Abstract
Spindle epithelial tumor with thymus-like differentiation (SETTLE) is an indolent malignant thyroid tumor seen in children, adolescents, and young adults showing thymic or related branchial pouch differentiation. The tumors are composed of spindle cells along with focal epithelial component and glandular formations. We herein report a case of SETTLE with a follow-up period of 20 years.
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