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Cheng L, Mir F, Reddy SB, Yan L, Gattuso P. Cytological features of endolymphatic sac tumors: Case studies with review of literature. Diagn Cytopathol 2022; 50:E230-E235. [PMID: 35470983 DOI: 10.1002/dc.24973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 04/02/2022] [Accepted: 04/19/2022] [Indexed: 11/06/2022]
Abstract
Endolymphatic sac tumors are extremely rare, locally aggressive neoplasms that arise from the endolymphatic sac or duct, primarily in the intraosseous portion. These neoplasms show diverse histomorphological architectures and despite a bland cytologic appearance, can locally recur. Although the clinicopathological and radiological features of this entity are well characterized, the literature on cytological features is extremely sparse. Herein, we describe the cytological features of the endolymphatic sac tumors and discuss the relevant differential diagnoses.
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Affiliation(s)
- Lin Cheng
- Department of Pathology, Rush University Medical Center, Chicago, Illinois, USA
| | - Fatima Mir
- St. Francis Hospital, Memphis, Tennessee, USA
| | - Swathi B Reddy
- Department of General Surgery, Rush University Medical Center, Chicago, Illinois, USA
| | - Lei Yan
- Department of Pathology, Rush University Medical Center, Chicago, Illinois, USA
| | - Paolo Gattuso
- Department of Pathology, Rush University Medical Center, Chicago, Illinois, USA
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2
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Ghartimagar D, Ghosh A, Shrestha MK, Thapa S, Talwar OP. Histopathological Spectrum of Non-Neoplastic and Neoplastic Lesions of Thyroid: A Descriptive Cross-sectional Study. ACTA ACUST UNITED AC 2020; 58:856-861. [PMID: 34506431 PMCID: PMC7775000 DOI: 10.31729/jnma.5038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2020] [Indexed: 11/26/2022]
Abstract
Introduction: Thyroid gland lesions are the most common endocrine disorders encountered globally. Diseases of the thyroid gland present with either an alteration of hormone secretion or as an enlargement of the thyroid gland. The objective of the study is to find the frequency of different thyroid lesions. Methods: A descriptive cross-sectional study was conducted at Manipal Teaching Hospital, Pokhara from Jan 2005 to Jan 2020. Ethical approval was taken from the Institutional Review Committee (Ref: 330). Patients who had undergone thyroidectomy procedures for both non-neoplastic and neoplastic thyroid lesions were enrolled. Convenient sampling was done. IBM Statistical Package for Social Sciences version 21 and Microsoft Excel were used. Results: Out of 345 thyroidectomy specimens, 246 (71.3%) cases of non-neoplastic lesions, and 99 (28.69%) cases of neoplastic lesions were present. There were 54 males and 291 females with a male to female ratio of 1:5.4. The age ranged from 9 to 76 years with a mean age of 43.67 years. In non-neoplastic lesions, the predominant lesion was the colloid goiter with 205 (83.33%) cases followed by Grave's disease and lymphocytic thyroiditis with 14 (5.69%) cases each. In neoplastic lesions, papillary carcinoma was the commonest lesion with 56 (56.56%) cases followed by follicular carcinoma with 14 (14.14%) cases and follicular adenoma with 13 (13.13%) cases. There were also 9 (9.09%) cases of anaplastic carcinoma in neoplastic lesions. Conclusions: Colloid goiter and papillary carcinoma was the most commonly encountered non-neoplastic and neoplastic lesion with a female predominance. Rare tumors like anaplastic carcinoma, papillary carcinoma, and follicular carcinoma with anaplastic transformation were also encountered.
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Affiliation(s)
| | - Arnab Ghosh
- Department of Pathology, Manipal College of Medical Science, Pokhara, Nepal
| | | | - Sushma Thapa
- Department of Pathology, Manipal College of Medical Science, Pokhara, Nepal
| | - Om Prakash Talwar
- Department of Pathology, Manipal College of Medical Science, Pokhara, Nepal
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3
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Bile-Gui LN, Kouadio E, Ohui-Acko EV, Kabas RM, Koui SB, Diambra LMA, Kouao JPS. Metastatic thyroid carcinoma presented as a large craniofacial mass: Case report and CT findings. Radiol Case Rep 2019; 15:128-132. [PMID: 31798760 PMCID: PMC6881619 DOI: 10.1016/j.radcr.2019.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2019] [Revised: 10/24/2019] [Accepted: 10/26/2019] [Indexed: 11/25/2022] Open
Abstract
Cranial metastases are uncommon locations of thyroid papillary carcinoma. They significantly reduce patients’ survival, especially in a context of late management. We report the case of a 46-year-old woman who presented an anterior cervical swelling, then a progressive large craniofacial mass for more than 5 years without any treatment. The imaging performed showed a large craniofacial tissue mass with frontotemporal and right orbital bone destruction extended to the face sinuses and the underlying extradural space without brain involvement; the second thyroid tumor right site had similar imaging characteristics to the cranial mass. The diagnosis of papillary carcinoma with craniofacial metastasis was retained after cranial biopsy and thyroid cytology. At this stage, a cranial surgery has not been proposed but a palliative hormonal treatment. The patient died 2 weeks after diagnosis. This case illustrates the relevant role of imaging in the assessment of thyroid tumors and the value of early management for improving patients’ survival.
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Affiliation(s)
- Lynda N Bile-Gui
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.,University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire
| | - Eric Kouadio
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.,University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire
| | - Estelle Valérie Ohui-Acko
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.,University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire
| | - Raissa M Kabas
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire.,University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire
| | - Sylvanus B Koui
- University Felix Houphouet Boigny, Medical sciences department, Abidjan, Côte d'Ivoire.,Department of pathology of Treichville Hospital and university center, Abidjan, Côte d'Ivoire
| | - Lolo M A Diambra
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire
| | - Jean-Paul S Kouao
- Radiodiagnostic and Medical Imaging Department of Treichville Hospital and University Center, Abidjan, Côte d'Ivoire
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Harisankar CNB, Vijayabhaskar R, Muthukumaran S, Kumar K. Occipital Condyle Syndrome Caused by Isolated Bone Metastases from Thyroid Cancer. Indian J Nucl Med 2019; 34:48-50. [PMID: 30713381 PMCID: PMC6352645 DOI: 10.4103/ijnm.ijnm_99_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Occipital condyle syndrome is a rare cause of pain in the head which is characterized by severe and persistent unilateral suboccipital headache with unilateral hypoglossal nerve palsy. We report an elderly female who presented with dysarthria and suboccipital headache. On further evaluation, she was found to have a solitary bone metastases from thyroid cancer. She was treated with local radiation therapy for pain relief, total thyroidectomy, and high-dose radioiodine therapy. The patient is presently free of pain with very good control of the thyroid cancer status.
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Affiliation(s)
| | - Ramakrishnan Vijayabhaskar
- Department of Surgical Oncology, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India
| | - Selva Muthukumaran
- Department of Neurosurgery, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India
| | - Kirushna Kumar
- Department of Radiotherapy, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu, India
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5
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Sheikh AB, Akhtar A, Tariq U, Sheikh AAE, Siddiqui FS, Bukhari MM. Skull Metastasis Extending to the Superior Sagittal Sinus: An Unfamiliar Presentation of Papillary Thyroid Carcinoma. Cureus 2018; 10:e2738. [PMID: 30087814 PMCID: PMC6075641 DOI: 10.7759/cureus.2738] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Thyroid cancer is the most common endocrine cancer in the world, with a rising global incidence over the last three decades. Papillary thyroid cancer (PTC) is the most common type of thyroid neoplasia, accounting for 74%-80% of all cases. Skull metastasis from a differentiated thyroid malignancy is a rare occurrence, while a subsequent dural involvement is even more inimitable. As such, a clinician requires a high degree of clinical suspicion and resultant radiographic evidence in order to make the diagnosis. Here we present the case of a 54-year-old male patient who presented with a pathological fracture of his right humerus, a midline frontal bone swelling and an asymptomatic neck mass. Further workup revealed follicular variant papillary thyroid carcinoma (FV-PTC) with distant metastasis to the calvarium. The conventional therapy for metastatic PTC includes a total thyroidectomy, removal of resectable metastatic lesions and a supplementation with radioactive iodine (RAI) and/or external beam radiation at the sites of the metastases. This case and our literature review illustrate that skull metastases should be considered in the clinical course of PTC so that appropriate management can be started.
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Affiliation(s)
| | - Aisha Akhtar
- Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, USA
| | - Usman Tariq
- Research Assistant, Yale University School of Medicine, New Haven, USA
| | | | | | - Marvi M Bukhari
- Internal Medicine, Shifa College Of Medicine, Islamabad, PAK
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Das S, Chaudhary N, Ang LC, Megyesi JS. Papillary thyroid carcinoma metastasizing to anaplastic meningioma: an unusual case of tumor-to-tumor metastasis. Brain Tumor Pathol 2017; 34:130-134. [DOI: 10.1007/s10014-017-0289-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 06/05/2017] [Indexed: 12/31/2022]
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Papadakis CE, Ladias A, Chimona TS, Gavriilidis M, Zisoglou M, Proimos E. Thyroid Papillary Carcinoma in a Branchial Cleft Cyst—A Case Report. ACTA ACUST UNITED AC 2017. [DOI: 10.4236/jct.2017.83023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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8
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Yari N, Espino Barros Palau A, Morgan ML, Levine NB, Lee AG. Metastatic Papillary Thyroid Carcinoma Presenting as Abducens Palsy Complicated by Ocular Neuromyotonia. Neuroophthalmology 2016; 40:97-101. [PMID: 27928392 DOI: 10.3109/01658107.2015.1132742] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 12/12/2015] [Accepted: 12/13/2015] [Indexed: 11/13/2022] Open
Abstract
Papillary thyroid carcinoma (PTC) is a type of well-differentiated thyroid cancer that accounts for the majority of thyroid malignancies. The prognosis of PTC is very good and distant metastases are rare, especially to the skull base. The authors report the case of a 47-year-old woman with biopsy-proven PTC treated with surgery and radiation therapy who presented with headache and diplopia after 5 years and was found to have clivus and cavernous sinus metastasis. Following radiation therapy for her skull base and cavernous sinus lesion, she subsequently developed sixth nerve ocular neuromyotonia. Possible causes and treatments are reviewed.
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Affiliation(s)
- Niloofar Yari
- Department of Neurology, Baylor Scott and White Health , Temple, Texas, USA
| | | | - Michael L Morgan
- Department of Ophthalmology and Visual Sciences, University Hospitals Eye Institute, Case Western Reserve University School of Medicine , Cleveland, Ohio, USA
| | | | - Andrew G Lee
- UT MD Anderson Cancer Center, Houston, Texas, USA; Department of Ophthalmology, Houston Methodist Hospital, Houston, Texas, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, Houston, Texas, USA; University of Texas Medical Branch, Galveston, Texas, USA
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Shen J, Wang S, Zhao X, Shao X, Jiang X, Dai Y, Xu S, Pan X. Skull metastasis from follicular thyroid carcinoma: report of three cases and review of literature. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2015; 8:15285-15293. [PMID: 26823882 PMCID: PMC4713668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/06/2015] [Accepted: 10/21/2015] [Indexed: 06/05/2023]
Abstract
Three patients' medical history, clinical manifestation, imaging characteristic, therapy and prognosis of calvaria metastasis from follicular thyroid carcinoma (FTC) in our hospital were retrospectively analyzed by reviewing medical literature. In case one, the tumor in frontal bone and fossa orbital was total resected, no further treatment was performed, the patient gave up on therapy and died of extensive metastasis at 22 months after the initial operation. In case two, the tumor in parietal and occipital bone was total resected, the subtotal resection of bilateral thyroid gland and isthmus was performed and combined with therapy of Levothyroxine and (131)I radio-iodine therapy, no evidence of tumor recurrence at 30 months after the primary operation. In case three, the tumor in occipital bone was gross total resected, total resection of bilateral thyroid gland and clearance of lymph node was performed after two months, adjunctive therapy with Levothyroxine, (131)I radio-iodine and skull radiotherapy, no evidence of tumor recurrence at 21 months after the primary operation. Correct diagnosis of calvaria metastasis from FTC preoperative is difficult because it's rarity, patients can survive for years after synthetic therapy including total resection of metastatic tumor, radical operation of thyroid carcinoma, adjunctive therapy of Levothyroxine, (131)I radio-iodine and skull radiotherapy.
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Affiliation(s)
- Jun Shen
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Sufen Wang
- Department of Pathology, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Xintong Zhao
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Xuefei Shao
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Xiaochun Jiang
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Yi Dai
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Shanshui Xu
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
| | - Xianwen Pan
- Department of Neurosurgery, Yi-Ji Shan Hospital of Wannan Medical CollegeWuhu, Anhui, China
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