Abrosimov A Iu, Kozhushnaia S M
Arkh Patol. 2011 Mar-Apr;73(2):50-4.
The paper analyzes the data available in the literature on the morphological and prognostic features of the relatively rare morphological types of papillary thyroid carcinoma from tall and columnar cells. It is shown that the poor prognostic tall cell variant may be successfully diagnosed in the cytological smears of preoperative fine-needle biopsy and by histological examination of surgically removed tumor tissue. The question of the borderline extent of tall cells in order to single out the tumor as an individual classification category remains open. Columnar cell carcinoma poses great difficulties in making cytological and histological diagnoses. The prognosis of nonencapsulated tumors is poor as compared with that of encapsulated analogs of this variant.
本文分析了文献中有关高细胞和柱状细胞型相对罕见的甲状腺乳头状癌形态学及预后特征的现有数据。结果表明,预后较差的高细胞变体可通过术前细针穿刺活检的细胞学涂片及手术切除肿瘤组织的组织学检查成功诊断。关于高细胞的临界范围以将肿瘤作为一个单独分类类别区分出来的问题仍未解决。柱状细胞癌在细胞学和组织学诊断方面存在很大困难。与该变体的包膜内类似物相比,无包膜肿瘤的预后较差。