Evidence map›Paper›PMID 37544981›Full record

ArticleThyroid research2023

Collision tumor of a papillary and follicular thyroid carcinoma: a case report.

Kanako Kawasaki, Keita Kai, Nariyuki Tanaka, Shinichi Kido, Arisa Ibi, Akimichi Minesaki, Moriyasu Yamauchi, Yuichiro Kuratomi, Shinichi Aishima, Masahiro Nakashima and 1 more

Abstract read
In one paragraph

Article in Thyroid research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Thyroid Collision Carcinoma: A Case Report.Iranian journal of pathology · 2026
    Article
  3. Article
  4. Article
  5. Thyroid Collision Tumor Comprising of Papillary and Follicular Carcinoma: A Diagnostic and Therapeutic Conundrum.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kanako KawasakiDepartment of Pathology & Microbiology, Saga University Faculty of Medicine, Saga, Japan.
Keita KaiDepartment of Pathology, Saga University Hospital, Nabeshima 5-1-1, Saga, 849-8501, Japan. kaikeit@cc.saga-u.ac.jp.
Nariyuki TanakaDepartment of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan.
Shinichi KidoDepartment of Pathology & Microbiology, Saga University Faculty of Medicine, Saga, Japan.
Arisa IbiDepartment of Pathology, Saga University Hospital, Nabeshima 5-1-1, Saga, 849-8501, Japan.
Akimichi MinesakiDepartment of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan.
Moriyasu YamauchiDepartment of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan.
Yuichiro KuratomiDepartment of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan.
Shinichi AishimaDepartment of Pathology & Microbiology, Saga University Faculty of Medicine, Saga, Japan.
Masahiro NakashimaDepartment of Tumor and Diagnostic Pathology, Atomic Bomb Disease Institute, Nagasaki University, Nagasaki, Japan.
Masahiro ItoDepartment of Pathology, National Hospital Organization Nagasaki Medical Center, Omura, Japan.

Funding

Soda Toyoji Memorial Foundation JS20220057
6 · The paper itself

Abstract

backgroundPapillary thyroid carcinoma (PTC) and follicular thyroid carcinoma (FTC) are common differentiated thyroid cancers, but the detection of a collision tumor is an extremely rare event. CASE PRESENTATION: The patient was a 69-year-old Japanese female with multiple cervical lymph node swellings and a thyroid tumor. Preoperative fine needle aspiration cytology of the enlarged lymph node revealed a cytological diagnosis of papillary thyroid carcinoma (PTC). A total thyroidectomy, right cervical dissection and paratracheal dissection were performed. Histopathological and immunohistochemical analyses of resected specimens revealed a collision tumor of PTC and FTC. Multiple metastases of papillary carcinoma were found in the dissected lymph nodes. In the PTC lesion, IHC for BRAF (V600E) was positive but negative for the FTC lesion. Genetic analyses further revealed a TERT promoter C228T mutation in PTC and a NRAS codon 61 mutation in FTC. The patient died of recurrent cancer 8 months after surgery.

conclusionsA case of a collision tumor of PTC and FTC is very rare, and even fewer cases have been subjected to genetic scrutiny. The present case was successfully diagnosed by pathological examination using immunohistochemical and genetic analyses. The TERT promoter mutation in the PTC lesion was consistent with the aggressive behavior of the cancer.

Indexed as

BRAFCollision tumorFollicular carcinomaNRASPapillary carcinomaTERT

Identifiers

PMID37544981
PMCPMC10405457

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.