Cribriform-morular variant of papillary thyroid carcinoma: characteristic histologic feature of adenomatous polyposis. A case report

Ann Endocrinol (Paris). 2012 Jun;73(3):213-5. doi: 10.1016/j.ando.2012.01.003. Epub 2012 Mar 3.

Abstract

We report the case of a 24-year-old woman with familial adenomatous polyposis and diagnosed with cribriform-morular variant of papillary thyroid carcinoma. Neck ultrasound and computed tomography identified multiple nodules in the thyroid gland and neck lymph nodes. The cytological analysis was compatible with the diagnosis of papillary cancer of the thyroid. Total thyroidectomy with lymph node dissection was performed. The histological analysis established the diagnosis of cribriform-morular variant of papillary thyroid carcinoma. Despite preoperative findings suggesting an aggressive form of thyroid cancer with lymph node involvement, the final diagnosis was a variant of papillary thyroid carcinoma often associated with familial adenomatous polyposis and known to have a good prognosis.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents, Hormonal / therapeutic use
  • Carcinoma, Papillary / classification
  • Carcinoma, Papillary / diagnostic imaging
  • Carcinoma, Papillary / genetics
  • Carcinoma, Papillary / pathology*
  • Carcinoma, Papillary / radiotherapy
  • Carcinoma, Papillary / secondary
  • Carcinoma, Papillary / surgery
  • Combined Modality Therapy
  • Estrogens
  • Female
  • Genes, APC
  • Goiter, Nodular / etiology
  • Goiter, Nodular / surgery
  • Humans
  • Iodine Radioisotopes / therapeutic use
  • Lymphadenitis / pathology
  • Lymphadenitis / surgery
  • Multiple Endocrine Neoplasia / genetics
  • Multiple Endocrine Neoplasia / pathology*
  • Neck Dissection
  • Neoplasms, Hormone-Dependent / diagnostic imaging
  • Neoplasms, Hormone-Dependent / genetics
  • Neoplasms, Hormone-Dependent / pathology
  • Neoplasms, Hormone-Dependent / therapy
  • Progesterone
  • Prognosis
  • Radiography
  • Radiotherapy, Adjuvant
  • Thyroid Neoplasms / diagnostic imaging
  • Thyroid Neoplasms / genetics
  • Thyroid Neoplasms / pathology*
  • Thyroid Neoplasms / radiotherapy
  • Thyroid Neoplasms / surgery
  • Thyroidectomy
  • Ultrasonography
  • Young Adult

Substances

  • Antineoplastic Agents, Hormonal
  • Estrogens
  • Iodine Radioisotopes
  • Progesterone