Research Article
Papillary Thyroid Carcinoma with Diffuse Sclerosing Type: A Case Report
Sun Yu1,3,#, Shao-Li Huang2,3,4,#, Xiao-Yan Wang3,4#, Shao-Hua Zhou3,5, Yan-Hong Liang1,3, Xiao-Bo Dong1,3, Guo-An Bao1,3,*, Xi-He Zhang3,4*, Hong-Yi Xin3,4*
1Department of ultrasonography, People’s Hospital of Lianjiang, Zhanjiang, 524400, China. 2Department of clinical Laboratory, People’s Hospital of Lianjiang, Zhanjiang, 524400, China. 3Doctoral Scientific Research Center, People’s Hospital of Lianjiang, Zhanjiang, 524400, China. 4Doctoral Scientific Research Center, People’s Hospital of Lianjiang, Guangdong Medical University, Zhanjiang, 524400, China. 5Department of Urology, People’s Hospital of Lianjiang, Zhanjiang, 524400, China.
#, Authors contributed equally. *, Correspondence Hong-Yi Xin, Doctoral Scientific Research Center, Lianjiang People's Hospital, Guangdong 524400, China. Email: [email protected]. Xi-He Zhang, PhD, Doctoral Scientific Research Center, Lianjiang People's Hospital, Guangdong 524400, China. Phone: +86 19126491230. Email: [email protected]. Guo-An Bao, Department of Ultrasonography, Lianjiang People's Hospital, Zhanjiang, 524400, China. Email: [email protected]. Received: November 14, 2021; Accepted: May 1, 2024; Published online: July 21, 2024. Cite this paper: Sun Yu, Shao-Li Huang, Xiao-Yan Wang, Shao-Hua Zhou, Yan-Hong Liang, Xiao-Bo Dong, Guo-An Bao, Xi-He Zhang, Hong-Yi Xin. (2024) Papillary Thyroid Carcinoma with Diffuse Sclerosing Type: A Case Report. Global Journal of Imaging and Interventional Medicine, 5(1):1-6. http://naturescholars.com/gjiim.050101. https://doi.org/10.46633/gjiim.050101. Copyright© 2024 by Scholars Publishing, LLC.
Abstract
The diffuse sclerosing variant of papillary thyroid carcinoma (DSVPTC) is a specific subtype of papillary thyroid carcinoma (PTC), accounting for approximately 0.3% to 5.3% of the PTC cases. While DSVPTC has a low incidence, it is highly aggressive, displaying concealed clinical manifestations and a poor prognosis. In ultrasound, both DSVPTC and Hashimoto’s thyroiditis present as diffuse thyroid lesions, making them prone to misdiagnosis. The diagnosis of DSVPTC involves ultrasound imaging examination, considering the specific characteristics of the DSVPTC imaging. Confirmation of the disease was subsequently obtained through biochemical tests, clinical manifestations and postoperative pathology. This paper reports a case of DSVPTC, discussing its imaging features, biochemical testing, postoperative pathology, and prognosis, along with relevant literature. The aim is to enhance the understanding of ultrasound practitioners and reduce the likelihood of misdiagnosis.
Keywords: Papillary thyroid carcinoma; Diffuse sclerosing type; Scattered in microcalcification.