Cytological findings of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation: A study of eight cases

被引:23
作者
Hirokawa, Mitsuyoshi [1 ]
Kuma, Seiji
Miyauchi, Akira [2 ]
机构
[1] Kuma Hosp, Dept Diagnost Pathol, Chuo Ku, Kobe, Hyogo 6500011, Japan
[2] Kuma Hosp, Dept Surg, Kobe, Hyogo 6500011, Japan
关键词
thyroid; ITET; CASTLE; mucoepidermoid carcinoma; intracytoplasmic lumina; keratinization; FINE-NEEDLE-ASPIRATION; SQUAMOUS-CELL CARCINOMA; MUCOEPIDERMOID CARCINOMA; CD5; IMMUNOREACTIVITY; PAPILLARY CARCINOMA; THYROID-CARCINOMA; CASTLE; BIOPSY; DIAGNOSIS; THYMOMA;
D O I
10.1002/dc.21511
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
The purpose of this article is to describe the cytologic findings of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation (ITET/CASTLE) in detail and discuss its differential diagnoses. We examined cytologic specimens taken from eight ITET/CASTLE cases, who underwent fine needle aspiration. Cytologic features of ITET/CASTLE include (1) hypercellularity, (2) large cell clusters without papillary or follicular pattern, (3) round or spindle tumor cells with distinct nucleoli and cell border, (4) few keratinized cells and intracytoplasmic lumina (ICL), and (5) lymphocytic background. The differential diagnoses included poorly differentiated carcinoma, metastatic lymphoepithelioma, squamous cell carcinoma, and mucoepidermoid carcinoma. The presence of individual keratinizing cells and ICL and the location of the tumor may be helpful in indicating ITET/CASTLE. Diagn. Cytopathol. 2012;40:E16E20. (c) 2010 Wiley Periodicals, Inc.
引用
收藏
页码:E16 / E20
页数:5
相关论文
共 29 条
[1]  
Berezowski K, 1996, AM J CLIN PATHOL, V106, P483
[2]  
Bondeson L, 1996, DIAGN CYTOPATHOL, V15, P301, DOI 10.1002/(SICI)1097-0339(199611)15:4<301::AID-DC10>3.0.CO
[3]  
2-S
[4]  
DeLellis RA, 2004, WHO CLASSIFICATION T, P96
[5]  
DeMay RM, 1996, ART SCI CYTOPATHOLOG, P502
[6]  
Dorfman DM, 1998, HISTOPATHOLOGY, V32, P104
[7]  
Guiter GE, 1999, CANCER CYTOPATHOL, V87, P196, DOI 10.1002/(SICI)1097-0142(19990825)87:4<196::AID-CNCR6>3.0.CO
[8]  
2-P
[9]   FINE-NEEDLE ASPIRATION BIOPSY OF MUCUS-PRODUCING MEDULLARY CARCINOMA OF THYROID - REPORT OF A CASE WITH CYTOLOGIC, HISTOLOGIC, AND ULTRASTRUCTURAL CORRELATIONS [J].
HALEEM, A ;
AKHTAR, M ;
ALI, MA ;
IQBAL, Z .
DIAGNOSTIC CYTOPATHOLOGY, 1990, 6 (02) :112-117
[10]   Clinicopathologic significance of intrathyroidal epithelial thymoma/carcinoma showing thymus-like differentiation - A collaborative study with member institutes of the Japanese Society of Thyroid Surgery [J].
Ito, Yasuhiro ;
Miyauchi, Akira ;
Nakamura, Yasushi ;
Miya, Akihiro ;
Kobayashi, Kaoru ;
Kakudo, Kennichi .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 2007, 127 (02) :230-236