Thyroids papillary carcinoma, diffuse sclerosal variant, one of its many facets   

Authors

  • Ana María Castro Morillo Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez. Matanzas
  • Angela María Castañeda Muñoz Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez. Matanzas
  • Diana González Rodríguez Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez. Matanzas
  • Manuel Ríos Serrano Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez. Matanzas
  • Kety Madruga Vázquez Hospital Universitario Clínico Quirúrgico Comandante Faustino Pérez. Matanzas

Keywords:

papillary carcinoma, Hashimoto’s thyroiditis, histology

Abstract

Background: The papillary carcinoma is a well-differentiated and relatively common thyroidal cancer. In spite of its characteristics, this neoplasia may be massive or minimally invasive. Almost 14 variants are known, being the diffuse sclerosal one, one of the most aggressive of them, with much less survival than the classic variant; that is the cause of the importance of its diagnosis.
Case presentation: Female patient aged 43 years, with a size increase of the thyroids, positive fine-needle aspiration biopsy of tumoral cells, papillary carcinoma. A total thyroidectomy was made, finding whitish diffuse areas in both lobes. Microscopically, a papillary carcinoma associated to Hashimoto’s thyroiditis was confirmed, showing remarked fibrosis, plentiful psamoma bodies and lymphovascular invasion.
Conclusion: the diffuse sclerosal papillary carcinoma of thyroids behaves aggressively; that is why its treatment should be consequent with its biological behavior. Diagnosing this variant is the key of the success.

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How to Cite

1.
Castro Morillo AM, Castañeda Muñoz AM, González Rodríguez D, Ríos Serrano M, Madruga Vázquez K. Thyroids papillary carcinoma, diffuse sclerosal variant, one of its many facets   . Rev Méd Electrón [Internet]. 2014 Oct. 6 [cited 2025 Jan. 9];36(5):631-6. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/1127

Issue

Vol. 36 No. 5 (2014)

Section

Presentation of cases

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