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| 題 名 | Cytology of Hashimoto's Thyroiditis Coexistent with Papillary Thyroid Carcinoma: A Case Report=橋本氏甲狀腺炎合併甲狀腺乳突癌之細胞學檢查:一案例報告 |
|---|---|
| 作 者 | 陳正杰; 陳毓君; 黎治平; 周玉瑜; 李進成; | 書刊名 | Journal of Biomedical & Laboratory Sciences |
| 卷 期 | 20:1/2 2008.06[民97.06] |
| 頁 次 | 頁22-26 |
| 分類號 | 415.6626 |
| 關鍵詞 | 橋本氏甲狀腺炎; 甲狀腺乳突癌; 細針抽吸細胞學檢查; 何氏細胞; 淋巴球; Hashimoto's thyroiditis; Papillary thyroid carcinoma; Fine needle aspiration cytology; Hurthle cells; Lymphocytes; |
| 語 文 | 英文(English) |
| DOI | 10.30046/JBLS.200806.0004 |
| 中文摘要 | 橋本氏甲狀腺炎合併甲狀腺乳突癌在臨床細胞形態學檢查中並不常見。本案例爲一位五十六歲女姓病患,臨床症狀爲兩側甲狀腺結節。細針抽吸細胞學檢查初步懷疑甲狀腺乳突癌。顯微鏡下顯示細胞量多,及具類鱗狀樣細胞質(squamoid cytoplasm) 、細胞核增大伴隨偽包含體(pseudoinclusion)之惡性細胞。也可發現何氏細胞(Hurthle cell)及淋巴球,但膠質(colloid)很少。病理組織檢查證實爲橋本氏甲狀腺炎合併甲狀腺乳突癌。並無發現癌症轉移之證據。細胞醫檢師或病理醫師例行篩檢時,應更留意富含何氏細胞及淋巴球之抹片中出現惡性細胞之可能性。 |
| 英文摘要 | The co-existence of cytological evidence for Hashimoto's thyroiditis (HT) and papillary thyroid carcinoma (PTC) is uncommon in routine practice. We present the case of a 56 year-old female who presented with bilateral thyroid nodules and PTC was suspected based on the fine needle aspiration cytology. Smears showed high cellularity, neoplastic cells with squamoid cytoplasm and enlarged nuclei with pseudoinclusions. Hurthle cells and lymphocytes were also noted. Colloid was scant. Histopathological examination revealed HT with PTC. There was no evidence of metastasis. Cytotechnicians and pathologists should be vigilant for the presence of neoplastic cells in smears during routine screening that show Hurthle cells and lymphocytes. |
本系統中英文摘要資訊取自各篇刊載內容。