Indian Journal of Nuclear Medicine
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Year : 2011  |  Volume : 26  |  Issue : 4  |  Page : 196-198

Solid variant of papillary carcinoma thyroid in a child with no history of radiation exposure

1 Department of Nuclear Medicine, AIIMS, New Delhi, India
2 Department of Pathology, AIIMS, New Delhi, India

Correspondence Address:
Nishikant Damle
Department of Nuclear Medicine, Room No. 59 A, A.I.I.M.S, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-3919.106707

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Solid variant is a rare and poorly characterized variant of papillary thyroid carcinoma (PTC) and comprises approximately 3% of PTCs. It is more common in children and has high propensity for extrathyroidal metastasis. It is seen in higher proportion in post-radiation PTCs and has been seen in more than one-third of post Chernobyl radiation induced PTCs in some studies. It usually presents with differential diagnosis of poorly differentiated carcinoma versus anaplastic versus medullary thyroid carcinoma versus metastasis from extrathyroidal malignancy on fine needle aspiration cytology. This report describes a case of solid variant of PTC in a child who had no history of radiation exposure and shows the importance to be given to histopathology when the pre-operative diagnosis is not clear.

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