Talk:Thyroid cytopathology: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
w/ kini criteria |
||
| (9 intermediate revisions by the same user not shown) | |||
| Line 1: | Line 1: | ||
== Malignant == | |||
<pre> | |||
Left Thyroid, FNA: MALIGNANT. Papillary thyroid carcinoma. | |||
Comment | |||
Malignant cells are present with nuclear enlargement, powdery chromatin, nuclear grooves, prominent nucleoli, nuclear pseudoinclusions and nuclear overlap. The findings are consistent with papillary thyroid carcinoma. | |||
</pre> | |||
<pre> | |||
Left Thyroid, FNA: Malignant. (Category VI) | |||
Cellular aspirate. | |||
Malignant cells present with papillary fragments, powdery chromatin, nuclear grooves, intranuclear cytoplasmic pseudoinclusions, multinucleated giant cells and psammoma bodies consistent with papillary thyroid carcinoma. | |||
</pre> | |||
== Suspicious for malignancy == | |||
<pre> | |||
Left Thyroid, FNA: SUSPICIOUS for papillary thyroid carcinoma, see comment. (Category V) | |||
Comment: | |||
Cellular aspirate. | |||
Follicular cells present in loosely cohesive groups and singly with irregular nuclear membranes, coarse chromatin and nucleoli. | |||
</pre> | |||
== Follicular neoplasm == | == Follicular neoplasm == | ||
| Line 7: | Line 33: | ||
Follicular cells with a predominantly microfollicular and syncytial architecture, scattered isolated cells, and colloid. Correlation of cytological findings with radiological and clinical findings is warranted. | Follicular cells with a predominantly microfollicular and syncytial architecture, scattered isolated cells, and colloid. Correlation of cytological findings with radiological and clinical findings is warranted. | ||
</pre> | |||
===Molecular testing may be considered=== | |||
<pre> | |||
The impression on imaging and the ACR TI-RADS are noted. | |||
The differential diagnosis includes (benign) adenomatoid nodule, follicular adenoma and follicular carcinoma. Molecular testing (not available in house) would be a fair and reasonable consideration. The cell block has moderate cellularity; it likely has sufficient tissue. | |||
</pre> | |||
== Insufficient == | |||
<pre> | |||
Right Thyroid, FNA: Non-diagnostic. (Category I) | |||
Specimen processed and examined, but unsatisfactory due to insufficient material. | |||
Mainly blood noted with rare groups of follicular cells. | |||
Note: A repeat aspiration should be considered if clinically warranted. | |||
</pre> | </pre> | ||
| Line 18: | Line 61: | ||
suggestive of a benign follicular nodule. | suggestive of a benign follicular nodule. | ||
</pre> | </pre> | ||
== AUS == | |||
<pre> | |||
Left Thyroid, FNA: Atypia of undetermined significance (AUS). (Category III) | |||
</pre> | |||
== 2023 == | |||
The 2023 Bethesda System for Reporting Thyroid Cytopathology | |||
https://doi.org/10.1089/thy.2023.0141 | |||
https://pubmed.ncbi.nlm.nih.gov/37427847/ | |||
Here as well: The 2023 Bethesda System for reporting thyroid cytopathology | |||
https://doi.org/10.1016/j.jasc.2023.05.005 | |||
==Adequacy== | |||
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1184092/ | |||