Kumar Surendra, Singh Neha, Siddaraju Neelaiah
Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry-605 006, India.
Acta Cytol. 2010 Sep-Oct;54(5 Suppl):939-42.
"Cellular swirls" are one of the recently recognized criteria for diagnosing papillary thyroid carcinoma (PTC). Following its initial description, no publications have appeared in the literature.
Thyroid aspirates from 4 adult patients, 3 with a clinical diagnosis of PTC and 1 diagnosed as nodular goiter were studied. Cytologically, all 4 cases showed classic features of PTC. In addition to the characteristic cytomorphology of PTC, all 4 cases showed cellular swirls, which are a newly recognized diagnostic criterion of PTC. Also seen were structures that partially resembled cellular swirls. These latter structures were found to be more prominent in the aspiration smears than the characteristic swirls and, therefore, we strongly think that even the partical swirls with contiguous cellular sheets exhibiting similar nuclear morphology are also useful in prompting a search for "complete swirls" that are thought to be specific for PTC.
Cellular swirls and similar structures seen on fine needle aspiration cytologic smears can serve as useful features in the diagnosis of PTC.
“细胞漩涡”是最近被认可的诊断甲状腺乳头状癌（PTC）的标准之一。自其首次被描述以来，文献中尚未有相关出版物出现。
对4例成年患者的甲状腺穿刺样本进行了研究，其中3例临床诊断为PTC，1例诊断为结节性甲状腺肿。细胞学检查显示，所有4例均具有PTC的典型特征。除了PTC的特征性细胞形态外，所有4例均显示出细胞漩涡，这是一种新认可的PTC诊断标准。还发现了部分类似于细胞漩涡的结构。这些后一种结构在穿刺涂片中比特征性漩涡更为突出，因此，我们强烈认为，即使是带有连续细胞片且呈现相似核形态的部分漩涡，对于促使寻找被认为是PTC特异性的“完整漩涡”也很有用。
细针穿刺细胞学涂片上所见的细胞漩涡和类似结构可作为PTC诊断中的有用特征。
