Radiologic and Pathologic Findings of a Follicular Variant of Papillary Thyroid Cancer with Extensive Stromal Fat: A Case Report.
10.3348/kjr.2015.16.6.1349
- Author:
Jin Woo CHOI
1
;
Tae Hyung KIM
;
Hong Gee ROH
;
Won Jin MOON
;
Sang Hwa LEE
;
Tae Sook HWANG
;
Kyoung Sik PARK
Author Information
1. Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Korea.
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Papillary thyroid cancer;
Follicular variant;
Fat;
Ultrasound;
Computed tomography;
RAS
- MeSH:
Carcinoma/*diagnosis/pathology/ultrasonography;
Exons;
Female;
GTP Phosphohydrolases/genetics;
Humans;
Immunohistochemistry;
Membrane Proteins/genetics;
Middle Aged;
Mutation;
Thyroid Neoplasms/*diagnosis/pathology/ultrasonography;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2015;16(6):1349-1352
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thyroid cancer may have small adipose structures detected by microscopy. However, there are no reports of thyroid cancer with gross fat evaluated by radiological methods. We reported a case of a 58-year-old woman with a fat containing thyroid mass. The mass was hyperechoic and ovoid in shape with a smooth margin on ultrasonography. On computed tomography, the mass had markedly low attenuation suggestive of fat, and fine reticular and thick septa-like structures. The patient underwent a right lobectomy. The mass was finally diagnosed as a follicular variant of papillary thyroid cancer with massive stromal fat.