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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2021
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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) |
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dendritic cell sarcoma follicular dendritic cells thyroidectomy immunohistochemistry hashimoto disease Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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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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