Spindle cell tumor of thyroid in a child: A diagnostic dilemma

Dr. Vikash; Dr.Neeraj Dhameja; Dr.Mohan Kumar; Dr Rajesh Kumar

Volume : V, Issue : III, March - 2016

Spindle cell tumor of thyroid in a child: A diagnostic dilemma

Dr. Vikash, Dr. Neeraj Dhameja, Dr. Mohan Kumar, Dr Rajesh Kumar

Abstract :

<p>&nbsp;Objective:&ndash; FNAC of the thyroid is commonly done for solitary thyroid nodule.These solitary thyroid lesions may be goitre or neoplastic lesions .Rarely FNAC of a thyroid swelling may be challenging. Methods:&ndash;A 8 year male child presented with thyroid swelling. USG was done which showed mass in the thyroid.FNAC was done and cell block was made. FNAC smears were cellular and showed large fragments and scattered spindle cells with central nuclei in many cells.Immunohistochemistry was done and it showed diffuse and strong positivity for vimentin. Results:&ndash;Based on these findings a diagnosis of spindle cell tumor probably of mesenchymal origin was made and biopsy was advised. Conclusion:&ndash;Spindle cell tumor of thyroid includes a long list of tumor including medullary carcinoma and mesenchymal tumors and sometimes it can be very difficult to diagnose it on FNAC smear. Histopathological and Immunohistochemistry examination should be done on these cases to confirm the diagnosis.</p>