DOI QR코드

DOI QR Code

Papillary Thyroid Carcinoma of a Diffuse Sclerosing Variant: Ultrasonographic Monitoring from a Normal Thyroid Gland to Mass Formation

  • Kim, Hye-Seong (Center for Health Promotion) ;
  • Han, Boo-Kyung (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Jung-Hee (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ko, Eun-Young (Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Sung, Chang-Ohk (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Oh, Young-Lyun (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Song, Sang-Yong (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2009.12.21
  • Accepted : 2010.04.12
  • Published : 2010.10.01

Abstract

A diffuse sclerosing variant of papillary thyroid carcinoma is uncommon and has a tendency for rapid growth and a higher incidence of cervical lymph node metastases. We experienced a case of a diffuse sclerosing variant of papillary thyroid carcinoma in a 48-year-old man. This case showed benign features on initial ultrasonography and positron emission tomography (PET) scan. A new nodule was detected on follow-up ultrasonography that showed rapid enlargement. This case was confirmed by surgical excision. We herein describe the initial and follow-up ultrasonographic findings of a diffuse sclerosing variant of papillary thyroid carcinoma.

Keywords

References

  1. Baloch ZW, Livolsi VA. Pathology of thyroid and parathyroid diseases. In: Mills SE (ed). Sternberg's diagnostic surgical pathology, 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2004:557-619
  2. Lam AK, Lo CY. Diffuse sclerosing variant of papillary carcinoma of the thyroid: a 35-year comparative study at a single institution. Ann Surg Oncol 2006;13:176-181 https://doi.org/10.1245/ASO.2006.03.062
  3. Chow SM, Chan JK, Law SC, Tang DL, Ho CM, Cheung WY, et al. Diffuse sclerosing variant of papillary thyroid carcinoma--clinical features and outcome. Eur J Surg Oncol 2003;29:446-449 https://doi.org/10.1016/S0748-7983(03)00005-2
  4. Lee JY, Shin JH, Han BK, Ko EY, Kang SS, Kim JY, et al. Diffuse sclerosing variant of papillary carcinoma of the thyroid: imaging and cytologic findings. Thyroid 2007;17:567-573 https://doi.org/10.1089/thy.2006.0321
  5. Vickery AL Jr, Carcangiu ML, Johannessen JV, Sobrinho-Simoes M. Papillary carcinoma. Semin Diagn Pathol 1985;2:90-100
  6. Chan BK, Desser TS, McDougall IR, Weigel RJ, Jeffrey RB Jr. Common and uncommon sonographic features of papillary thyroid carcinoma. J Ultrasound Med 2003;22:1083-1090
  7. Kobayashi K, Fukata S, Amino N, Miyauchi A. A case with diffuse sclerosing variant of papillary carcinoma of the thyroid: characteristic features on ultrasonography. J Med Ultrasonics 2006;33:159-161 https://doi.org/10.1007/s10396-006-0092-0
  8. Martin-Perez E, Larranaga E, Serrano P. Diffuse sclerosing variant of papillary carcinoma of the thyroid. Eur J Surg 1998;164:713-715
  9. Fujimoto Y, Obara T, Ito Y, Kodama T, Aiba M, Yamaguchi K. Diffuse sclerosing variant of papillary carcinoma of the thyroid. Clinical importance, surgical treatment, and follow-up study. Cancer 1990;66:2306-2312 https://doi.org/10.1002/1097-0142(19901201)66:11<2306::AID-CNCR2820661109>3.0.CO;2-P
  10. Fukushima M, Ito Y, Hirokawa M, Akasu H, Shimizu K, Miyauchi A. Clinicopathologic characteristics and prognosis of diffuse sclerosing variant of papillary thyroid carcinoma in Japan: an 18-year experience at a single institution. World J Surg 2009;33:958-962 https://doi.org/10.1007/s00268-009-9940-6

Cited by

  1. 甲状腺腫瘍の超音波診断 vol.38, pp.6, 2010, https://doi.org/10.3179/jjmu.38.625
  2. Ultrasound classification system for the diagnosis of thyroid nodules: diagnostic criteria at Kuma Hospital vol.39, pp.3, 2010, https://doi.org/10.3179/jjmu.39.259
  3. Pitfalls in Sonographic Evaluation of Thyroid Abnormalities vol.34, pp.3, 2010, https://doi.org/10.1053/j.sult.2012.11.001
  4. A Case Report Demonstrating How the Clinical Presentation of the Diffuse Sclerosing Variant of Papillary Thyroid Carcinoma Can Mimic Benign Riedel's Thyroiditis vol.2015, pp.None, 2010, https://doi.org/10.1155/2015/686085
  5. Shear wave elastography diagnosis of the diffuse sclerosing variant of papillary thyroid carcinoma: A case report vol.5, pp.2, 2010, https://doi.org/10.3892/mco.2016.932
  6. Clinical significance of patterns of increased [18F]-FDG uptake in the thyroid gland: a pictorial review vol.36, pp.3, 2010, https://doi.org/10.1007/s11604-017-0715-y
  7. Long-Term Follow-Up Ultrasonographic Findings of Intrathyroidal Thymus in Children vol.21, pp.11, 2010, https://doi.org/10.3348/kjr.2019.0973