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A rare case report of hurthle cell adenoma mimicking malignancy

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Case Report

Author Details : Shashikala Gurappa Hiremani*

Volume : 9, Issue : 3, Year : 2024

Article Page : 158-162

https://doi.org/10.18231/j.achr.2024.035

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Abstract

Introduction: Thyroid lesions are the most common endocrine diseases, occurring in usually all age groups, though accurate diagnosis still remains a challenge, as due to oncocytic potentials of Thyroid cells leads to like indeterminate or suspicious diagnosis. Long standing benign Thyroid lesion shows atypical presentation suspicious to malignancy. Now a days with the help of WHO classification and available advanced diagnostic measures helping to confirm the diagnosis, avoiding overdiagnosis and wrong treatment. Hence this study review the importance of Histopathological study with coordination with immunohistochemistry (IHC) study, where suspicious thyroid malignant lesion finally diagnosed as benign Hurthle cell/ Oncocytic adenoma in Nodular Goitre.
Case Report : 72 year old female presented huge neck swelling since one year, was reviewed in our departments of Pathology and ENT. Fine needle aspiration cytology (FNAC) features are suspicious of Malignancy, further Histopathological features were studied with co ordance of IHC study.
Results: FNAC features, which were suspicious of Malignancy were further studied with Histopathological and IHC studies diagnosed as Hurthle cell/ Oncocytic adenoma in Nodular Goitre.
Conclusion: Histopathology remains the cornerstone for the diagnosis of thyroid oncocytic lesions and also in distinguishing between adenoma and carcinoma.
 

Keywords: Thyroid lesions, Hurthle cell tumors, FNAC, IHC

How to cite : Hiremani S G, A rare case report of hurthle cell adenoma mimicking malignancy. IP Arch Cytol Histopathol Res 2024;9(3):158-162

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