Abstract
Fine needle aspiration (FNA) is a well-established and safe method for the rapid diagnosis of palpable thyroid lesions. Serious complications after FNA are rare, but there is also an underestimation of complications because of record, selection, and publication bias. Most common post FNA related complications are in the form of hemorrhage and pain. Very little attention has been focused on tissue related changes resulting from FNA. FNA related tissue changes will alter the reporting in successful aspirations or during histopathological examination which may create confusion in reporting and successive treatment of the patient. Increased awareness regarding these secondary changes is required for the benefit of clinician, pathologist, and most important for successful management of the patient. We report a case of papillary carcinoma of thyroid diagnosed on FNA. Subsequent histopathological examination of the resected specimen revealed a completely infarcted tumor. However, correlating the FNA history and presence of ghost outlines of papillae a final diagnosis of papillary carcinoma was given.
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