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甲状腺肿瘤诊断陷阱:重视鉴别诊断和辅助生物标志物。

Pitfalls in Challenging Thyroid Tumors: Emphasis on Differential Diagnosis and Ancillary Biomarkers.

机构信息

Department of Pathology, Clinical University Hospital, Health Research Institute of Santiago de Compostela (IDIS), Galician Healthcare Service (SERGAS), Santiago de Compostela, Spain.

Medical Faculty, University of Santiago de Compostela, Santiago de Compostela, Spain.

出版信息

Endocr Pathol. 2020 Sep;31(3):197-217. doi: 10.1007/s12022-020-09638-x. Epub 2020 Jul 6.

Abstract

Thyroid pathology encompasses a heterogenous group of clinicopathological entities including rare and diagnostically challenging neoplasms. The review is focused on morphological, immunohistochemical, and molecular features of rare thyroid neoplasms that can pose diagnostic problems. The tumors are organized based on growth patterns including thyroid neoplasms with predominantly papillary, follicular, solid, and spindle cell growth pattern, as well as neoplasms with distinct cytological characteristics. A special section is also dedicated to rare thyroid tumors with peculiar patterns including thyroid carcinoma with Ewing family tumor elements and intrathyroidal thymic-related neoplasms.

摘要

甲状腺病理学包括一组异质性的临床病理实体,包括罕见且具有诊断挑战性的肿瘤。本综述重点介绍了可能导致诊断问题的罕见甲状腺肿瘤的形态、免疫组织化学和分子特征。这些肿瘤根据生长模式进行组织,包括以乳头状、滤泡状、实性和梭形细胞生长模式为主的甲状腺肿瘤,以及具有独特细胞学特征的肿瘤。还有一个专门的部分用于介绍具有特殊模式的罕见甲状腺肿瘤,包括具有尤文家族肿瘤成分的甲状腺癌和甲状腺内胸腺相关肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98ba/7395918/fa384cb84079/12022_2020_9638_Fig1_HTML.jpg

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