Cutaneous metastasis from follicular variant of papillary thyroid carcinoma: a case diagnosed on cytology.
A 40-year-old woman presented with a scalp swelling. A careful clinical examination revealed a left-sided deep-seated thyroid nodule. Fine needle aspiration from both sites disclosed a microfollicular architectural pattern on Giemsa stain and pale nuclei with nuclear grooves on Papanicolaou stain, indicating the possibility of follicular variant of papillary thyroid carcinoma with metastasis to the scalp. Histologic tissue evaluation confirmed the diagnosis. Thus, a diligent search for nuclear features should be performed to enable a diagnosis of follicular variant of papillary thyroid carcinoma on cytology. This helps in patient management obviating the need for a second surgical intervention.
Chakraborty
Jayati
J
Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal, India. amitava.dr@gmail.com
Bandyopadhyay
Anjali
A
Choudhuri
Manoj K
MK
Mitra
Kalyani
K
Guha
Debasish
D
Mallik
Mamata Guha
MG
D000328:Adult; D044963:Biopsy, Fine-Needle; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis / Q000473:pathology*; D012535:Scalp / Q000473:pathology*; D012878:Skin Neoplasms / Q000473:pathology* / Q000556:secondary*; D013964:Thyroid Neoplasms / Q000175:diagnosis*; D016606:Thyroid Nodule / Q000473:pathology