Cytology of follicular thyroid tumors, quality assurance, and differential diagnosis
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- MAEKAWA Miyoko
- Department of Laboratory Medicine, Kuma Hospital
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- HIROKAWA Mitsuyoshi
- Department of Diagnostic Pathology and Cytology, Kuma Hospital
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- YANASE Yukari
- Department of Laboratory Medicine, Kuma Hospital
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- KUMA Seiji
- Department of Diagnostic Pathology and Cytology, Kuma Hospital
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- MIYAUCHI Akira
- Department of Surgery, Kuma Hospital
Bibliographic Information
- Other Title
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- 甲状腺濾胞性腫瘍の細胞診―診断の現状と細胞学的鑑別―
- —診断の現状と細胞学的鑑別—
Description
Objective : We clarified diagnostic accuracy and cytological findings in fine-needle aspiration of follicular thyroid tumors.<br>Study Design : We studied 529 thyroid nodules suspected of having follicular tumors in aspiration cytology. We also reviewed cytological preparation of 122 nodules examined histologically.<br>Results : Nodules reported as benign accounted for 15.2%, indeterminate for 51.0%, and suspected malignancy/malignant for 75.0%. Indeterminate was divided into favoring benign at 40.4 %, intermediate at 58.0%, and favoring malignant at 89.5%. The incidence of follicular carcinoma in cases reported as benign was 10.2% and intermediate 13.6%. Retrospective observation showed that three-dimensional microfollicles and thick trabecular arrangement tended to be observed in follicular carcinoma. No papillary configuration was seen in follicular adenoma or carcinoma.<br>Conclusion : Follicular tumors should generally be reported as indeterminate, but including suspected diagnoses and using subclassifications, such as favoring benign and favoring malignant are helpful in determining surgical indications.
Journal
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- The Journal of the Japanese Society of Clinical Cytology
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The Journal of the Japanese Society of Clinical Cytology 49 (1), 48-54, 2010
The Japanese Society of Clinical Cytology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679672697856
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- NII Article ID
- 130004513065
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- ISSN
- 18827233
- 03871193
- http://id.crossref.org/issn/03871193
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed