Difference between revisions of "Thyroid cytopathology"

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==Lymphocytic thyroiditis==
==Lymphocytic thyroiditis==
===General===
*Non-specific finding.
**May represent [[Hashimoto thyroiditis]].
===Microscopic===
===Microscopic===
Features:
Features:
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*Usually #1 and #2 are seen.
*Usually #1 and #2 are seen.


===Hashimoto's thyroiditis===
===Hashimoto thyroiditis===
{{Main|Hashimoto thyroiditis}}
====General====
*'''This is a clinical diagnosis'''.
**It should be reported by the pathologist as "lymphocytic thyroiditis".
 
Associations:<ref name=Ref_APBR672>{{Ref APBR|672}}</ref><ref name=pmid7813361/>
Associations:<ref name=Ref_APBR672>{{Ref APBR|672}}</ref><ref name=pmid7813361/>
*AMA +ve.
*AMA +ve.
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*Increased risk of B-cell lymphoma.
*Increased risk of B-cell lymphoma.


====Cytology====
Features:<ref name=Ref_APBR672>{{Ref APBR|672}}</ref>
Features:<ref name=Ref_APBR672>{{Ref APBR|672}}</ref>
*Polymorphous lymphoplasmacytic infiltrate with germinal centres.
*Polymorphous lymphoplasmacytic infiltrate with germinal centres.
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**Found in almost 100% of cases.<ref name=pmid7813361 >{{cite journal |author=Poropatich C, Marcus D, Oertel YC |title=Hashimoto's thyroiditis: fine-needle aspirations of 50 asymptomatic cases |journal=Diagn. Cytopathol. |volume=11 |issue=2 |pages=141-5 |year=1994 |pmid=7813361 |doi= |url=http://www3.interscience.wiley.com/journal/112701408/abstract?CRETRY=1&SRETRY=0}}</ref>
**Found in almost 100% of cases.<ref name=pmid7813361 >{{cite journal |author=Poropatich C, Marcus D, Oertel YC |title=Hashimoto's thyroiditis: fine-needle aspirations of 50 asymptomatic cases |journal=Diagn. Cytopathol. |volume=11 |issue=2 |pages=141-5 |year=1994 |pmid=7813361 |doi= |url=http://www3.interscience.wiley.com/journal/112701408/abstract?CRETRY=1&SRETRY=0}}</ref>
*Lymphoglandular bodies.
*Lymphoglandular bodies.
**Cytoplasmic fragment of a lymphoid cell.<ref>[http://www.definition-of.com/lymphoglandular+body http://www.definition-of.com/lymphoglandular+body]</ref>
**Cytoplasmic fragment of a lymphoid cell.<ref>URL: [http://www.definition-of.com/lymphoglandular+body http://www.definition-of.com/lymphoglandular+body]. Accessed on: 27 January 2012.</ref>
 
====Diagnosis====
*This is a clinical diagnosis.
**It should be reported by the pathologist as "lymphocytic thyroiditis".


==Follicular lesion of undetermined significance==
==Follicular lesion of undetermined significance==
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