慢性淋巴细胞白血病的甲状腺透:一个罕见的病例报告与细胞学和流细胞计发现
Nursinem Alkan Vurğun1, Nagihan Yalçın2, Nilay Şen Türk2
1Department of Medical Pathology, Yüksekova State Hospital, Hakkari, Hakkari, Turkey.
Diagnostic cytopathology
|April 15, 2025
概括
由于慢性淋巴细胞白血病 (CLL) 导致甲状腺受影响是罕见的. 这一案例突出了细针吸收细胞学和流动细胞学作为诊断二次甲状腺CLL的关键工具在有血性恶性瘤病史的患者.
科学领域:
- 血液学 血液学 血液学
- 内分泌学 在内分泌学.
- 细胞病理学 细胞病理学
背景情况:
- 由于慢性淋巴细胞白血病 (CLL) 导致甲状腺受影响非常罕见.
- 精细针吸收细胞学 (FNAC) 对于评估甲状腺结节至关重要,特别是在以前患有血液恶性瘤的患者中.
- 临床背景对于准确的细胞形态学解释至关重要.
研究的目的:
- 报告一种罕见的,由CLL引起的二次性甲状腺干扰病例.
- 在这种情况下强调FNAC和流细胞计的诊断实用性.
- 要突出区分二级甲状腺淋巴瘤与原发性甲状腺恶性瘤的临床意义.
主要方法:
- 一个58岁妇女的病例报告,她有CLL病史.
- 甲状腺结节的细针吸入细胞学.
- 吸入材料的流量细胞计分析.
主要成果:
- FNAC发现了一种透性涂抹,其中含有单态细胞和"海"图案.
- 流细胞计证实了CLL参与甲状腺的诊断.
- 甲状腺干扰发生在初始CLL诊断8年后.
结论:
- 患有CLL的患者的二次甲状腺淋巴瘤需要仔细的细胞病理评估.
- 流细胞计对于在模两可的情况下确认诊断至关重要.
- 准确的诊断至关重要,因为治疗和预后在一次性和二次性甲状腺淋巴瘤之间有所不同.
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