Insular carcinoma of thyroid-unusual variant of thyroid cancer

Nayak, Dipak Ranjan and Dora, Asheesh and Kudva, Ranjini (2015) Insular carcinoma of thyroid-unusual variant of thyroid cancer. Odisha Journal of Otorhinolaryngology and HNS, 9 (1). pp. 28-32. ISSN 0974-5262

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Abstract

A rare case of histologically distinct aggressive thyroid cancer that has been termed recently as poorly differentiated (Insular) thyroid cancer is reported. The FNAC was suggestive of a follicular lesion. CT scan was strongly suggestive of malignancy. Total thyroidectomy with bilateral MRND and central compartment clearance was done and was confirmed histopathologically as insular carcinoma of thyroid. The patient was advised EBRT with radioiodine ablation. The patient reported back 7 months after with dysphagia and was found to have recurrence in the cervical esophagus and superior mediastinum along with lung and liver metastases on hypopo-haryngoscopy and CT scan and underwent 5 cycles of palliative chemotherapy. On last follow-up there was gross regression of tumor and the swallowing was improved. Relevant literature has been reviewed and the role of chemotherapy to improve survival has been discussed.

Item Type: Article
Uncontrolled Keywords: Insular thyroid cancer; poorly differentiated thyroid cancer; chemotherapy.
Subjects: Medicine > KMC Manipal > ENT
Medicine > KMC Manipal > Pathology
Depositing User: KMC Manipal
Date Deposited: 25 Jul 2015 07:18
Last Modified: 04 Nov 2016 14:49
URI: http://eprints.manipal.edu/id/eprint/143513

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