Volume : 5, Issue : 7, July - 2016

Warthin-like Papillary Carcinoma of Thyroid in a Background of Hashimoto’s thyroiditis :A Rare Case Report with Review of Literature.

Dr. Nalli . R. Sumitra Devi, Dr. T. Subachitra

Abstract :

<p>&nbsp;Warthin &ndash;like papillary carcinoma is a rare and recently described variant of papillary carcinoma of thyroid .This uncommon variant has a striking resemblance to Warthins tumor of the salivary gland and is characterized by multiple papillary fronds lined by oncocytic neoplastic cells with optically clear nuclei and dense lymphocytic infiltrate in the papillary core. We hereby present a case of Warthin- like carcinoma of the thyroid in a 40 year old female with thyromegaly since six months . Thyroid hormonal levels were normal with raised antibody titres suggesting the possibility of Hashimoto&rsquo;s thyroiditis. Computed tomography of the neck showed a cystic lesion measuring 2.6x2.1cms. FNAC showed features of papillary carcinoma thyroid with oncocytic clusters.Total thyroidectomy specimen on histomorphology showed Warthins variant of papillary carcinoma set in a background of Hashimoto&rsquo;s thyroiditis.. This entity has to be borne in mind as it carries a good prognosis and long term follow up is mandatory to assess the biological behaviour.</p>