ECEESPE2025 ePoster Presentations Endocrine Related Cancer (100 abstracts)
1Habib Bourguiba Univesity Hospital, Nulcear Medicine Department, Sfax, Tunisia; 2Hedi Chaker University Hospital, Endocrinology Department, Sfax, Tunisia
JOINT1310
Background: Papillary thyroid carcinoma (PTC) is the most common endocrine malignancy. The occurrence of PTC in patients with Hashimotos thyroiditis (HT) has been reported and a debatable explanation of the association was some common dysregulated non-immune-linked genes involved in DNA damage and repair. However, the link between PTC and autoimmune polyglandular syndromes, such as Schmidt syndrome, has been rarely described, making it an intriguing subject for further investigation.
Case report: We report the case of a 47-year-old female with a history of Addisons disease who presented with a cervical nodule that appeared suspicious on ultrasound. Fine-needle aspiration biopsy confirmed the presence of papillary thyroid carcinoma. Histopathological examination not only validated the diagnosis of differentiated thyroid carcinoma but also revealed lymphocytic thyroiditis. Laboratory investigations showed elevated anti-thyroglobulin antibodies (56 IU/mL; normal <30 IU/mL) and elevated anti-thyroid peroxidase (TPO) antibodies, with undetectable thyroglobulin levels (<0.04 ng/mL) and high TSH levels. The patient underwent total thyroidectomy, followed by radioactive iodine therapy.
Conclusion: This case highlights the rare association between Schmidt syndrome and papillary thyroid carcinoma, emphasizing the need for increased awareness of thyroid malignancies in patients with autoimmune polyglandular syndromes as underlying autoimmune conditions may influence cancer progression and therapeutic strategies.