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Papillary thyroid carcinoma: neck node metastases

Case contributed by Assoc Prof Frank Gaillard

Cystic nodes on the right side of the neck with a heterogeneous thyroid gland. Probable vertebral body met also. 

Case Discussion


Microscopic Description: 

The fine needle aspirate from the neck region is a cellular aspirate showing clusters of atypical follicular epithelial cells and inspissated colloid. Some of the clusters are associated with colloid. No definite papillary fragments are seen. However, there is an occasional stromal fibrovascular core identified. 

Individual clusters of epithelial cells show cells with irregular nuclear outlines and nuclear grooves. A focal intranuclear inclusion is seen. There is crowding and overlapping of nuclei present. Some of the clusters have a Hurthle cell appearance with more abundant cytoplasm.

FNA Final Diagnosis: Papillary carcinoma of thyroid

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Case information

rID: 7820
Published: 15th Dec 2009
Last edited: 13th Aug 2019
System: Head & Neck
Tag: thyroid
Inclusion in quiz mode: Included

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