Synonyms
Carcinoma showing thymus-like features; CD5-positive thyroid carcinoma; Intrathyroid thymic carcinoma; Intrathyroidal epithelial thymoma; Lymphoepithelioma-like carcinoma of the thyroid; Primary thyroid thymoma
Definition
Carcinoma showing thymus-like differentiation (CASTLE) is an intrathyroid thymic carcinoma (Lloyd et al. 2017). It is a malignant tumor of the thyroid with thymus epithelial differentiation that is thought to originate from solid cell nests, ectopic thymus tissue, or embryonic thymus rest in or adjacent to the thyroid. The acronym based name CASTLE was coined by Rosai and Chan in 1991 after the first description by Miyauchi et al. in 1985 (Chan and Rosai 1991).
Clinical Features
References and Further Reading
Chan, J. K., & Rosai, J. (1991). Tumors of the neck showing thymic or related brachial pouch differentiation: A unifying concept. Human Pathology, 22, 349–367.
Gao, R., Jia, X., Ji, T., Feng, J., Yang, A., & Zhang, G. (2018). Management and prognostic factors for thyroid carcinoma showing thymus-like elements (CASTLE): A case series study. Frontiers in Oncology, 8, 477.
Ito, Y., Miyauchi, A., Nakamura, Y., Miya, A., Kobayashi, K., & Kakudo, K. (2007). Clinicopathological significance of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation – A collaborative study with member institutes of the Japanese society of thyroid surgery. Anatomic Pathology, 127, 230–236.
Lloyd, V. R., Osamura, R. Y., Kloppel, G., & Rosai, J. (2017). WHO classification of tumours of endocrine organs. Lyon: IARC.
Wang, Y.-f., Liu, B., Fan, X.-s., Rao, Q., Xu, Y., Xia, Q.-y., Yu, B., Shi, S.-s., & Zhou, X.-j. (2015). Thyroid carcinoma showing thymus-like elements – a clinicopathologic, immunohistochemical, ultrastructural, and molecular analysis. American Society for Clinical Pathology, 143, 223–233.
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Eloy, C. (2022). Carcinoma Showing Thymus-Like Differentiation (CASTLE). In: La Rosa, S., Uccella, S. (eds) Endocrine Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-62345-6_5131
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DOI: https://doi.org/10.1007/978-3-030-62345-6_5131
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