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Difference between revisions of "Thyroid gland"
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→Granulomatous thyroiditis: more
(→Microscopic: more) |
(→Granulomatous thyroiditis: more) |
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*[[AKA]] ''de Quervain disease'', AKA subacute thyroiditis.<ref>SR. 17 January 2011.</ref> | *[[AKA]] ''de Quervain disease'', AKA subacute thyroiditis.<ref>SR. 17 January 2011.</ref> | ||
*Women > men. | *Women > men. | ||
*Etiology: possibly viral.<ref name=llyod/> | |||
===Microscopic=== | ===Microscopic=== | ||
Features:<ref name=Ref_Sternberg4_559>{{Ref Sternberg4|559}}</ref> | Features:<ref name=Ref_Sternberg4_559>{{Ref Sternberg4|559}}</ref><ref name=llyod>{{cite book |title=Endocrine Diseases (AFIP Atlas of Nontumor Pathology) |last= Lloyd |first = Ricardo V. |authorlink= |coauthors= |year= 2002 |publisher= American Registry of Pathology |location= Toronto |isbn=978-1881041733 |page= |pages= |url=http://www.amazon.com/Endocrine-Diseases-Atlas-Nontumer-Pathology/dp/1881041735 |accessdate=}}</ref> | ||
*[[Granulomas]]. | *[[Granulomas]] with multinucleated giant cells - usu. with engulfed colloid. | ||
*Lymphocytes. | |||
*Plasma cells. | |||
*+/-Fibrosis. | |||
DDx: | |||
*Infectious granulomatous disease (fungal, microbacterial). | |||
*[[Palpation thyroiditis]]. | |||
*[[Sarcoidosis]] (classically intralobular distribution). | |||
==Palpation thyroiditis== | |||
===General=== | |||
*Granulomatous inflammation due to palpation. | |||
**Incidence of granulomas higher in surgical thyroid specimens than autopsies.<ref name=llyod/> | |||
===Microscopic=== | |||
Features:<ref name=llyod>{{cite book |title=Endocrine Diseases (AFIP Atlas of Nontumor Pathology) |last= Lloyd |first = Ricardo V. |authorlink= |coauthors= |year= 2002 |publisher= American Registry of Pathology |location= Toronto |isbn=978-1881041733 |page= |pages= |url=http://www.amazon.com/Endocrine-Diseases-Atlas-Nontumer-Pathology/dp/1881041735 |accessdate=}}</ref> | |||
*[[Granuloma]]s involving the follicle. | |||
**Histiocytes within the colloid. | |||
==Riedel thyroiditis== | ==Riedel thyroiditis== | ||