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When to settle for SETTLE! A lesson learned from our cases.

Bangalore Rammohan Nagarjun1, Shailee Mehta2, Jahnavi Gandhi1

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Thyroid Research
|March 4, 2024
PubMed
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Spindle epithelial tumor with thymic like elements (SETTLE) is a rare thyroid tumor in young individuals. Recognizing its varied presentation and diagnostic challenges is crucial for accurate biopsy diagnosis.

Keywords:
BiphasicSETTLEThyroid

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Area of Science:

  • Endocrinology
  • Pathology
  • Oncology

Background:

  • Spindle epithelial tumor with thymic like elements (SETTLE) is a rare, biphasic thyroid neoplasm.
  • This indolent tumor predominantly affects children and young adults.
  • SETTLE is often overlooked due to its rarity and morphological diagnostic challenges.

Purpose of the Study:

  • To highlight the varied presentations of SETTLE.
  • To discuss the diagnostic challenges associated with SETTLE.
  • To provide insights gained from two case studies of SETTLE.

Main Methods:

  • Review of two clinical cases of SETTLE.
  • Analysis of histological features.
  • Comparison with common mimickers in thyroid pathology.

Main Results:

  • SETTLE presents with diverse clinical and histological features.
  • Diagnostic difficulty on morphology is a significant challenge.
  • Considering SETTLE in the differential diagnosis of thyroid lesions in young patients is essential.

Conclusions:

  • SETTLE requires careful consideration in the differential diagnosis of thyroid lesions, particularly in pediatric and adolescent populations.
  • Understanding histological details and potential mimickers aids in accurate biopsy diagnosis.
  • Increased awareness can improve the recognition and management of this rare tumor.