在细胞学上,甲状腺的良性损伤伪装成唾液腺恶性病变
Shivansh Dixit1, Pooja Sharma1, Anurag Gupta1
1Department of Pathology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Diagnostic cytopathology
|December 25, 2024
概括
一个罕见的腺腺的病例模仿了细针吸收细胞学上的唾液腺腺囊性癌. 准确的诊断需要仔细评估和免疫组织化学,以避免预后错误.
科学领域:
- 病理学 病理学 病理学
- 细胞学 细胞学
- 内分泌学 在内分泌学.
背景情况:
- 甲状腺病变在北印度很常见,细针吸收细胞学 (FNAC) 经常用于诊断.
- 腺形肠可以呈现出模仿其他疾病的细胞学特征.
研究的目的:
- 在FNAC上报告一个腺状的病例,其异常形态模仿唾液腺囊性癌 (ACC) 的腺状.
- 为了强调甲状腺病变的准确诊断的重要性.
主要方法:
- 一个60岁的女性的病例被调查,她的子胀.
- 高分辨率超声波显示了TIRADS-IV的病变.
- 进行了细针吸入细胞学,随后进行了第二次咨询和细胞块上的免疫组织化学,经过组织学确认.
主要成果:
- 细胞学涂抹显示了类似于ACC的特征,细胞在无形材料周围形成状结构.
- 免疫组织化学和组织学检查证实了腺素的诊断.
结论:
- 良性甲状腺病变可以模仿恶性唾液腺瘤,如ACC.
- 仅仅基于形态学的错误诊断可能会导致错误的治疗和预后.
- 包括细胞块制备和免疫组织化学在内的全面评估对于准确的诊断至关重要.
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