Otolaryngology Case Reports (Mar 2017)

An interesting rare case of dual malignancy in a large thyroid- Mixed medullary-follicular carcinoma of thyroid

  • Lovenish Bains, MS, FNB, FAIS, FCLS, FIAGES,
  • Anubhav Vindal, MS, DNB, MNAMS, MRCS (Edinburgh), FAIS, FCLS, FACS,
  • Pawanindra Lal, MS, DNB, MNAMS, FIMSA, FCLS, FRCSEd, FRCSGlasg, FRCSEng, FACS

DOI
https://doi.org/10.1016/j.xocr.2017.01.001
Journal volume & issue
Vol. 2, no. C
pp. 29 – 32

Abstract

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Background: Mixed medullary-follicular carcinomas (MMFCs) are rare tumors of the thyroid that have morphological and immune-histochemical features of both medullary and follicular neoplasms. There is paucity of such case reported from Asia. Methods: A 40 year old female patient presented with complaints of neck swelling for the past 20 years with recent increase in size. The patient was clinically euthyroid with a smooth and firm enlargement of right lobe of thyroid & no neck nodes were palpable. A computed tomography scan showed a large heterogeneous enhancing mass lesion reaching up to thoracic inlet and causing displacement of larynx, trachea, oesophagus & carotid artery. Result: The patient underwent total thyroidectomy and made uneventful recovery. The histopathological examination report revealed Mixed Medullary & Follicular Carcinoma. Conclusion: MMFC represents a diagnostic challenge on fine needle aspiration cytology as final diagnosis is confirmed only on detailed histopathological analysis. The treatment is primarily surgical.

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