Carcinoma medular de tiroides metastásico a hígado y pulmón paciente asintomática con enfermedad activa
Medullary carcinoma of the thyroid with liver and lung metastases an assymptomatic patient with an active disease
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El carcinoma medular de tiroides es un tumor poco frecuente y con baja prevalencia, derivado de las células C parafoliculares secretoras de calcitonina. De comportamiento agresivo suele invadir ganglios linfáticos, tejido glandular adyacente y hacer metástasis a hueso, pulmón e hígado. Presentamos una paciente de 26 años con dicho tumor metastático a pulmón e hígado. A pesar del manejo quirúrgico y médico concomitante persiste con actividad de la enfermedad y niveles elevados de calcitonina. Llama la atención la escasa sintomatología.
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