Skip to main content
Log in

Paraganglioma of the Thyroid Gland: A Rare Entity

  • Published:
Endocrine Pathology Aims and scope Submit manuscript

Abstract

Paragangliomas are neuroendocrine tumors. The thyroid gland is one of the anatomic sites in which paraganglia are not normally located and are exceptionally rare. We report a case of a 36-year-old Hispanic woman with a soft mass measuring about 30 mm in the right thyroid lobe. Patient was operated on and the neoplasm showed microscopically a typical nesting organoid pattern (zellballen). The inmunohistochemical analysis revealed that the tumor showed strongly and diffuse stain for NSE, Synaptophysin, Chromogranin A, and S-100 protein in the sustentacular cells, whereas no inmunoreactivity was detected with antibodies against thyroglobulin, calcitonin, TTF-1, CEA, and AE1-AE3. The MIB-1 labeling showed 7% of neoplastic cells. Head and neck paragangliomas usually develop slowly, and this tumor exhibited a low proliferative activity. In view of the uncertain malignant potential of paragangliomas, we recommended a careful long-term follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Lee JH, Barich F, Karnell LH, Robinson RA, Zhen WK, Gantz BJ, et al. American College of Surgeons Commission on Cancer; American Cancer Society. National cancer data base report on malignant paragangliomas of the head and neck. Cancer 94:730–37, 2002. doi:10.1002/cncr.10252.

    Article  PubMed  Google Scholar 

  2. Lack EE, Cubilla AL, Wooddruff JM, Farr HW. Paragangliomas of the head and neck region: a clinical study of 69 patients. Cancer 19:397–409, 1997.

    Google Scholar 

  3. Myssiorek D. Head and neck paragangliomas: an overview. Otolaryngol Clin North Am 34:829–36, 2001. doi:10.1016/S0030-6665(05)70349-2.

    Article  PubMed  CAS  Google Scholar 

  4. Corrado S, Montanini V, De Gaetani C, Borghi F, Papi G. Primary paraganglioma of the thyroid gland. J Endocrinol Invest 27:788–92, 2004.

    PubMed  CAS  Google Scholar 

  5. Zak FG, Lawson W. Glomic (paraganglionic) tissue in the larynx and capsule of the thyroid gland. Mt Sinai J Med 39:82–90, 1972.

    PubMed  CAS  Google Scholar 

  6. Kimura N, Chetty R, Capella C, Young WF Jr, Koch CA, Lam KY, et al. Extra-adrenal paraganglioma: Carotid body, jugulotympanic, vagal, laryngeal, aortico-pulmonary. In: DeLellis RA, Lloyd RV, Heitz PU, Eng C, eds. World Health Organization Classification of tumors. Pathology and genetics: tumors of endocrine organs. Geneva: WHO, pp. 159–61, 2004.

    Google Scholar 

  7. Kronz JD, Argani P, Udelsman R, Silverberg L, Westra WH. Paraganglioma of the thyroid: Two cases that clarify and expand the clinical spectrum. Head Neck 22:621–25, 2000. doi:10.1002/1097-0347(200009)22:6<621::AID-HED12>3.0.CO;2-H.

    Article  PubMed  CAS  Google Scholar 

  8. Skiadas PK, Kakavoulis TN, Gikonti IJ. Normalisation of blood pressure and heart rate after excision of a thyroid paraganglioma. Eur J Surg 167:392–4, 2001. doi:10.1080/110241501750215320.

    Article  PubMed  CAS  Google Scholar 

  9. LaGuette J, Matias-Guiu X, Rosai J. Thyroid paraganglioma: a clinicopathologic and inmunohistochemical study of three cases. Am J Surg Pathol 21:748–53, 1997. doi:10.1097/00000478-199707000-00002.

    Article  PubMed  CAS  Google Scholar 

  10. Collina G, Maiorana A, Fano RA, Cesinaro AM, Trentini GP. Medullary carcinoma of the thyroid gland with sustentacular cell-like cells in a patient with multiple endocrine neoplasia type IIA. Report of a case with ultrastructural and immunohistochemical studies. Arch Pathol Lab Med 118:1041–44, 1994.

    PubMed  CAS  Google Scholar 

  11. Beltrami CA, Barbatelli G, Criante P, Paliaga A, Amadi CE. An inmunohistochemical study in thyroid cancer. Appl Pathol 5:229–45, 1987.

    PubMed  CAS  Google Scholar 

  12. Jancen JC, van den Berg R, Kuiper A, van der Mey AG, Zwinderman AH, Cornelisse CJ. Estimation of growth rate in patients with head and neck paragangliomas influences the treatment proposal. Cancer 88:2811–16, 2000. doi:10.1002/1097-0142(20000615)88:12<2811::AID-CNCR21>3.0.CO;2-7.

    Article  Google Scholar 

  13. Lack EE, Cubilla AL, Wooddruff JM. Paragangliomas of the head and neck region. A pathologic study of tumors from 71 patients. Hum Pathol 10:191–218, 1979. doi:10.1016/S0046-8177(79)80008-8.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicolás González Poggioli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

González Poggioli, N., López Amado, M. & Yebra Pimentel, M.T. Paraganglioma of the Thyroid Gland: A Rare Entity. Endocr Pathol 20, 62–65 (2009). https://doi.org/10.1007/s12022-009-9066-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12022-009-9066-2

Keywords

Navigation