Podany Peter, Gilani Syed M
Department of Pathology, Yale School of Medicine, New Haven, CT, USA.
Department of Pathology, Yale School of Medicine, New Haven, CT, USA.
Ann Diagn Pathol. 2021 Oct;54:151803. doi: 10.1016/j.anndiagpath.2021.151803. Epub 2021 Jul 31.
Hyalinizing trabecular tumors are a follicular origin neoplasm of the thyroid that usually present as an asymptomatic, well circumscribed, solitary mass. However, diagnosis of a hyalinizing trabecular tumor may be challenging especially on fine needle aspiration cytology and requires careful examination of the specimen to rule out potential mimickers such as papillary thyroid carcinoma, medullary thyroid carcinoma, paraganglioma, other follicular patterned neoplasms, intrathyroidal parathyroid tissue, and metastatic disease. We will review the cytologic, histologic and molecular features of hyalinizing trabecular tumors that aid in distinction from these mimickers with overlapping morphologic features and help ensure proper diagnosis for appropriate management.
透明变梁状肿瘤是一种起源于甲状腺滤泡的肿瘤,通常表现为无症状、边界清晰的孤立性肿块。然而,透明变梁状肿瘤的诊断可能具有挑战性,尤其是在细针穿刺细胞学检查中,需要仔细检查标本以排除潜在的模仿者,如甲状腺乳头状癌、甲状腺髓样癌、副神经节瘤、其他滤泡样肿瘤、甲状腺内甲状旁腺组织和转移性疾病。我们将回顾透明变梁状肿瘤的细胞学、组织学和分子特征,这些特征有助于与具有重叠形态特征的这些模仿者相区分,并有助于确保进行适当管理的正确诊断。