Clin Endosc.  2014 Jul;47(4):350-352. 10.5946/ce.2014.47.4.350.

Primary Papillary Thyroid Carcinoma Diagnosed by Using Endoscopic Ultrasound with Fine Needle Aspiration

• Jalil AA
• Elkhatib F
• Mahayni AA
• Alkhatib A

• KMID: 1907937
• DOI: http://doi.org/10.5946/ce.2014.47.4.350

Abstract

There is paucity in the literature on the use of endoscopic ultrasound (EUS) for evaluating the thyroid gland. We report the first case of primary papillary thyroid cancer diagnosed by using EUS and fine needle aspiration (FNA). A 66-year-old man underwent EUS for the evaluation of mediastinal lymphadenopathy. FNA of the lymph nodes showed benign findings. A hypoechoic mass was noted in the right lobe of the thyroid gland. Therefore, FNA was performed. The cytological results were consistent with primary papillary thyroid cancer.

Keyword

Thyroid; Papillary cancer; Endosonography; Biopsy, fine-needle; Esophagus

MeSH Terms

Aged
Biopsy, Fine-Needle*
Endosonography
Esophagus
Humans
Lymph Nodes
Lymphatic Diseases
Thyroid Gland
Thyroid Neoplasms*
Ultrasonography*

Figure

• 

  Fig. 1 Endosonographic image of the hypoechoic mass in the right thyroid lobe (A) without and (B) with Doppler.

• 

  Fig. 2 Cytological images showing nuclear grooving (A) and intranuclear inclusions (B; arrows) consistent with thyroid papillary carcinoma (Papanicolaou stain, ×40).

• 

  Fig. 3 Transcutaneous ultrasound images of the thyroid lesion.

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