Chakraborty Jayati, Bandyopadhyay Anjali, Choudhuri Manoj K, Mitra Kalyani, Guha Debasish, Mallik Mamata Guha
Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal, India.
Indian J Pathol Microbiol. 2008 Jan-Mar;51(1):91-3. doi: 10.4103/0377-4929.40414.
A 40-year-old woman presented with a scalp swelling. A careful clinical examination revealed a left-sided deep-seated thyroid nodule. Fine needle aspiration from both sites disclosed a microfollicular architectural pattern on Giemsa stain and pale nuclei with nuclear grooves on Papanicolaou stain, indicating the possibility of follicular variant of papillary thyroid carcinoma with metastasis to the scalp. Histologic tissue evaluation confirmed the diagnosis. Thus, a diligent search for nuclear features should be performed to enable a diagnosis of follicular variant of papillary thyroid carcinoma on cytology. This helps in patient management obviating the need for a second surgical intervention.
一名40岁女性因头皮肿胀就诊。仔细的临床检查发现左侧有一个深部甲状腺结节。对两个部位进行细针穿刺，吉姆萨染色显示微滤泡结构模式，巴氏染色显示细胞核淡染且有核沟，提示甲状腺乳头状癌滤泡变异型伴头皮转移的可能性。组织学评估证实了诊断。因此，应仔细寻找核特征以在细胞学上诊断甲状腺乳头状癌滤泡变异型。这有助于患者管理，避免二次手术干预的需要。
