Leung Allen H, Kort Kara C, Khurana Kamal K
Department of Pathology, State University of New York-Upstate Medical University, Syracuse, NY 13210, USA.
South Med J. 2010 Mar;103(3):268-71. doi: 10.1097/SMJ.0b013e3181ce0e62.
Squamous metaplasia and cystic change can appear in the thyroid and mimic a variety of lesions. In this report, a patient with two dominant left thyroid nodules underwent fine needle aspiration (FNA) biopsy for each nodule. One of the nodules was diagnosed as consistent with papillary carcinoma and the other as suspicious for papillary carcinoma. Subsequent near total thyroidectomy revealed both lesions to be part of a goiter with extensive squamous metaplasia. This article discusses a potential pitfall in the interpretation of fine needle aspirates of squamous metaplastic cells in the thyroid.
鳞状化生和囊性变可出现在甲状腺，并可类似多种病变。在本报告中，一名左侧甲状腺有两个主要结节的患者对每个结节都进行了细针穿刺（FNA）活检。其中一个结节被诊断为符合乳头状癌，另一个结节疑似乳头状癌。随后的近全甲状腺切除术显示，这两个病变均为伴有广泛鳞状化生的甲状腺肿的一部分。本文讨论了在解读甲状腺鳞状化生细胞细针穿刺抽吸物时的一个潜在陷阱。
