Warthin-like variant of Papillary thyroid carcinoma-Case report of an uncommon tumour with review of literature.
Int J Surg Case Rep 2020;
77:9-11. [PMID:
33137673 PMCID:
PMC7610023 DOI:
10.1016/j.ijscr.2020.10.058]
[Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/14/2020] [Accepted: 10/15/2020] [Indexed: 02/03/2023] Open
Abstract
Warthin-like variant of Papillary thyroid carcinoma (WLPTC) is an uncommon variant of PTC.
The management of WLPTC patient is similar to that of PTC and depends on the stage of the disease.
This patient had lymph node metastasis, still she is doing well four years after treatment.
Background
Warthin-like variant of Papillary thyroid carcinoma (WLPTC) is an uncommon variant of PTC. They resemble Warthin tumour of salivary gland. Microscopically the tumour shows presence of papillae lined by oncocytic cells with typical nuclear features of PTC. The stalks of papillae were filled up with lymphoplasmacytic cells. WLPTC have good prognosis.
Case report
A 45-year-old lady presented with thyromegaly. She underwent total thyroidectomy with bilateral selective neck dissection (level II – level VI). Her final histopathology report was WLPTC, Right lobe with lymph nodal metastasis. Post-operatively, she received I131 radio-iodine therapy. She is under follow-up for last four years and is doing well.
Conclusion
Diagnosing WLPTC, a rare variant of PTC can be challenging. Definitive diagnosis helps in management.
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