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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한병리학회 Journal of Pathology and Translational Medicine Journal of Pathology and Translational Medicine 제52권 제2호
- 발행연도
- 2018.1
- 수록면
- 110 - 120 (11page)
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초록· 키워드
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Background: It is difficult to correctly diagnose follicular neoplasms (FNs) on fine-needle aspiration cytology (FNAC) because it shares many cytological features with other mimicking lesions. The aim of this study was to identify the cytological features that differentiate FNs from mimicking lesions. Methods: We included the cytological slides from 116 cases of thyroid FN diagnosed on FNAC, and included their subsequent histological diagnoses. We evaluated the cytological architectural pattern and nuclear features of the lesions according to their histological groups. Results: The final histological diagnoses of the 116 cases varied, and included 51 FNs (44%), 47 papillary thyroid carcinomas (40%) including follicular variant, and seventeen cellular nodular hyperplasias (15%). Regardless of the final histological diagnosis, microfollicular pattern was observed in most cases. On the other hand, trabecular pattern was identified in 34% of FNs, but not in any other lesions. Additionally, elongated nuclei and ground glass chromatin were found in only some papillary thyroid carcinomas. Conclusions: This study shows that the trabecular pattern is a representative cytological feature of FNs that can be used to distinguish FNs from mimicking lesions. In addition, nuclear shape and chromatin pattern can be used to further confirm the diagnosis of FNs from mimicking lesions through FNAC.
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참고문헌 (23)
참고문헌 신청
Hamberger B / 1982 / Fine-needle aspiration biopsy of thyroid nodules. Impact on thyroid practice and cost of care / Am J Med 73:381~384
Yassa L / 2007 / Long-term assessment of a multidisciplinary approach to thyroid nodule diagnostic evaluation / Cancer 111:508~516
Cibas ES / 2009 / The Bethesda System for Reporting Thyroid Cytopathology / Thyroid 19:1159~1165
Nikiforov YE / 2016 / Nomenclature revision for encapsulated follicular variant of papillary thyroid carcinoma: a paradigm shift to reduce overtreatment of indolent tumors / JAMA Oncol 2:1023~1029
Liu J / 2006 / Follicular variant of papillary thyroid carcinoma: a clinicopathologic study of a problematic entity / Cancer 107:1255~1264
Yassa L / 2007 / Long-term assessment of a multidisciplinary approach to thyroid nodule diagnostic evaluation / Cancer 111:508~516
Cibas ES / 2009 / The Bethesda System for Reporting Thyroid Cytopathology / Thyroid 19:1159~1165
Nikiforov YE / 2016 / Nomenclature revision for encapsulated follicular variant of papillary thyroid carcinoma: a paradigm shift to reduce overtreatment of indolent tumors / JAMA Oncol 2:1023~1029
Liu J / 2006 / Follicular variant of papillary thyroid carcinoma: a clinicopathologic study of a problematic entity / Cancer 107:1255~1264
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