Reported cases of biochemically-hyperthyroid patients with a reported hyperfunctioning nodule discovered to harbor thyroid carcinoma on pathological review

# Age Sex Tumor growth (cm) High risk historya Suspicious U/Sb Nodule sizec (cm) Tumor sized (cm) TFTse Toxic sx? Compression sx? Scan type FNA Surgical path Reference (1st author)
1
29
F
 
-
IV
2.7
2.5
SHT
+
-
123I
 
FTC
Current case
2
43
F
 
-
-
6.5
5
fT3,fT4
+
-
Tc
 
Hurthle
Karanchi [23]
3
13
F
 
-
IV
3.5
5
TT3
-
-
123I
 
Hurthle
Yalla [24]
4
63
M
 
-
-
4
 
fT4
-
-
123I
Suspicion of FVPTC
FVPTC
Bommireddipalli [25]
5
68
F
 
-
HE
5.3
 
fT3
+
+
Tc,123I
 
FTC
Giovanella [26]
6
11
F
 
-
-
3.5
 
TT3
-
-
123I
Nonspecific
PTC
Tfayli [27]
7
47
F
 
-
-
2.6
3
TT3,fT4
+
-
131I
PTC
FVPTC
Azevedo [28]
8
36
M
1.4→1.8 in 11mo
-
HE,IV
1.8
1.5
SHT
+
-
131I
PTC
PTC
Uludag [29]
9
62
F
 
 
-
 
2
fT3,fT4
+
-
Tc
PTC
PTC
Nishida [30]
10
32
M
 
-
-
4.3
 
fT3,fT4
-
-
Tc
Benign
FVPTC
Kim [31]
11
64
F
 
-
 
6
 
TT3
+
-
131I
 
FTC
Niepomniszcze [32]
12
57
F
 
 
-
6
 
Highf
+
-
Tc
Nondiagnostic
FTC
Bitterman [33]
13
59
F
 
 
-
5
 
High
+
 
Tc
 
FTC
Bitterman [33]
14
59
F
 
-
HE,PD,Cal
1.5
1.5
fT3,fT4
+
+
Tc,123I
PTC
PTC
Majima [34]
15
NA
F
 
 
 
5
5
fT3,fT4
+
+
Tc
 
PTC
Gozu [35]
16
67
F
 
 
 
2.5
3
fT4
+
-
Tc
Benign
Hurthle
Wong [36]
17
39
F
Subjective ↑
 
-
2
 
Nl→SHT
-
- → +
123I
 
PTC
Yaturu [37]
18
36
M
2x size in 5yrs
 
-
2.8
2.3
SHT
-
 
 
Follicular neoplasm
FVPTC
Logani [38]
19
11
F
 
-
-
 
4
TT3,fT4
+
-
Tc,131I
 
PTC
Mircescu [39]
20
49
F
 
 
 
4
3.5
fT4
+
-
123I
 
FTC
Camacho [40]
21
47
M
 
 
 
3.5
3.5
fT3
+
 
123I
Suspicious
PTC
Bourasseau [41]
22
36
M
 
 
 
2.5
2.5
SHT
 
 
123I
Nondiagnostic
FTC
Bourasseau [41]
23
56
M
 
 
 
5.5
5.5
fT4
+
 
123I
 
FTC
Bourasseau [41]
24
39
F
 
 
 
1
1
fT3,fT4
+
 
123I
Suspicious
PTC
Bourasseau [41]
25
33
F
 
 
 
3
3
SHT
 
 
123I
Nondiagnostic
PTC
Bourasseau [41]
26
42
F
4.5→7.4 (no interval given)
-
-
7.4
 
SHT
-
-
123I
Benign
Hurthle
Russo [42]
27
17
F
 
-
HE
2.1
2.1
TT3
-
-
Tc, 123I
 
PTC
Cirillo [43]
28
60
F
 
 
-
5
6
TT3
+
-
131I
 
Insular
Russo [44]
29
16
F
 
-
 
2
 
TT4
+
-
123I
Colloid
Hurthle
Siddiqui [45]
30
64
F
 
 
 
4
 
High
 
 
123I
 
FTC
Mizukami [46]
31
25
F
 
-
-
4.2
 
TT3,TT4
+
+
131I
 
PTC/FTC
De Rosa [47]
32
72
M
 
 
 
2.8
 
TT3,TT4
 
 
Tc
 
PTC
Ikekubo [48]
33
52
M
 
 
 
5
 
TT3
 
 
Tc
 
PTC
Ikekubo [48]
34
55
F
 
 
 
1.6
 
SHT
 
 
Tc
 
PTC
Ikekubo [48]
35
67
F
 
-
 
3
2.5
TT3,fT4
+
-
123I
Malignant node
PTC
Sandler [49]
36
11
F
 
-
-
3.5
 
TT3
+
-
123I
 
FTC
Nagai [50]
37
45
F
 
-
 
3.5
3
High
+
-
123I
 
FVPTC
Nagai [50]
38
70
F
 
-
 
4
4
fT4
-
-
131I
PTC
PTC
Fukata [51]
39
27
F
 
-
 
3
 
TT4
+
 
131I
 
PTC
Sobel [52]
40
14
M
 
 
 
4
 
TT3
+
-
131I
 
PTC
Sobel [52]
41
32
F
 
-
 
2.5
 
TT4
+
 
131I
 
FVPTC
Sobel [52]
42
29
F
 
-
 
 
1
TT4
+
-
131I
 
PTC
Hoving [53]
43
44
F
 
 
irregular
2.5
0.3
TT4
+
-
131I
 
PTC
Khan [54]
44
15
F
 
 
 
2.5
2.5
TT3
+
-
123I
 
PTC
Hopwood [55]
45
6
F
↑ over 8mo
-
 
5-6x nl
 
High
+
-
131I
 
PTC/FTC
Sussman [56]
46
42
F
4→6 in 4 yrs
 
 
6
6
High
 
-
 
 
FTC
Dische [57]
47
71
F
 
 
 
 
 
fT3,fT4
 
 
131I
 
FTC
Als [58]
48
62
M
 
 
 
8
 
fT3
 
 
131I
 
FTC
Als [58]
49
62
F
 
 
 
7
 
fT3
 
 
131I
 
FTC
Als [58]
50
71
F
 
 
 
4
 
fT3,fT4
 
 
131I
 
FTC
Als [58]
51
69
F
 
 
 
6
 
fT3
 
 
131I
 
FTC
Als [58]
52
79
F
 
 
 
 
 
fT3,fT4
 
 
131I
 
FTC
Als [58]
53
65
M
 
 
 
6.5
 
fT3
 
 
131I
 
FTC
Als [58]
54
56
M
 
 
 
 
 
fT3
 
 
131I
 
FVPTC
Als [58]
55
75
M
 
 
 
5.5
 
fT3
 
 
131I
 
FTC
Als [58]
56
77
F
 
 
 
4
 
fT3
 
 
131I
 
PTC
Als [58]
57
71
F
 
 
 
6
 
fT3
 
 
131I
 
FVC
Als [58]
58
63
M
 
 
 
6
 
fT3
 
 
131I
 
FVPTC
Als [58]
59
74
F
 
 
 
7
 
fT3,fT4
 
 
131I
 
FTC
Als [58]
60
68
M
 
 
HE
6
 
SHT
-
 
Tc
Follicular neoplasm
FTC
Foppiani [12]
61
38
F
 
 
HE
2.7
 
SHT
 
 
Tc
Hyperplastic goiter
FTC
Foppiani [12]
62
35
F
 
-
 
 
>1cm
High
+
 
131I
PTC
PTC
Sahin [13]
63
65
F
 
-
 
 
>1cm
High
+
 
131I
PTC
PTC
Sahin [13]
64
19
F
 
 
 
5
 
TT4,TT3
 
 
 
 
PTC
Lin [59]
65
38
F
 
-
-
 
0.3
TT3
+
 
131I
no malignancy
PTC
Taneri [60]
66
44
F
 
-
Cal
 
1
TT3
+
 
131I
no malignancy
PTC
Taneri [60]
67
56
F
 
-
 
 
0.8
High
 
 
131I
 
FTC
Gabriele [14]
68
21
F
 
-
IV
 
1.6
High
 
 
131I
 
FTC
Gabriele [14]
69
57
F
 
-
-
 
0.7
High
 
 
 
 
PTC
Vaiana [16]
70
58
F
 
-
-
 
3
High
 
 
 
 
PTC
Vaiana [16]
71
51
F
 
-
-
 
0.6
High
 
 
 
 
PTC
Vaiana [16]
72
17
F
 
-
 
 
1
High
+
 
 
 
PTC
Pacini [19]
73
65
F
Subjective ↑
 
 
5
 
High
+
 
 
 
FTC
Terzioglu [18]
74
42
F
 
 
 
 
 
High
+
 
 
 
PTC
Terzioglu [18]
75
35
F
 
-
 
2.2
0.5
High
 
 
 
 
PTC
Zanella [17]
76
70
F
 
-
 
4.1
0.5
High
 
 
 
 
PTC
Zanella [17]
77 35 M   -   5.4 0.5 High         Hurthle Zanella [17]

Abbreviations: + = yes; - = no; Cal = microcalcifications; FNA = fine needle aspiration; FTC = follicular thyroid carcinoma; FVPTC = follicular variant of papillary thyroid carcinoma; HE = hypoechoic; 123I = Iodine-123; 131I = Iodine-131; IV = internal vascularity; LT4 = levothyroxine; NA = not available; nl = normal; PD = poorly demarcated; PTC = papillary thyroid carcinoma; sx = symptoms; SHT = subclinical hyperthyroidism; fT3 = free triiodothyronine; fT4 = free thyroxine; TT3 = total triiodothyronine; TT4 = total thyroxine; 99mTc = technetium-99m-pertechnetate; TFTs = thyroid function testing; U/S = ultrasound; XRT = external beam radiotherapy.

a High-risk history: ionizing radiation exposure as child/adolescent, prior personal history of thyroid cancer, and family history of thyroid cancer in one or more 1st-degree relatives; as per Cooper et al. [6].

b Suspicious ultrasound: hypoechoic, microcalcifications, increased nodular vascularity, poorly demarcated; as per Cooper et al. [6].

c Nodule size: The largest diameter of the thyroid nodule measured by ultrasonography, or if ultrasound not available, then by palpation.

d Tumor size: The largest diameter of the thyroid nodule measured grossly after surgical resection.

e TFTs: Indicates which thyroid hormone values (total T3, total T4, free T3, and/or free T4) were elevated at time of presentation, as opposed to SHT or euthyroidism. Of note, for many of these cases, no mention of one or more of these four standard thyroid hormone values was included.

f High: Indicates that the patient was biochemically hyperthyroid, though specific thyroid hormone levels were not given.