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甲状腺瘤源于囊状细胞,具有乳头生长模式:对32例病例的临床病理学研究
David Suster1, Natali Ronen2, Tamara Giorgadze2
1From the Department of Pathology, Immunology & Laboratory Medicine, Rutgers University New Jersey Medical School, Newark (D. Suster, Baisre-de Leon, S. Suster).
Archives of pathology & laboratory medicine
|December 15, 2023
概括
细胞性甲状腺瘤带有乳头状特征是一个诊断挑战. 这些罕见的瘤从良性到恶性,需要仔细评估,以区分它们与其他甲状腺瘤.
科学领域:
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 瘤性甲状腺瘤与 papillary 增长模式是不常见的,可以在诊断上具有挑战性.
- 准确的分类对于患者的管理和预后至关重要.
研究的目的:
- 为了研究毛囊细胞衍生瘤细胞瘤瘤瘤瘤的临床病理学特征.
- 为了区分良性和恶性瘤细胞 papillary 甲状腺病变.
主要方法:
- 追溯分析32个瘤性甲状腺瘤与乳头状腺特征.
- 临床病理学特征的评估,包括免疫组织化学 (HBME-1,细胞激素19) 和BRAF V600E突变分析.
- 随访患者以评估结果.
主要成果:
- 该系列包括瘤细胞的超塑性结节 (18例),瘤细胞的卵泡腺瘤 (4例) 和瘤细胞的乳头癌 (10例).
- 乳头甲状腺癌的核特征是罕见的. 所有病例的HBME-1和细胞素19检测结果均为阴性,BRAF V600E野生型检测结果均为阴性.
- 良性病变显示出优异的结果;恶性病例具有可变的预后,转移和复发.
结论:
- 瘤性甲状腺瘤具有乳头状的特征,代表从良性到恶性的一系列.
- 将这些瘤与其他甲状腺瘤 (如乳头甲状腺癌) 区分开来,对于准确的诊断和治疗计划至关重要.
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