Mixed Medullary-Follicular Carcinoma of the Thyroid

Introduction. Mixed medullary-follicular thyroid carcinoma is an uncommon tumor that consists of both follicular and parafollicular cells. Case. We report a 43-year-old woman with a palpable mass in the right side of the neck. Fine needle aspiration suggested a diagnosis of high grade anaplastic car...

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Main Authors: Maasumeh Tohidi, Gholamreza Pourbehi, Mohammad Bahmanyar, Seyed Sajjad Eghbali, Mohammadreza Kalantar Hormozi, Iraj Nabipour
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/571692
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author Maasumeh Tohidi
Gholamreza Pourbehi
Mohammad Bahmanyar
Seyed Sajjad Eghbali
Mohammadreza Kalantar Hormozi
Iraj Nabipour
author_facet Maasumeh Tohidi
Gholamreza Pourbehi
Mohammad Bahmanyar
Seyed Sajjad Eghbali
Mohammadreza Kalantar Hormozi
Iraj Nabipour
author_sort Maasumeh Tohidi
collection DOAJ
description Introduction. Mixed medullary-follicular thyroid carcinoma is an uncommon tumor that consists of both follicular and parafollicular cells. Case. We report a 43-year-old woman with a palpable mass in the right side of the neck. Fine needle aspiration suggested a diagnosis of high grade anaplastic carcinoma that has been associated with papillary features. Total thyroidectomy was done in which histopathological examination showed diagnosis of medullary carcinoma. Immunohistochemical staining was positive for chromogranin, calcitonin, and thyroglobulin in tumoral cells. Conclusion. Mixed medullary-follicular thyroid carcinoma is a rare tumor. Diagnosis of these tumors with fine needle aspiration is very difficult and may lead to misdiagnosis. It is necessary to correlate the cytological finding with serum calcitonin and thyroglobulin. Also immunostaining for calcitonin and thyroglobulin confirms diagnosis.
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series Case Reports in Endocrinology
spelling doaj-art-499565f268a6423888659f8a2d7b98972025-02-03T05:50:10ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/571692571692Mixed Medullary-Follicular Carcinoma of the ThyroidMaasumeh Tohidi0Gholamreza Pourbehi1Mohammad Bahmanyar2Seyed Sajjad Eghbali3Mohammadreza Kalantar Hormozi4Iraj Nabipour5The Persian Gulf Marine Medicine Biotechnology Research Center, Department of Endocrinology, Bushehr University of Medical Sciences, Bushehr, IranThe Persian Gulf Marine Medicine Biotechnology Research Center, Bushehr University of Medical Sciences, Bushehr, IranThe Persian Gulf Marine Medicine Biotechnology Research Center, Bushehr University of Medical Sciences, Bushehr, IranThe Persian Gulf Marine Medicine Biotechnology Research Center, Department of Pathology, Bushehr University of Medical Sciences, Bushehr, IranThe Persian Gulf Marine Medicine Biotechnology Research Center, Department of Endocrinology, Bushehr University of Medical Sciences, Bushehr, IranThe Persian Gulf Marine Medicine Biotechnology Research Center, Department of Endocrinology, Bushehr University of Medical Sciences, Bushehr, IranIntroduction. Mixed medullary-follicular thyroid carcinoma is an uncommon tumor that consists of both follicular and parafollicular cells. Case. We report a 43-year-old woman with a palpable mass in the right side of the neck. Fine needle aspiration suggested a diagnosis of high grade anaplastic carcinoma that has been associated with papillary features. Total thyroidectomy was done in which histopathological examination showed diagnosis of medullary carcinoma. Immunohistochemical staining was positive for chromogranin, calcitonin, and thyroglobulin in tumoral cells. Conclusion. Mixed medullary-follicular thyroid carcinoma is a rare tumor. Diagnosis of these tumors with fine needle aspiration is very difficult and may lead to misdiagnosis. It is necessary to correlate the cytological finding with serum calcitonin and thyroglobulin. Also immunostaining for calcitonin and thyroglobulin confirms diagnosis.http://dx.doi.org/10.1155/2013/571692
spellingShingle Maasumeh Tohidi
Gholamreza Pourbehi
Mohammad Bahmanyar
Seyed Sajjad Eghbali
Mohammadreza Kalantar Hormozi
Iraj Nabipour
Mixed Medullary-Follicular Carcinoma of the Thyroid
Case Reports in Endocrinology
title Mixed Medullary-Follicular Carcinoma of the Thyroid
title_full Mixed Medullary-Follicular Carcinoma of the Thyroid
title_fullStr Mixed Medullary-Follicular Carcinoma of the Thyroid
title_full_unstemmed Mixed Medullary-Follicular Carcinoma of the Thyroid
title_short Mixed Medullary-Follicular Carcinoma of the Thyroid
title_sort mixed medullary follicular carcinoma of the thyroid
url http://dx.doi.org/10.1155/2013/571692
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AT gholamrezapourbehi mixedmedullaryfollicularcarcinomaofthethyroid
AT mohammadbahmanyar mixedmedullaryfollicularcarcinomaofthethyroid
AT seyedsajjadeghbali mixedmedullaryfollicularcarcinomaofthethyroid
AT mohammadrezakalantarhormozi mixedmedullaryfollicularcarcinomaofthethyroid
AT irajnabipour mixedmedullaryfollicularcarcinomaofthethyroid