Two new cases of thymic carcinoma involving the thyroid gland and mani
festing as thyroid tumors are presented, One tumor occurred within the
thyroid gland and the other totally involved the thyroid gland, Micro
scopically they showed lobular architecture separated by fibrous bands
and consisted of solid islands of squamoid to spindled epithelial cel
ls with whorl formation resembling Hassall's corpuscle and variable am
ounts of lymphocytes. The squamoid to spindled epithelial cells were p
ositive for cytokeratin but negative for thyroglobulin and calcitonin
and the majority of lymphocytes showed a T-cell phenotype. One of the
two cases had been diagnosed initially as squamous cell carcinoma of t
he thyroid, This type of thyroid carcinoma is relatively rare, but it
should be differentiated from other types of thyroid carcinomas, espec
ially squamous cell carcinoma, medullary carcinoma, or anaplastic carc
inoma of the thyroid. Copyright (C) 1995 by W.B. Saunders Company