title: CASTLE tumour of the thyroid. Value of multiplanar imaging acquisition.
abstract: OBJECTIVE
  Thyroid carcinomas thymus-like differentiation (CASTLE) are rare. The aim of this paper is to address a valid diagnostic and therapeutic protocol for these tumours using three exemplary cases and the previously published literature.
  
  
  METHODS
  The routine use of Magnetic Resonance Imaging (MRI) in all cases of unclear thyroid fine needle aspiration cytology (FNAC) or in cases of multiple neck masses.
  
  
  RESULTS
  Three cases of thyroid CASTLE tumours, finally confirmed by histology, are evaluated. All three patients remain in good conditions after an aggressive surgical approach followed by radiotherapy.
  
  
  CONCLUSIONS
  MRI should be routinely used in cases of unclear FNAC or multiple neck masses, Surgery and radiotherapy are effective to manage thyroid CASTLE tumours.
authors.affiliation: General and Emergency Surgery, "Federico II" University, Naples, Italy. dimusell@unina.it
authors.forename: Mario
authors.initials: M
authors.lastname: Musella
authors.forename: Stefano
authors.initials: S
authors.lastname: De Franciscis
authors.forename: Andrea
authors.initials: A
authors.lastname: Amorosi
authors.forename: Francesco
authors.initials: F
authors.lastname: Milone
authors.forename: Simona
authors.initials: S
authors.lastname: Truvolo
authors.forename: Alfredo
authors.initials: A
authors.lastname: Pede
authors.forename: Jens K
authors.initials: JK
authors.lastname: Kuhn
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013953:Thymus Neoplasms / Q000473:pathology*; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D013965:Thyroidectomy