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(→IHC) |
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Line 104: | Line 104: | ||
DDx: | DDx: | ||
Other thyroid tumor | *Other thyroid tumor | ||
*[[Anaplastic thyroid carcinoma]]. | **[[Anaplastic thyroid carcinoma]]. | ||
*[[Papillary thyroid carcinoma]]. | **[[Papillary thyroid carcinoma]]. | ||
*[[Hurthle cell carcinoma]] | **[[Hurthle cell carcinoma]] | ||
**The oncocytic variant of medullary carcinoma can be confused with Hurthle cell carcinoma. Clues to suggest medullary carcinoma: | ***The oncocytic variant of medullary carcinoma can be confused with Hurthle cell carcinoma. Clues to suggest medullary carcinoma: | ||
***Cytoplasm is amphophilic as opposed to eosinophilic | ****Cytoplasm is amphophilic as opposed to eosinophilic | ||
***Nests of tumour cells separated by fibrous septa | ****Nests of tumour cells separated by fibrous septa | ||
*[[C-cell hyperplasia]] | **[[C-cell hyperplasia]] | ||
**Invasive medullary carcinoma shows fibrosis around tumor cells and stains more weakly for calcitonin. | ***Invasive medullary carcinoma shows fibrosis around tumor cells and stains more weakly for calcitonin. | ||
Other neuroendocrine tumor (primary or metastatic) | *Other neuroendocrine tumor (primary or metastatic) | ||
*[[Paraganglioma]] - Negative for keratin, calcitonin and CEA | **[[Paraganglioma]] - Negative for keratin, calcitonin and CEA | ||
*[[Carcinoid]] - Negative for calcitonin | **[[Carcinoid]] - Negative for calcitonin | ||
And of course | *And of course | ||
* | **Metastatic Melanoma | ||
**Pigment - | ***Pigment - | ||
**Melanoma markers positive, calcitonin and CEA negative. | ***Melanoma markers positive, calcitonin and CEA negative. | ||
edits