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Difference between revisions of "Thyroid cytopathology"
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→Normal parathyroid cytology
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*Granular chromatin. | *Granular chromatin. | ||
*Cytoplasm - often not distinct. | *Cytoplasm - often not distinct. | ||
*Scattered naked nuclei.<ref name=pmid24255635>{{Cite journal | last1 = Heo | first1 = I. | last2 = Park | first2 = S. | last3 = Jung | first3 = CW. | last4 = Koh | first4 = JS. | last5 = Lee | first5 = SS. | last6 = Seol | first6 = H. | last7 = Choi | first7 = HS. | last8 = Cho | first8 = SY. | title = Fine needle aspiration cytology of parathyroid lesions. | journal = Korean J Pathol | volume = 47 | issue = 5 | pages = 466-71 | month = Oct | year = 2013 | doi = 10.4132/KoreanJPathol.2013.47.5.466 | PMID = 24255635 }}</ref> | |||
*+/-Nuclear moulding. | *+/-Nuclear moulding. | ||
*+/-Nuclear overlap. | *+/-Nuclear overlap. | ||
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Images: | Images: | ||
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770637/figure/f1/ Parathyroid gland (nih.gov)].<ref name=pmid15790694>{{Cite journal | last1 = Johnson | first1 = SJ. | last2 = Sheffield | first2 = EA. | last3 = McNicol | first3 = AM. | title = Best practice no 183. Examination of parathyroid gland specimens. | journal = J Clin Pathol | volume = 58 | issue = 4 | pages = 338-42 | month = Apr | year = 2005 | doi = 10.1136/jcp.2002.002550 | PMID = 15790694 | PMC = 1770637 }}</ref> | *[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770637/figure/f1/ Parathyroid gland (nih.gov)].<ref name=pmid15790694>{{Cite journal | last1 = Johnson | first1 = SJ. | last2 = Sheffield | first2 = EA. | last3 = McNicol | first3 = AM. | title = Best practice no 183. Examination of parathyroid gland specimens. | journal = J Clin Pathol | volume = 58 | issue = 4 | pages = 338-42 | month = Apr | year = 2005 | doi = 10.1136/jcp.2002.002550 | PMID = 15790694 | PMC = 1770637 }}</ref> | ||
DDx of naked nuclei: | |||
*[[Granular cell tumour]]. | |||
*Parathyroid.<ref name=pmid19283690/> | |||
=Adequacy criteria= | =Adequacy criteria= | ||
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material. Scant follicular cells, Hurthle cells and colloid present in a background of | material. Scant follicular cells, Hurthle cells and colloid present in a background of | ||
mixed inflammatory cells and abundant macrophages. | mixed inflammatory cells and abundant macrophages. | ||
Note: A repeat aspiration should be considered if clinically warranted. | |||
</pre> | |||
====Alternate==== | |||
<pre> | |||
Thyroid Gland, Right Lobe, Fine Needle Aspiration: | |||
- Non-diagnostic. (Category I) | |||
Specimen processed and examined, but unsatisfactory due to scant cellularity. | |||
Some cellular degeneration noted, rare colloid and inflammatory cells present. | |||
Note: A repeat aspiration should be considered if clinically warranted. | Note: A repeat aspiration should be considered if clinically warranted. | ||
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**Multinucleation. | **Multinucleation. | ||
DDx: | |||
* | *[[Granular cell tumour]]. | ||
====Images==== | ====Images==== | ||
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DDx: | DDx: | ||
*Anaplastic carcinoma. | *[[anaplastic thyroid carcinoma|Anaplastic carcinoma]]. | ||
Images: | Images: | ||