Fine needle aspiration cytology and immunocytochemistry in tuberculosis thyroiditis - A case report

被引：4

作者：

Goel, Madhu Mati ^{[1
]}

Budhwar, Puja ^{[1
]}

机构：

[1] King Georges Med Univ, Dept Pathol, Lucknow, Uttar Pradesh, India

来源：

ACTA CYTOLOGICA | 2008年 / 52卷 / 05期

关键词：

aspiration cytology; fine-needle; granulomatous inflammation; immunocytochemistry; thyroid; thyroiditis; tuberculosis;

D O I：

10.1159/000325605

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Background Tuberculosis of the thyroid is very rare and does not strike the clinician as a first clinical diagnosis of a thyroid nodule. To our knowledge, only 40 cases of tuberculous thyroiditis diagnosed by fine needle aspiration cytology (FNAC) are described in the English literature. Case We report a case of tuberculosis thyroiditis in a young woman who presented with a right-side solitary thyroid nodule of short duration (15 days), diagnosed by FNAC and confirmed by positive immunocytochemistry with monoclonal antibody to Mycobacterium tuberculosis complex. Ziehl Neelsen staining for acid-fast bacilli (AFB) was negative. Conclusion FNAC provides a confident preoperative diagnosis of thyroid tuberculosis, obviating the need for unnecessary surgical removal of thyroid nodule. Immunocytochemistry is an important diagnostic adjunct to FNAC in AFB-negative cases.

引用

页码：602 / 606

页数：5

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