Warthin like Papillary Carcinoma of the Thyroid Gland -A Rare Variant

Abstract

Warthin like papillary thyroid carcinoma(WaLPTC) is a rare variant of papillary carcinoma of thyroid, which got this name due to its microscopic similiarity to warthin’s tumor of salivary gland by presence of oncocytic cells and dense lymphoplasmacytosis. [1].We are herewith presenting a case of 35 years old male who presented with thyroid mass since 6 months with USG showing a solitary nodule in right lobe with a hypo echoic features and increased vascularity with right & left Level VI nodal enlargement. Fine Needle Aspiration cytology (FNAC) was performed, which was reported as lymphocytic thyroiditis with foci showing increased cellularity with follicular cells showing nuclear features of Papillary Thyroid Carcinoma.Total thyroidectomy was performed with Level VI lymphnodal dissection which on histopathological examination showed Warthin’s like papillary carcinoma with capsular and vascular invasion and right sided Level VI lymphnodal metastasis