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Correspondence
Simultaneous occurrence of Warthin-like papillary carcinoma and lymphoma of the mucosa associated lymphoid tissue in Hashimoto thyroiditis
  1. Ioannis G Panayiotides1,
  2. Periklis G Foukas1,
  3. Christos Meristoudis2,
  4. Argyroula P Zourla1,
  5. Georgios Peros3,
  6. Petros Karakitsos2
  1. 12nd Department of Pathology, University of Athens Medical School, University Hospital, Athens, Greece
  2. 2Department of Cytopathology, University of Athens Medical School, University Hospital, Athens, Greece
  3. 34th Department of Surgery, University of Athens Medical School, University Hospital, Athens, Greece
  1. Correspondence to Ioannis G Panayiotides, Department of Pathology, University of Athens Medical School, University Hospital, 1 Rimini Street, GR-12462 Haidari, Athens, Greece; histodept{at}attikonhospital.gr

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Simultaneous occurrence of papillary carcinoma and lymphoma in the thyroid is extremely rare, only three cases having so far been reported.

In a 51-year-old woman with thyroid nodules, papillary carcinoma was diagnosed in an ultrasound-guided fine needle aspiration of a right lobe nodule. Subsequent thyroidectomy revealed a 1 cm large, Warthin-like papillary carcinoma (figure 1), whereas a 0.7 cm focus of classical type papillary carcinoma was found in the lower third of the right lobe. Hashimoto thyroiditis was also seen (figure 2). Moreover, a 1.2 cm area with scant thyroid follicles and large lymphoid follicles surrounded by small lymphocytes was found in the left lobe. The lymphoid infiltrate showed immunopositivity for both CD20 and CD43; …

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