Papillary thyroid microcarcinoma (Black Ink)
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Ersilio Trapanese1, Carmine De Bartolomeis2, Basilio Angrisani3 and Giulio Tarro4,5
1Interventional Ultrasound of Breast Oncology Screening, ASL Salerno, Salerno, Italy
2Endocrine Surgery and General Surgery Specialist, University Pisa, Pisa, Italy
3Anatomical Pathology Specialist, University Hospital of Campania “L. Vanvitelli”, Naples, Italy
4President Foundation T. & L. de Beaumont Bonelli for Cancer Research, Naples, Italy
5Chairman of the VirusSphere World Academy of Biomedical Technologies (WABT) UNESCO, Paris, France
Giulio Tarro, email: firstname.lastname@example.org
Keywords: ultrasonography; ADF; FNAC; thyroid microcarcinoma; Black Ink
Received: March 07, 2018 Accepted: May 25, 2018 Published: June 26, 2018
We report a case of a 58-year-old Caucasian woman affected by papillary thyroid microcarcinoma (PTMC) of the left-lobe of the gland with very small size (Ø 0.3 cm). The characteristics with the Diagnostic Imaging using Ultrasonography, ADF (Advanced Dynamic Flow), and fine-needle-aspiration cytology (FNAC) are discussed, comprising a very small micro-focus of radial shape, with markedly hypoechoic echostructure, irregular margins, supplemented by peripheral vessel formation. It acquires an image which appears similar to a brisk visualization of a dark ink stain in the normal thyroid weave. We call such a pattern “Black Ink” with ultrasonographic image and believe consistent with the infiltrating variant of papillary thyroid microcarcinoma if associated with malignant cytology after FNA.
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