Autor: |
Yuichi Kinoshita, Kosho Takasu, Takashi Yuri, Kastuhiko Yoshizawa, Yuko Emoto, Airo Tsubura, Nobuaki Shikata |
Jazyk: |
angličtina |
Rok vydání: |
2013 |
Předmět: |
|
Zdroj: |
Case Reports in Oncology, Vol 6, Iss 1, Pp 216-223 (2013) |
Druh dokumentu: |
article |
ISSN: |
1662-6575 |
DOI: |
10.1159/000350784 |
Popis: |
The diffuse sclerosing variant of papillary thyroid carcinoma (DSV-PTC) is a relatively rare tumor. We herein report the case of young woman with DSV-PTC who developed cervical lymph node recurrence 7 years after the initial surgery. A 15-year-old female patient with no medical or family history of thyroid tumors developed a thyroid neoplasm in the right lobe. Right thyroidectomy and regional lymphadenectomy were performed, and the tumor was diagnosed as DSV-PTC. She was followed up as an outpatient. Seven years after the surgery, cervical lymph node recurrence developed. On microscopic examination, the thyroid tumor showed a papillary growth pattern with numerous psammoma bodies and distinct fibrosis. Immunohistochemically, the tumor cells were estrogen receptor and progesterone receptor positive with reduced membranous expression of E-cadherin and were intermingled with S-100-positive dendritic/Langerhans cells. DSV-PTC is characterized by a strong tendency for invasion and metastasis. Thus, accurate diagnosis is clinically important, and a morphological and immunohistochemical understanding of DSV-PTC is necessary. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|