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Difference between revisions of "Talk:Thyroid cytopathology"
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→Follicular neoplasm: +comment on molecular
(→Follicular neoplasm: +comment on molecular) |
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== Malignant == | |||
<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 == | ||
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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> | </pre> | ||