Graves’ Disease that Developed Shortly after Surgery for Thyroid Cancer
유혜민, Park Soon-Hyun, 이재민, 박강서,
소속 상세정보
유혜민 ( Yu Hea-Min )
Eulji University School of Medicine Department of Internal Medicine
( Park Soon-Hyun )
Soe’s Internal Medicine Clinic
이재민 ( Lee Jae-Min )
Eulji University School of Medicine Department of Internal Medicine
박강서 ( Park Kang-Seo )
Eulji University School of Medicine Department of Internal Medicine
KMID : 0356620130280030226
Abstract
Graves’ disease is an autoimmune disorder that may present with various clinical manifestations of hyperthyroidism. Patients with Graves’ disease have a greater number of thyroid nodules and a higher incidence of thyroid cancer compared with patients with normal thyroid activity. However, cases in which patients are diagnosed with recurrence of Graves’ disease shortly after partial thyroidectomy for thyroid cancer are very rare. Here we report a case of hyperthyroid Graves’ disease that occurred after partial thyroidectomy for papillary thyroid cancer. In this case, the patient developed hyperthyroidism 9 months after right hemithyroidectomy, and antithyroglobulin autoantibody and thyroid stimulating hormone receptor stimulating autoantibody were positive. Therefore, we diagnosed Graves’ disease on the basis of the laboratory test results and thyroid ultrasonography findings. The patient was treated with and maintained on antithyroid drugs. The mechanism of the recurrence of Graves’ disease in this patient is still unclear. The mechanism may have been the improper response of the immune system after partial thyroidectomy. To precisely determine the mechanisms in Graves’ disease after partial thyroidectomy, further studies based on a greater number of cases are needed.
키워드
Graves’ disease; Partial thyroidectomy; Thyroid cancer; papillary
원문 및 링크아웃 정보
등재저널 정보