<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532022000100116</article-id>
<article-id pub-id-type="doi">10.31252/rpso.14.05.2022</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[CARCINOMA DA TIROIDE: DIAGNÓSTICO EM EXAME DE SAÚDE DE MEDICINA DO TRABALHO E APTIDÃO AO TRABALHO POR TURNOS]]></article-title>
<article-title xml:lang="en"><![CDATA[THYROID CARCINOMA: DIAGNOSIS IN OCCUPATIONAL MEDICINE HEALTH EXAMINATION AND SHIFT WORK APTITUDE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldanha]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Matos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
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</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teófilo]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Minho Centro Hospitalar Universitário de São João ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Católica do Porto Centro Hospitalar Universitário de São João ]]></institution>
<addr-line><![CDATA[Esmoriz Ovar]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Instituto de Ciências Biomédicas Abel Salazar ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Hospitalar Universitário de São João  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,Centro Hospitalar Universitário de São João Instituto de Ciências Biomédicas Abel Salazar ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidade do Porto Centro Hospitalar Universitário de São João Faculdade de Medicina]]></institution>
<addr-line><![CDATA[S.João da Madeira ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>13</volume>
<fpage>116</fpage>
<lpage>121</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532022000100116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532022000100116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532022000100116&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução Os carcinomas da tiroide incluem um vasto espetro de lesões. O subtipo bem diferenciado, 90% de todos os cancros da tiroide, está associado a excelente prognóstico. Vários fatores de risco estão descritos. O fator ambiental mais importante é a exposição a radiação ionizante, embora o trabalho por turnos possa ter algum efeito cancerígeno, segundo alguns investigadores. A apresentação clínica comum do carcinoma da tiroide é um nódulo tiroideu detetado pelo doente ou exames de imagem.  Descrição do caso Trata-se de uma enfermeira de 25 anos, que recorreu ao apoio de Medicina Curativa, inserida no serviço de Saúde Ocupacional com queixas de gânglios cervicais aumentados. Negava antecedentes pessoais de destaque. Apresentava uma massa palpável na região tiroideia e supraclavicular direita e disfonia com seis a nove meses de evolução. Realizou ecografia cervical com biópsia que revelou carcinoma papilar da tiroide com metástase ganglionar. Fez cirurgia e tratamento com iodo radioativo. Ficou com aptidão condicionada para trabalho por turnos.  Discussão A remoção cirúrgica e tratamento com iodo radioativo permite uma cura superior a 90% dos carcinomas da tiroide localizados e bem diferenciados. O carcinoma da tiroide bem diferenciado com metástases está associado a uma sobrevida a dez anos de 90% se existir bom aporte de iodo e remissão após o tratamento. Está proposta uma relação entre a disfunção do ciclo circadiano e carcinoma da tiroide, pelo que é importante decidir a aptidão para o trabalho noturno no período de seguimento da doença.  Conclusão A pertinência do caso surge com o objetivo de alertar para as vantagens de um serviço de Saúde Ocupacional e a sua capacidade de dar resposta atempada e célere a diversas patologias da população laboral, com importantes ganhos em saúde. Este caso também oferece um raciocínio sobre a gestão e tempo de evicção do trabalho por turnos no pós-diagnóstico de carcinoma da tiroide.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction Thyroid carcinomas include a wide spectrum of lesions. The well-differentiated subtype, 90% of all thyroid cancers, is associated with an excellent prognosis. Several risk factors are described. The most important environmental factor is exposure to ionizing radiation, although shift work is proposed as a prominent factor. The common clinical presentation of thyroid carcinoma is a thyroid nodule detected by the patient or imaging tests.  Case Report This is a 25-year-old nurse who came to the occupational health service with complaints of enlarged cervical nodes. She denied prominent personal background. She had a palpable mass in the thyroid and right supraclavicular region and dysphonia with six to nine months of evolution. She underwent cervical ultrasound with biopsy that revealed papillary thyroid carcinoma with lymph node metastasis. She had surgery and radioactive iodine treatment. In occupational health, she was conditioned to shift work.  Discussion Surgical removal and radioactive iodine treatment cures more than 90% of localized and well-differentiated thyroid carcinomas. Well-differentiated thyroid carcinoma with metastases is associated with a 90% ten-year survival if there is good iodine supply and the tumor goes into remission after treatment. A relationship between circadian cycle dysfunction and thyroid carcinoma is proposed, so it is important to decide the ability to work at night in the follow-up period of the disease.  Conclusion The relevance of the case arises with the aim of alerting to the advantages of an Occupational Health service and its ability to provide a timely and rapid response to various pathologies of the working population with important health gains. This case also offers a rationale for the management and time of shift work avoidance in the post-diagnosis of thyroid carcinoma.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[carcinoma tiroide]]></kwd>
<kwd lng="pt"><![CDATA[trabalho por turnos]]></kwd>
<kwd lng="pt"><![CDATA[medicina trabalho]]></kwd>
<kwd lng="pt"><![CDATA[saúde ocupacional.]]></kwd>
<kwd lng="en"><![CDATA[thyroid carcinoma]]></kwd>
<kwd lng="en"><![CDATA[shift work]]></kwd>
<kwd lng="en"><![CDATA[occupational medicine]]></kwd>
<kwd lng="en"><![CDATA[occupational health.]]></kwd>
</kwd-group>
</article-meta>
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