Papillary cancers - Case 40

The smear was prepared from cystic fluid. The disarranged structure presented on the right lower image was not reassuring. The inclusion demonstrated in left lower image must not to overrate because of its irregular shape and the presence of degenerative changes. Nevertheless, in the case of a cystically degenerated papillary carcinoma we can hardly await a classical cytological presentation.

Ultrasonography of the right thyroid

This pattern is suspicious because of type 3 vascular pattern and the presence of hyperechogenic granules in the solid part.