双侧多灶沃辛肿瘤模拟转移性甲状腺乳头状癌:一个罕见的病例提出诊断挑战

IF 0.2
Tanvee S. Kulkarni, Snehal Shah, S. Rane, A. Mahajan, M. Bal, R. Vaish, A. Patil
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引用次数: 0

摘要

沃氏瘤是腮腺第二常见的良性肿瘤。它很少是多灶性的,发生在腮腺外部位,最常见的是颈部淋巴结。细针抽吸细胞学检查是腮腺Warthin肿瘤的诊断方法;然而,在腮腺外部位,诊断可能具有挑战性。如果在放射学上有内脏器官的同步病变,增加转移癌的怀疑,则困难会进一步增加。我们报告一个不寻常的诊断具有挑战性的病例同步,双侧,多灶的腮腺内和腮腺外沃辛肿瘤模拟转移性甲状腺乳头状癌。我们还强调术中会诊在指导此类病例的适当管理方面的有用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bilateral Multifocal Warthin Tumors Mimicking Metastatic Papillary Thyroid Carcinoma: A Rare Case Posing a Diagnostic Challenge
Warthin tumor is the second most common benign tumor of parotid gland. It rarely may be multifocal and occur at extraparotid sites, most common being the cervical lymph nodes. Fine-needle aspirate cytology is diagnostic in most cases of parotid Warthin tumors; however, in extraparotid sites, the diagnosis can be challenging. The difficulty can be further amplified if there is a synchronous lesion in a visceral organ on radiology, raising the suspicion of a metastatic carcinoma. We report an unusual diagnostically challenging case of synchronous, bilateral, multifocal intraparotid and extraparotid Warthin tumors mimicking a metastatic papillary thyroid carcinoma. We also highlight the usefulness of intraoperative consultation in guiding appropriate management in such cases.
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期刊介绍: Each issue of Pathology Case Reviews examines one vital theme in the field with peer-reviewed, clinically oriented case reports that focus on diagnosis, specimen handling and reports generation. Each theme-oriented issue covers both histopathologic and cytopathologic cases, offering a comprehensive perspective that includes editorials and review articles of the newest developments in the field, differential diagnosis hints, applications of new technologies, reviews of current issues and techniques and an emphasis on new approaches.
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