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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 8, Issue 3, October 2013 pp 254-255

Case Report

Anomalous Behaviour of FVPTC - A Rare Presentation


K. Balagurunathan1, S. Selvakumaran2, G. P. Sekar3

1Professor and Head, 2Assistant Professor, 3Associate Professor}

Department of Surgery, Surgical Gastro Enterologist ,Venkateswaraa Medical College, Puducherry-605102 INDIA.


Academic Editor : Dr. Aher K.R.


Encapsulated Follicular Variant of Papillary Thyroid Carcinoma (EnFVPTC) is still conterversial pathological presentation in PTC which has long been diagnosed based on its unique nuclear features. Equivocal PTC– N can occur in both invasive and non invasive EnFVPTC and benign and malignant controversies often create serious problems in modulating patient’s management. In our case of EnFVPTC there had been a considerable delay in diagnosis by the local private practitioner for want of discrete pathological diagnosis of PTC. Multiple FNAC of thyroid in our case has proved futile. In our case lymph nodal secondaries in all the whole cervical chain on the ipsilateral side and recurrence of lymph nodal swellings after abalative radioactive iodine therapy and subsequent dissapperance of lymph nodal mass on suppressive doses of thyroxinehas evoked interest in the anomalous bhaviour of Encapsulated Follicular Variant Of Papillary Thyroid Carcinoma. Hence excised lymph nodal specimen histopathology alone revealed the correct diagnosis and hence the presentation of this case we opine will interest our readers about the anomalous behavior of EnFVPTC.