Romanian Medical Journal (Dec 2021)

Pandemics and thyroid neoplasia

  • Florica Sandru,
  • Mihai Cristian Dumitrascu,
  • Diana Elena Rentea,
  • Eugenia Petrova,
  • Adina Draghici,
  • Adina Ghemigian,
  • Anda Dumitrascu,
  • Claudia Mehedintu,
  • Mara Carsote

DOI
https://doi.org/10.37897/RMJ.2021.4.23
Journal volume & issue
Vol. 68, no. 4
pp. 533 – 535

Abstract

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Poorly differentiated/undifferentiated thyroid carcinoma represents a very severe type of malignancy with limited therapeutically resources. Fortunately, the diagnosis is very rare in general population; however, delayed presentation to a health care system might aggravate the evolution and during COVID-19 pandemic it was suggested an exacerbation of this phenomenon. This is a case report of a 56-year old lady diagnosed with poorly differentiated undifferentiated thyroid carcinoma according to fine needle aspiration – based cytological exam. Despite having progressive large, neck mass with bone pain, asthenia, weight loss, and dysphagia since last months, she delayed the medical examination because of social anxiety amid COVID-19 pandemics. Poorly differentiated carcinoma still represents a sector of endocrinology with poor survival. Controversies around endocrine practice amid pandemic are still ongoing topics.

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