RESUMO
Warthin-like papillary thyroid carcinoma is a rare variant of papillary carcinoma with a very good prognosis. It is often associated with lymphocytic thyroiditis. Due to its typical histological picture resembling Warthin's salivary gland tumor, the histological diagnosis is not difficult, usually does not require an accompanying immunohistochemical examination and is based on the presence of nuclear features typical of papillary carcinoma and the presence of oncocytes in a background of rich lymphocyte infiltrate. The preoperative cytologic examination is challenging, as many other lesions may have a similar picture. Women are more likely to get affected. It appears a decade earlier than the classic variant. Clinically, it presents similarly to a conventional papillary carcinoma. In our case report, we would like to present the case of a 56-year-old woman with non-toxic multinodular goiter, in whom the presence of this rare variant of papillary carcinoma was revealed by histological examination.
Assuntos
Adenolinfoma , Carcinoma Papilar , Neoplasias da Glândula Tireoide , Humanos , Feminino , Pessoa de Meia-Idade , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/patologia , Carcinoma Papilar/cirurgia , Neoplasias da Glândula Tireoide/diagnóstico , Adenolinfoma/diagnóstico , Adenolinfoma/patologia , Adenolinfoma/cirurgia , PrognósticoRESUMO
Authors present an autopsy case report where the immunohistochemical examination of tissues archived as paraffin blocks for more than 60 years enabled to identify the most probable primary origin of disseminated poorly differentiated adenocarcinoma. The potential issues caused by so called antigen decay and limitations of immunohistochemistry in archive material are discussed.
Assuntos
Adenocarcinoma , Imuno-Histoquímica , Adenocarcinoma/diagnóstico , Adenocarcinoma/patologia , Humanos , Inclusão em ParafinaRESUMO
A rare skin tumor (melanocytic matricoma), 6 mm in diameter, was diagnosed on the skin of the back in a 66-year-old man. It was composed of two cellular types: 1. epithelial cells with hair follicle differentiation and 2. dendritic melanocytes. After two years of follow-up there are no signs of a relapse or generalisation of the tumor.