Cytologically Yours: Unknowns: 201311: Case 5: Difference between revisions

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Created page with "==Clinical History== 69 year old female with 1.2cm thyroid nodule. ==Cytology== <gallery heights="250px" widths="250px"> CytologicallyYoursUnknowns201311-5-01.jpg Cytological..."
 
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* <spoiler text="Diagnosis?">
* <spoiler text="Diagnosis?">
* Follicular neoplasm (Hurthle cell type). </spoiler>
* Follicular neoplasm (Hurthle cell type). </spoiler>
==Cytologic Features==
*Pure Hurthle cell population
*Prominent nucleolus
*Pseudopsammoma bodies (Basophlic structures thought to be colloid,  with concentric lamellae)
*Shows either small cell dysplasia (smaller cells with high N/C ratio) or large cell dysplasia (large cells with at least 2x variability in nuclear size)
*No lymphocytes

Latest revision as of 19:57, 10 January 2014

Clinical History

69 year old female with 1.2cm thyroid nodule.

Cytology

Resident Questions

  • <spoiler text="Diagnosis?">
  • Follicular neoplasm (Hurthle cell type). </spoiler>

Cytologic Features

  • Pure Hurthle cell population
  • Prominent nucleolus
  • Pseudopsammoma bodies (Basophlic structures thought to be colloid, with concentric lamellae)
  • Shows either small cell dysplasia (smaller cells with high N/C ratio) or large cell dysplasia (large cells with at least 2x variability in nuclear size)
  • No lymphocytes