Department of Pathology and Laboratory Medicine, Perelmann School of Medicine, University of Pennsylvania, Philadelphia, USA.
Endocr Pathol. 2021 Jun;32(2):211-221. doi: 10.1007/s12022-021-09672-3. Epub 2021 Mar 9.
This paper will review neuroendocrine lesions of the thyroid and the differential diagnosis with the most significant such tumor of the thyroid, that is, medullary thyroid carcinoma. A brief overview of the understanding of this tumor's identification as a lesion of C cells and its familial and syndromic associations will be presented. Then, a discussion of the various mimics of medullary carcinoma will be given with an approach to the types of tests that can be done to arrive at a correct diagnostic conclusion. This review will focus on practical "tips" for the practicing pathologist.
本文将回顾甲状腺的神经内分泌病变,并对其与甲状腺最显著的肿瘤——即甲状腺髓样癌——进行鉴别诊断。本文将简要介绍对这种肿瘤作为 C 细胞病变的认识,及其家族性和综合征性关联。然后,将讨论各种类似于甲状腺髓样癌的病变,并探讨可以进行哪些类型的检查以得出正确的诊断结论。本综述将侧重于对临床病理医生的实用“技巧”。