Korean J Endocr Surg.  2008 Mar;8(1):43-47. 10.16956/kjes.2008.8.1.43.

A Case Report on Diffuse Sclerosing Papillary Carcinoma of the Thyroid: The Ultrasound and CT Images

Affiliations
  • 1Department of Radiology, Chunchon Sacred Heart Hospital, Chuncheon, Korea. khc@hallym.or.kr
  • 2Department of Surgery, Chunchon Sacred Heart Hospital, Chuncheon, Korea.
  • 3Department of Pathology, Chunchon Sacred Heart Hospital, Chuncheon, Korea.

Abstract

We report here on a case of diffuse sclerosing papillary carcinoma (DSPC), which is a subtype of papillary carcinoma of thyroid, in a 27-year-old female. The ultrasound images showed diffuse enlargement of the thyroid lobes and this was associated with underlying diffuse scattered microcalcifications and a heterogeneous hypoechoic background parenchyma that was without any masses. The CT image showeddiffuse scattered dot-like hyperdensities with bilateral multiple metastastic lymph nodes. Because making the cytological diagnosis of DSPC is still challenging, the radiological findings that show this disease's characteristic features may be important clues for making the correct diagnosis.

Keyword

Thyroid; Papillary carcinoma; Diffuses sclerosing variant; Ultrasonography; CT

MeSH Terms

Adult
Carcinoma, Papillary*
Diagnosis
Female
Humans
Lymph Nodes
Thyroid Gland*
Ultrasonography*
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