PMC7610023_01
(a) Contrast Enhancing Computed Tomography (CECT) showing multiple hypodense thyroid nodules in both lobes. (b) Right recurrent laryngeal nerve engulfed by tumour. (c) Post total thyroidectomy and bilateral neck dissection. (d) Total thyroidectomy with bilateral lymph node dissection specimen. (e) Microscopy of Warthin like papillary carcinoma of thyroid (WLPTC) with presence of lymphoplasmacytic infiltrate within the core of papillae (Haematoxylin and eosin x 100). (f) Microscopy of WLPTC showing neoplastic papillae lined by oncocytic cells with ground glass nuclei and lymphoplasmacytic infiltrate within the core (Haematoxylin and eosin x 400). (g) post-operative appearance.
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In Contrast Enhancing Computed Tomography (CECT), multiple hypodense nodules were noted in both lobes (Fig. 1a). Left recurrent laryngeal nerve, right upper parathyroid, left upper and lower parathyroid were identified and preserved (Fig. 1b, c, d). Lymphovascular invasion was noted (Fig. 1e, f). Thyroxin and under regular follow-up for the last four years and is doing well (Fig. 1g). This case has been reported in line with the SCARE criteria.