Concurrent papillary and medullary thyroid carcinomas with mixed metastases to lymph nodes

Authors

• Abdul-Wahed N. Meshikhes, Consultant Surgeon, PO Box 18418, Qatif 31911, Kingdom of Saudi Arabia. Tel. +966 55901984. Fax. +966 (3) 8551019. E-mail: meshikhes{at}doctor.com
• Mukund Tingura, Department of Pathology, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia.
• Jamal Y. Al-Saeed, Department of Endocrinology, Dammam Central Hospital, Dammam, Kingdom of Saudi Arabia.

Abstract

We report here a rare concurrence of medullary and papillary carcinomas of the thyroid in a 39-year-old Saudi male. He presented with a solitary nodule of the right thyroid lobe and underwent total thyroidectomy based on the cytological diagnosis of papillary carcinoma. Subsequent detailed histopathologic examination of the thyroid revealed 2 different types of malignancies in the 2 lobes papillary cancer in the right and medullary cancer in the left lobe. A single small lymph node showed metastatic replacement by both cancers. The extreme rarity and the interesting pathological features of such combinations are discussed.

Article Type

Case Report

First Page

373

Last Page

375

Recommended Citation

Meshikhes, Abdul-Wahed N.; Tingura, Mukund; and Al-Saeed, Jamal Y. (2004) "Concurrent papillary and medullary thyroid carcinomas with mixed metastases to lymph nodes," Saudi Medical Journal: Vol. 25: Iss. 3, Article 21.
DOI: https://doi.org/10.15537/1658-3175.2358