Mixed medullary and follicular cell carcinoma of the thyroid with lymph node metastasis in a 7‐year‐old child

A 7‐year‐old boy presented with midline swelling in the neck. On fine‐needle aspiration cytology it was diagnosed as papillary carcinoma of the thyroid. The patient underwent total thyroidectomy. Histopathological examination, immunohistochemistry and electron microscopy revealed the presence of two...

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Veröffentlicht in:Pathology international 2006-02, Vol.56 (2), p.84-88
Hauptverfasser: Goyal, Richa, Nada, Ritambhra, Rao, Katragadda L. N., Radotra, Bishan D.
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creator Goyal, Richa
Nada, Ritambhra
Rao, Katragadda L. N.
Radotra, Bishan D.
description A 7‐year‐old boy presented with midline swelling in the neck. On fine‐needle aspiration cytology it was diagnosed as papillary carcinoma of the thyroid. The patient underwent total thyroidectomy. Histopathological examination, immunohistochemistry and electron microscopy revealed the presence of two intermingled components: medullary carcinoma and papillary carcinoma. One of the submandibular lymph nodes had metastasis of both the components. The case was diagnosed as ‘mixed medullary and follicular cell carcinoma’ with papillary carcinoma pattern and lymph node metastasis. Mixed medullary and follicular cell carcinoma with intermingling of medullary and papillary carcinoma components is a rare tumor. In adults, only eight such cases with lymph node metastasis have been published. To the best of the authors’ knowledge no pediatric case has previously been reported in the English‐language literature.
doi_str_mv 10.1111/j.1440-1827.2006.01928.x
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subjects Biopsy, Fine-Needle
Carcinoembryonic Antigen - analysis
Carcinoma, Medullary - chemistry
Carcinoma, Medullary - diagnosis
Carcinoma, Medullary - pathology
Carcinoma, Papillary, Follicular - chemistry
Carcinoma, Papillary, Follicular - diagnosis
Carcinoma, Papillary, Follicular - pathology
Child
composite
Humans
Immunohistochemistry
lymph node metastasis
Lymph Nodes - pathology
Lymphatic Metastasis - diagnosis
Lymphatic Metastasis - pathology
Male
medullary carcinoma
Mixed Tumor, Malignant - chemistry
Mixed Tumor, Malignant - diagnosis
Mixed Tumor, Malignant - pathology
papillary carcinoma
Thyroglobulin - analysis
thyroid
Thyroid Gland - pathology
Thyroid Neoplasms - chemistry
Thyroid Neoplasms - diagnosis
Thyroid Neoplasms - pathology
title Mixed medullary and follicular cell carcinoma of the thyroid with lymph node metastasis in a 7‐year‐old child
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