Difference between revisions of "Medullary thyroid carcinoma"

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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
*[[Melanoma]] -
**Metastatic Melanoma  
**Pigment -  
***Pigment -  
**Melanoma markers positive, calcitonin and CEA negative.
***Melanoma markers positive, calcitonin and CEA negative.




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