Abstract:
:Although subacute granulomatous thyroiditis (SGT) is usually diagnose clinically, there are other thyroid conditions that must be ruled out. This task is achieved by means of fine-needle aspiration (FNA). In retrospect, the clinical and cytologic findings seen in 36 SGT cases are reassessed with a view to deciding which findings are most reliable for reaching a confident cytologic diagnosis. These are: the simultaneous presence in the same aspirate of the following cells: 1) follicular cells with intravacuolar granules and/or plump transformed follicular cells; 2) epithelioid granulomas; 3) multinucleated giant cells; 4) an acute and chronic inflammatory dirty background; 5) the absence of the following cells: fire-flare cells, hypertrophic follicular cells, oncocytic cells, and transformed lymphocytes. The absence of one or more of these requirements does not exclude SGT but does increase the number of thyroid conditions that come into the differential diagnosis. In these cases, it is essential to review clinical data carefully and to submit the patient to a close clinical and FNA follow-up.
journal_name
Diagn Cytopatholjournal_title
Diagnostic cytopathologyauthors
García Solano J,Giménez Bascuñana A,Sola Pérez J,Campos Fernández J,Martínez Parra D,Sánchez Sánchez C,Montalbán Romero S,Pérez-Guillermo Mdoi
10.1002/(sici)1097-0339(199703)16:3<214::aid-dc4>3subject
Has Abstractpub_date
1997-03-01 00:00:00pages
214-20issue
3eissn
8755-1039issn
1097-0339pii
10.1002/(SICI)1097-0339(199703)16:3<214::AID-DC4>3journal_volume
16pub_type
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