Thyroid gland neoplasms; histopathological pitfalls as a consequence of FNAC: a tertiary care hospital experience

Authors

  • Maheen Pyarali Department of ENT, Liaquat National Hospital and Medical College, Karachi, Pakistan
  • Saher Uneeb Liaquat National Hospital and Medical College, Karachi, Pakistan
  • Maira Adeel Department of ENT, Liaquat National Hospital and Medical College, Karachi, Pakistan
  • Shakil Aqil Department of ENT, Liaquat National Hospital and Medical College, Karachi, Pakistan
  • Yousra Zahid Department of Histopathology, Liaquat National Hospital and Medical College, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4470

Abstract

Fine-needle aspiration cytology (FNAC) is one of the useful procedures for the investigation of thyroid swellings. FNAC is a minimally invasive procedure, is cost effective, and a gold standard for diagnosing thyroid lesions. Haemorrhage, thrombosis, and infarction are known common complications of FNAC. Post FNAC infarction in thyroid gland has been known as a rare phenomenon. Here, we report the case of a young female who underwent FNAC that showed Hurthle cell neoplasm (Bethesda 3). Four weeks later, she underwent right thyroid lobectomy and the final histology showed extensive necrosis and haemorrhage which is a diagnostic dilemma and hampered our diagnosis.

Keywords: Hurthle cell neoplasm, FNAC, Thyroidectomy, Thyroid neoplasm.

Author Biographies

Maira Adeel, Department of ENT, Liaquat National Hospital and Medical College, Karachi, Pakistan

Liaquat National Hospital and Medical College, Department of ENT, Post graduate trainee, FCPS

Yousra Zahid, Department of Histopathology, Liaquat National Hospital and Medical College, Karachi, Pakistan

Liaquat National Hospital and Medical College, Histopathologist

Published

2022-12-15

How to Cite

Pyarali, M., Uneeb, S., Adeel, M., Aqil, S., & Zahid, Y. . (2022). Thyroid gland neoplasms; histopathological pitfalls as a consequence of FNAC: a tertiary care hospital experience. Journal of the Pakistan Medical Association, 73(1), 169–171. https://doi.org/10.47391/JPMA.4470

Issue

Section

Case Report