Clnicopathologic Features of Warthin-like Papillary Carcinoma of the Thyroid.
10.16956/kjes.2007.7.4.257
- Author:
Jong Ju JEONG
1
;
Yong Sang LEE
;
Soon Won HONG
;
Sang Wook KANG
;
Tae Yon SUNG
;
Seung Chul LEE
;
Kee Hyun NAM
;
Hang Seok CHANG
;
Woong Youn CHUNG
;
Cheong Soo PARK
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. woungyounc@yuhs.ac
- Publication Type:Original Article
- Keywords:
Warthin-like papillary thyroid carcinoma;
Papillary thyroid carcinoma
- From:Korean Journal of Endocrine Surgery
2007;7(4):257-259
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Warthin-like papillary carcinomawas named owing to its close histologic resemblance to a tumor encountered in salivary gland, and this tumor is a variant of papillary thyroid carcinoma. Among the variants of papillary thyroid carcinoma, the tall cell variant and diffuse sclerosing variant have more aggressive behavior than the classic papillary carcinoma. But Warthin-like papillary carcinoma arises in a background of thyroiditis and it behaves in an indolent fashion. Since then, a few case have reported in Korea. We report here on the clinicopathologic features of five cases of warthin-like papillary carcinoma. METHODS: From Jan. 1996 to Feb. 2008, five patients who were diagnosed with Warthin-like papillary thyroid carcinoma at YUMC were retrospectively reviewed. RESULTS: All 5 patients whose pathologic features were warthin- likepapillary thyroid carcinoma were women (age range: 34~60 years). The tumor size ranged from 0.6 to 2.4 cm. 3 tumors were confined to the thyroid, but 2 tumors had invaded the strap muscles. 3 of the 5 tumors arose in a background of lymphocytic thyroditis. Central nodal metastases were identified in 2 cases. But no lateral nodal or distant metastasis had occurred. The mean duration of follow- up was 16.5 months (range: 5~50 months). 1 patient died because of lung cancer, and there was no recurrence for the other 4 cases during the follow-up period. CONCLUSION: Although the long-term follow-up data on patients with Warthin-like papillary carcinoma is not available, the clinicopathologic data does not show that Warthin-like papillary carcinoma is any more aggressive than the usual papillary carcinoma.
