Oncocytic Cell Carcinoma of the Thyroid with TERT Promoter Mutation Presenting as Asphyxia in an Elderly: A Case Report

With the aging population, the prevalence of thyroid nodules and malignancies among the elderly becomes a significant health concern. Thyroid nodules in the elderly exhibit distinct characteristics, necessitating careful consideration of treatment strategies that balance the risks and benefits associated with diagnosis and intervention. Oncocytic carcinoma of the thyroid (OCA) is a rare subtype with potential aggressive behavior and poorer prognosis. OCA also poses diagnostic challenges resembling benign lesions. Molecular testing can aid differentiation and guides treatment. This case highlights an 84-year-old patient with OCA causing asphyxia, emphasizing complexities in diagnosing and treating thyroid malignancies in the elderly. Biopsy and molecular testing provide diagnostic accuracy and guide treatment decisions. Considering individualized approaches in elderly populations is essential for improved outcomes.