Warthin like papillary carcinoma : a case report

Publication Date

2018

Document Type

Research

Abstract

Papillary Thyroid Cancer is the most common type of thyroid cancer, accounting for 70-90% of well-differentiated thyroid malignances. Microscopic papillary thyroid cancer is present in up to 25% of thyroid glands at autopsy, but most of these lesions are very small (several millimeters) and are not clinically significant. Characteristic cytologic features of papillary help make the diagnosis by FNA or after surgical resection; these include Psammoma bodies, cleaved nuclei with an "Orphan - Annie" appearance caused by large nucleoli, and the formation of papillary structures. We report a case of a 36-year old female admitted at De La Salle University Medical (DLSUMC) on April 2018 with anterior neck mass of 1 year duration. Fine needle aspiration revealed cell finding consistent with papillary thyroid carcinoma. She eventually underwent Total Thyroidectomy. Microscopic examination revealed histologic features consistent with Warthin-Like Papillary Carcinoma. She received radioactive iodine therapy and levothyroxine treatment. Post-therapy whole body scan revealed functioning thyroid tissue remnant in the right thyroid bed. In this report we highlight the clinical course, manifestations, laboratory abnormalities and histopathological features of Warthin Like variant of Papillary thyroid cancer.

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