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Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 71-73

Fine-needle aspiration cytology-induced infarction of thyroid nodule hampers diagnosis

Department of Pathology, Dr. Baba Saheb Ambedkar Medical College and Hospital, Delhi, India

Correspondence Address:
Poonam Rani
Department of Pathology, Dr. Baba Saheb Ambedkar Medical College and Hospital, Rohini, Delhi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cjhr.cjhr_25_19

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Fine-needle aspiration cytology (FNAC) is a useful procedure for the investigation of thyroid swellings. It is a safe and minimally invasive procedure but is accompanied by its own set of complications. Infarction of the parent tissue post-FNAC has been reported in the lymph node, salivary gland, and breast but is a rare phenomenon in the thyroid. We present a case of a 34-year-old female with a solitary thyroid nodule. FNAC smears were hypercellular and showed numerous Hurthle cells suggesting a possibility of Hurthle cell neoplasm. Hemithyroidectomy performed 1 month thereafter showed extensive necrosis and hemorrhage with only few atypical follicular epithelial cells and Hurthle cells at the periphery. The near-total infarction and paucity of viable cells made it extremely difficult to make a histopathological diagnosis. The case highlights the need for extensive sampling and thorough examination of the periphery for any viable foci on histopathology along with cytologic-histologic correlation in such cases.

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