CASTLE tumours of the thyroid Value of multiplanar imaging acquisition

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Mario Musella
Stefano De Franciscis
Andrea Amorosi
Francesco Milone
Simona Truvolo
Alfredo Pede
Jens K. Kuhn


BACKGROUND AND OBJECTIVE: Thyroid carcinomas thymus-like differentiation (CASTLE) are rare. The aim of this paper is to address a valid diagnostic and therapeutic protocol for these tumours using three exemplary cases and the previously published literature,

METHODS: The routine use of Magnetic Resonance Imaging (MRI) in all cases of unclear thyroid fine needle aspiration cytology (FNAC) or in cases of multiple neck masses.

RESULTS: Three cases of thyroid CASTLE tumours, finally confirmed by histology, are evaluated. All three patients remain in good conditions after an aggressive surgical approach followed by radiotherapy

CONCLUSIONS: MRI should be routinely used in cases of unclear FNAC or multiple neck masses, Surgery and radiotherapy are effective to manage thyroid CASTLE tumours.

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How to Cite
Musella, Mario, et al. “CASTLE Tumours of the Thyroid Value of Multiplanar Imaging Acquisition”. Annali Italiani Di Chirurgia, vol. 77, no. 6, Nov. 2006, pp. 509-12,