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INTRAOPERATIVE DIAGNOSIS OF WARTHIN-LIKE PAPILLARY CARCINOMA OF THE THYROID BY TOUCH PREP: A CASE REPORT

Warthin-like papillary carcinoma of the thyroid is a recently described variant of papillary thyroid carcinoma characterized histologically by a papillary structure and oxyphilic tumor cells in a chronic lymphocytic thyroiditis background. In this article, a tumoral mass of a 19-year-old female was studied cytologically and histologically. The patient complained of neck mass and was operated as total thyroidectomy. The specimen was cytologically characterized by three distinct features. The first feature suggested the papillary carcinoma, the other suggested oxyphilic changes and the last one suggested chronic lymphocytic thyroiditis. The nuclei of neoplastic follicular cells had grooves & pseudoinclusion and some of these cells revealed Hurthle cell changes in cytoplasm with conspicious nucleoli in nuclei of the others. Chronic inflammatory cells were seen in the background and in sheets of neoplastic follicular cells. Numerous psammoma bodies were visible all over the smear.