Volume 35, Issue 11 pp. E346-E350
Case Report

Ewing sarcoma of the thyroid: Report of 2 cases and review of the literature

Jon M. Chan MD

Corresponding Author

Jon M. Chan MD

Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania

University of Pittsburgh Eye and Ear Institute, 200 Lothrop St., Pittsburgh, PA 15213. E-mail: [email protected]Search for more papers by this author
Elizabeth Bilodeau DMD

Elizabeth Bilodeau DMD

Department of Oral and Maxillofacial Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania

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Scott Celin MD

Scott Celin MD

Metroplitan ENT Associates, Pittsburgh, Pennsylvania

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Yuri Nikiforov MD

Yuri Nikiforov MD

Department of Pathology, University of Pittsburgh, Pittsburgh, Pennsylvania

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Jonas T. Johnson MD

Jonas T. Johnson MD

Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania

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First published: 18 March 2013
Citations: 19

Abstract

Background

Neuroendocrine tumors of the thyroid encompass a wide differential diagnosis. The most common is medullary thyroid carcinoma. One must consider other possibilities when a neuroendocrine thyroid tumor is calcitonin negative. We report 2 cases of Ewing sarcoma of the thyroid and discuss the differential diagnosis and workup of a calcitonin-negative neuroendocrine tumor of the thyroid.

Methods/Results

This is a retrospective review of 2 patients diagnosed with Ewing sarcoma of the thyroid and a review of the literature.

Conclusions

Ewing sarcoma of the thyroid is an exceedingly rare diagnosis, but should be included in the differential diagnosis for a thyroidal neuroendocrine lesion (especially in the absence of calcitonin). The use and interpretation of immunohistochemistry (IHC) and fluorescent in situ hybridization are essential in making the correct diagnosis. © 2013 Wiley Periodicals, Inc. Head Neck, 35: E346–E350, 2013

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