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Anaplastic carcinoma of the thyroid with sclerohyaline nodules

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Abstract

Sclerohyaline nodules, resembling deposits of amyloid, were noted in 3 cases of anaplastic thyroid carcinoma (ATC). All 3 patients were elderly, and 2 had good outcomes. Histologically, the nodules were dispersed throughout typical areas of ATC and formed the dominant histologic feature in these areas. The nodules were paucicellular and surrounded by both ATC and chronic inflammatory cells, including prominent numbers of eosinophils. Other areas of the stroma had a more keloidal appearance with minor myxoid foci. The hyaline nodules were negative for calcitonin, amyloid A, type IV collagen, and laminin. We regard these nodules as a response of the extracellular matrix to infiltrating ATC.

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References

  1. Aldinger KA, Samaan NA, Ibanez M, Hill CS Jr. Anaplastic carcinoma of the thyroid. A review of 84 cases of spindle and giant cell carcinoma of the thyroid. Cancer 41:2267–2275, 1978.

    Article  CAS  Google Scholar 

  2. Carcangiu ML, Bianchi S. Diffuse sclerosing variant of papillary thyroid carcinoma. Clincopathologic study of 15 cases. Am J Surg Pathol 13:1041–1049, 1989.

    Article  CAS  Google Scholar 

  3. Carcangiu ML, Steeper T, Zampi G, Rosai J. Anaplastic thyroid carcinoma. A study of 70 cases. Am J Clin Pathol 83:135–158, 1985.

    Article  CAS  Google Scholar 

  4. Chan JKC, Albores-Saavedra J, Battifora H, Carcangiu ML, Rosai J. Sclerosing mucoepidermoid thyroid carcinoma with eosinophilia. Am J Surg Pathol 15:438–448, 1991.

    Article  CAS  Google Scholar 

  5. Chan JKC, Carcangiu ML, Rosai J. Papillary carcinoma of thyroid with exuberant nodular fasciitis-like stroma. Report of three cases. Am J Clin Pathol 95:309–314, 1991.

    Article  CAS  Google Scholar 

  6. Gaffey MJ, Lack EE, Christ ML, Weiss LM. Anaplastic thyroid carcinoma with osteoclast-like giant cells. A clinicopathologic, immunohistochemical, and ultrastructural study. Am J Surg Pathol 15:160–168, 1991.

    Article  CAS  Google Scholar 

  7. Liotta LA, Rao CN, Barsky SH. Tumor invasion and the extracellular matrix. Lab Invest 49:636–649, 1983.

    CAS  PubMed  Google Scholar 

  8. LiVolsi VA. Surgical pathology of the thyroid. Philadelphia: WB Saunders, 1990.

    Google Scholar 

  9. Nel CJ, Van Heerden JA, Goellner JR, et al. Anaplastic carcinoma of the thyroid: A clinicopathologic study of 82 cases. Mayo Clin Proc 60:51–58, 1985.

    Article  CAS  Google Scholar 

  10. Ohori PN, Yousern SA, Griffin J, Stanis K, Stetler-Stevenson WG, Colby TV, et al. Comparison of extracellular matrix antigens in subtypes of bronchioloalveolar carcinoma and conventional pulmonary adenocarcinoma. An immunohistochemical study. Am J Surg Pathol 16:675–686, 1992.

    Article  CAS  Google Scholar 

  11. Shvero J, Gal R, Avidor I, Hadar T, Kessler E. Anaplastic thyroid carcinoma: a clinical, histologic, and immunohistochemical study. Cancer 62:319–325, 1988.

    Article  CAS  Google Scholar 

  12. Venkatesh YSS, Ordonez NG, Schultz PN, Hickey RC, Geopfert H, Samaan NA. Anaplastic carcinoma of the thyroid. A clinicopathologic study of 121 cases. Cancer 66:321–330, 1990.

    Article  CAS  Google Scholar 

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Chetty, R., Mills, A.E. & LiVolsi, V.A. Anaplastic carcinoma of the thyroid with sclerohyaline nodules. Endocr Pathol 4, 110–114 (1993). https://doi.org/10.1007/BF02914461

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