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伴有结节性筋膜炎样间质的甲状腺乳头状癌。细针穿刺细胞学检查的陷阱。

Papillary thyroid carcinoma with nodular fasciitis-like stroma. Pitfalls in fine-needle aspiration cytology.

作者信息

Yang Y J, LiVolsi V A, Khurana K K

机构信息

Department of Pathology, State University of New York, Syracuse, NY 13210, USA.

出版信息

Arch Pathol Lab Med. 1999 Sep;123(9):838-41. doi: 10.5858/1999-123-0838-PTCWNF.

Abstract

Papillary thyroid carcinoma with nodular fasciitis-like stroma is one of the rare variants of papillary thyroid carcinoma. The problems posed by the exuberant nodular fasciitis-like stroma, which obscures the neoplastic nature of the tumor, are recognized in surgical pathology but have received little attention in the cytopathology literature. We report a rare case of papillary thyroid carcinoma in which nodular fasciitis-like stroma posed difficulty on fine-needle aspiration cytology. The differential diagnosis of fibroproliferative processes in thyroid fine-needle aspirations is also discussed.

摘要

伴有结节性筋膜炎样间质的甲状腺乳头状癌是甲状腺乳头状癌的罕见变异型之一。手术病理学已认识到结节性筋膜炎样间质过度增生所带来的问题,即它会掩盖肿瘤的肿瘤性质,但在细胞病理学文献中却很少受到关注。我们报告一例罕见的甲状腺乳头状癌,其中结节性筋膜炎样间质在细针穿刺细胞学检查中造成了困难。本文还讨论了甲状腺细针穿刺中纤维增生性病变的鉴别诊断。

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