Primary leiomyosarcoma of the thyroid gland.
A primary leiomyosarcoma of the thyroid gland in a 72 year old Japanese woman is described. This is the second case reported in the English literature. The patient presented with a 7 month history of a gradually expanding tumor in the right neck. The surgical specimen taken by thyroid lobectomy revealed a relatively well demarcated tumor, 2 x 2 x 3 cm in size, confined to the right lobe. Histologically, the tumor showed a classical leiomyosarcomatous appearance of interlacing fascicles of spindle-shaped cells with occasional blunt-ended nuclei and a high frequency of mitotic figures. Immunohistochemistry of the tumor cells clearly showed smooth muscle differentiation; the cells were positive for desmin, muscle-specific actin and vimentin and negative for cytokeratin, epithelial membrane antigen, carcinoembryonic antigen, thyroglobulin and calcitonin. The patient was free of disease for 3 years and 11 months without further treatment when evidence of multiple bone metastases appeared on bone scintigraphy. She died of pneumonia 4 years and 3 months after the lobectomy.
Iida
Y
Y
Second Department of Pathology, Yamanashi Medical University, Japan.
Katoh
R
R
Yoshioka
M
M
Oyama
T
T
Kawaoi
A
A
D000368:Aged; D003598:Cytoskeletal Proteins / Q000032:analysis*; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000737:chemistry / Q000473:pathology*; D013964:Thyroid Neoplasms / Q000737:chemistry / Q000473:pathology*
D003598:Cytoskeletal Proteins