PMC4341258_01
Necrosis of the right thyroid lobe
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At the opening of the center line of the neck, we were surprised to find caseum coming from the thyroid with a necrotic destruction of the right lobe (Figure 1), frozen section was not at disposal.
Microphotograph showing the association within the thyroid parenchyma (middle) of papillary carcinoma (left) and granuloma with epithelio-gigantocellular process and caseous necrosis (HEx10)
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Histology showed an epithelioid and gigantocellular granulomatous process with caseous necrosis of the thyroid associated with a 1.5 cm papillary carcinoma (Figure 2).