More than ten microscopic variants of PTC have been documented. The most common variant is classical type PTC, which may also be referred to as typical PTC or usual type PTC. The majority of PTCs are of the classical type. Diagnosis is based on typical nuclear features, which should be present in tumour cells. Papillary structures are not present in all tumours. Psammona bodies are sometimes present. Surgically treated patients between January 2017 and December 2020 were retrospectively analysed. The study involved 329 surgical patients with benign disease of the thyroid, without any diagnosis of preoperative malignancy. Generally cells with nuclear clearing were arranged around the fibrovascular core in histopathological eaxamination. No lymphovascular invasion was detected in any of the cases. Other histopathological findings accompanying I-PTM were MNG in 7 cases (64%), lymphocytic thyroiditis in 4 cases (36%) and Hashimoto's thyroiditis in 1 case (9%).The mean size of the papillary thyroid foci was 5.7 mms.
Incidental Papillary thyroid Microcarcinoma (I-PTM) is a tumor focus that is clinically unsuspected before thyroid surgery and is identified in the final pathological examination of a thyroidectomy specimen. Papillary thyroid Microcarcinoma has a benign behavior with excellent prognosis in most cases and therefore several controversies regarding the need for completion surgery for excision of remaining thyroid tissue and lymphnodes exist. A total of 22 patients with PTM incidentally diagnosed on postoperative histopathological examination of the excised thyroid tissue were analyzed for assessing the rate of incidental diagnosis of PTM and their demographic features and the surgical procedures used for their treatment. I-PTM was diagnosed in 13.6 % of males and 86% of females respectively. The average age in cases with I-PTM was 40 years (range 25 to 65 years). Of the 22 cases of I-PTM, 11 were operated with a pre-diagnosis of Multi nodular goitre and 8 were operated with a pre-diagnosis of solitary nodule (colloid nodule /follicular adenoma).Total thyroidectomy was performed in 11 cases,sub-total thyroidectomy was performed in 9 cases and right hemithyroidectomy was performed in 2 cases. In one case of I-PTM lower margin of excision was involved and was subjected for radioiodine therapy at referral centre.
ABSTRACT:Obliterative appendicitis is a condition where the lumen of the appendix is filled (obliterated) with adipose tissue, neural tissue and cells of lymphoid series. Obliterative appendicitis also can present with pain and/or as a case of acute abdomen. The present study reports cases of obliterative appendicitis operated during the period from
Basaloid carcinoma is uncommon and a highly aggressive variant of squamous cell carcinoma. This study presents the cases of basaloid squamous cell carcinoma reported in
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