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Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
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Anaplastic thyroid carcinoma with leucocytosis.
Shagufta Naeem1, Anila Riyaz1, Shabana Naz1
1Department of Pathology, Ayub Medical College, Abbottabad, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|March 23, 2021
Summary
Anaplastic thyroid carcinoma, a rare aggressive cancer, often presents with neutrophilia (elevated neutrophils) and fever. Prompt investigation of these symptoms in patients with long-standing goiter is crucial for early diagnosis and improved outcomes.
Area of Science:
- Oncology
- Pathology
- Hematology
Background:
- Anaplastic thyroid carcinoma (ATC) is an aggressive thyroid malignancy with a poor prognosis.
- Cytological diagnosis is common for ATC, often accompanied by elevated neutrophils in specimens and blood.
- Neutrophilia and fever are potential clinical indicators in ATC.
Purpose of the Study:
- To determine the frequency of neutrophilia with fever in anaplastic thyroid carcinoma.
- To investigate the clinical presentation of ATC, focusing on inflammatory markers.
Main Methods:
- A descriptive cross-sectional study was conducted.
- Included cases diagnosed with ATC via cytology.
- Histopathological examination was performed on a subset of cases.
- Data collected from October 2016 to October 2019.
Main Results:
- Nine out of 150 thyroid cytology cases were diagnosed as ATC.
- All ATC cases showed increased neutrophils on cytology; four cases exhibited leukocytosis.
- Common symptoms included rapidly growing neck mass, weight loss, and hoarseness of voice.
- Five cases were confirmed histopathologically; three patients died within one month.
Conclusions:
- Rapidly enlarging goiter with fever and leukocytosis in patients with long-standing goiter suggests ATC.
- Prompt investigation is recommended for suspected cases of anaplastic thyroid carcinoma.
- Neutrophilia may serve as an important diagnostic clue for ATC.
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