Anaplastic thyroid carcinoma mimicking a malignant pleural mesothelioma: Clues for diagnosis

Thorac Cancer. 2019 Nov;10(11):2175-2178. doi: 10.1111/1759-7714.13191. Epub 2019 Sep 17.

Abstract

Pleural metastasis of thyroid carcinoma is very rarely encountered in the evaluation of pleural effusion and diagnosis may be challenging. However, an anaplastic transformation of papillary thyroid carcinoma (PTC), although a rare condition, should be considered even after a prolonged period of patient follow-up. Here we report a case of anaplastic thyroid carcinoma mimicking malignant pleural mesothelioma diagnosed nine years after the initial diagnosis of PTC and detail the clues used to orient and confirm the diagnosis.

Keywords: Anaplastic thyroid carcinoma; malignant pleural effusion; papillary thyroid carcinoma; pleural thyroglobulin.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biopsy
  • DNA-Binding Proteins / metabolism
  • Diagnosis, Differential
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / metabolism
  • Lung Neoplasms / pathology
  • Male
  • Mesothelioma / diagnosis*
  • Mesothelioma / metabolism
  • Mesothelioma / pathology
  • Mesothelioma, Malignant
  • PAX8 Transcription Factor / metabolism
  • Thyroglobulin / metabolism
  • Thyroid Carcinoma, Anaplastic / diagnosis*
  • Thyroid Carcinoma, Anaplastic / metabolism
  • Thyroid Carcinoma, Anaplastic / pathology
  • Thyroid Neoplasms / diagnosis*
  • Thyroid Neoplasms / metabolism
  • Thyroid Neoplasms / pathology
  • Transcription Factors / metabolism

Substances

  • DNA-Binding Proteins
  • PAX8 Transcription Factor
  • PAX8 protein, human
  • TG protein, human
  • TTF1 protein, human
  • Transcription Factors
  • Thyroglobulin