Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review

Thyroid follicular dendritic cell sarcoma (FDCS) is an extremely rare malignancy that originates from follicular dendritic cells of the thyroid germinal centers. To the best of our knowledge, there are only 4 reported cases of thyroid FDCS in the English literature. Herein, we present the fifth case...

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Autores principales: Seyed-ahmad Seyed-alagheband, Mohammad-kazem Shahmoradi, Omid-Ali Adeli, Tahereh Shamsi, Maryam Sohooli, Ramin Shekouhi
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Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:b238c2128cf04babadae4d89118a50c52021-12-02T12:40:23ZFollicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review1662-657510.1159/000520485https://doaj.org/article/b238c2128cf04babadae4d89118a50c52021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520485https://doaj.org/toc/1662-6575Thyroid follicular dendritic cell sarcoma (FDCS) is an extremely rare malignancy that originates from follicular dendritic cells of the thyroid germinal centers. To the best of our knowledge, there are only 4 reported cases of thyroid FDCS in the English literature. Herein, we present the fifth case of FDCS of the thyroid gland. A 63-year-old woman presented with a painless midline neck mass, enlarging for the last 4 months. Physical examination revealed a 6-cm nonmobile, firm, multinodular thyroid mass with palpable cervical lymphadenopathy. Due to high suspicion for thyroid malignancy, the patient underwent total thyroidectomy with bilateral modified radical neck dissection. Histologic evaluations revealed sheets of storiform eosinophilic tumoral cells with prominent nucleoli containing multinucleated giant cells, and subsequent immunohistochemistry showed immunoreactivity for CD4, CD21, CD35, CD45 (LCA), and CD68. The patient was started on 6 cycles of doxorubicin, ifosfamide, and radiotherapy. She has had monthly thyroid ultrasonography and contrast-enhanced thoracoabdominal CT scan every 3 months for detecting potential recurrence and/or metastasis screening. Fortunately, 8 months after the operation, the patient is alive without any signs of local or distant metastasis.Seyed-ahmad Seyed-alaghebandMohammad-kazem ShahmoradiOmid-Ali AdeliTahereh ShamsiMaryam SohooliRamin ShekouhiKarger Publishersarticledendritic cell sarcomafollicular dendritic cellsthyroidectomyimmunohistochemistryhashimoto diseaseNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1698-1705 (2021)
institution DOAJ
collection DOAJ
language EN
topic dendritic cell sarcoma
follicular dendritic cells
thyroidectomy
immunohistochemistry
hashimoto disease
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle dendritic cell sarcoma
follicular dendritic cells
thyroidectomy
immunohistochemistry
hashimoto disease
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Seyed-ahmad Seyed-alagheband
Mohammad-kazem Shahmoradi
Omid-Ali Adeli
Tahereh Shamsi
Maryam Sohooli
Ramin Shekouhi
Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
description Thyroid follicular dendritic cell sarcoma (FDCS) is an extremely rare malignancy that originates from follicular dendritic cells of the thyroid germinal centers. To the best of our knowledge, there are only 4 reported cases of thyroid FDCS in the English literature. Herein, we present the fifth case of FDCS of the thyroid gland. A 63-year-old woman presented with a painless midline neck mass, enlarging for the last 4 months. Physical examination revealed a 6-cm nonmobile, firm, multinodular thyroid mass with palpable cervical lymphadenopathy. Due to high suspicion for thyroid malignancy, the patient underwent total thyroidectomy with bilateral modified radical neck dissection. Histologic evaluations revealed sheets of storiform eosinophilic tumoral cells with prominent nucleoli containing multinucleated giant cells, and subsequent immunohistochemistry showed immunoreactivity for CD4, CD21, CD35, CD45 (LCA), and CD68. The patient was started on 6 cycles of doxorubicin, ifosfamide, and radiotherapy. She has had monthly thyroid ultrasonography and contrast-enhanced thoracoabdominal CT scan every 3 months for detecting potential recurrence and/or metastasis screening. Fortunately, 8 months after the operation, the patient is alive without any signs of local or distant metastasis.
format article
author Seyed-ahmad Seyed-alagheband
Mohammad-kazem Shahmoradi
Omid-Ali Adeli
Tahereh Shamsi
Maryam Sohooli
Ramin Shekouhi
author_facet Seyed-ahmad Seyed-alagheband
Mohammad-kazem Shahmoradi
Omid-Ali Adeli
Tahereh Shamsi
Maryam Sohooli
Ramin Shekouhi
author_sort Seyed-ahmad Seyed-alagheband
title Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
title_short Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
title_full Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
title_fullStr Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
title_full_unstemmed Follicular Dendritic Cell Sarcoma of the Thyroid Gland in a Patient with Preexisting Hashimoto’s Thyroiditis: A Rare Case Report with a Literature Review
title_sort follicular dendritic cell sarcoma of the thyroid gland in a patient with preexisting hashimoto’s thyroiditis: a rare case report with a literature review
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/b238c2128cf04babadae4d89118a50c5
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