Amyloid goiter. A clinicopathologic study of 14 cases and review of the literature.

Abstract:

:The authors report the clinicopathologic features of 14 cases of amyloid goiter (AG). Eleven patients were males and three females with ages ranging from 23 to 75 years (median, 54 years). Eight patients had secondary amyloidosis and six had primary amyloidosis. Nine cases were identified at autopsy. In symptomatic patients (n = 5), the clinical presentation included a nontender, rapidly enlarging neck mass with associated dysphagia, dyspnea or hoarseness. Clinical or laboratory evaluation failed to detect evidence of thyroid dysfunction. The histologic appearance of the thyroid predominantly consisted of diffuse amyloid deposition surrounding thyroid follicles. In two cases, a nodular pattern of amyloid deposition was seen resulting in compression and distortion of the follicular architecture. Areas of mature adipose tissue and focal lymphocytic thyroiditis with or without foreign-body type-giant cells were seen in approximately one third of the cases. Confirmation of amyloid was made by the presence of congophilia and apple-green birefringence under polarized-light microscopy. Immunohistochemical evaluation demonstrated the presence of amyloid A immunoreactivity. No Immunoreactivity was seen with calcitonin or thyroglobulin. Fine-needle aspiration may facilitate the diagnosis, as occurred in one the patients. In symptomatic patients, thyroidectomy is warranted to alleviate pressure symptoms.

journal_name

Am J Clin Pathol

authors

Hamed G,Heffess CS,Shmookler BM,Wenig BM

doi

10.1093/ajcp/104.3.306

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

306-12

issue

3

eissn

0002-9173

issn

1943-7722

journal_volume

104

pub_type

杂志文章,评审
  • Aberrations of chromosomes 9 and 17 in bilharzial bladder cancer as detected by fluorescence in situ hybridization.

    abstract::Fluorescence in situ hybridization (FISH), using repetitive alpha satellite probes to chromosomes 9 and 17, was performed on 27 paraffinembedded bladder specimens from 18 Egyptian patients affected with bilharzial carcinoma. Fluorescence in situ hybridization results in the carcinomas and benign mucosa of patients wit...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/106.2.234

    authors: Ghaleb AH,Pizzolo JG,Melamed MR

    更新日期:1996-08-01 00:00:00

  • ANA testing: a comparison of two kits and a discussion of specificity and sensitivity as criteria for selection of screening procedures.

    abstract::A comparative evaluation of two commercial kits that detect antinuclear antibodies via indirect immunofluorescence was undertaken using an adult ambulatory population. The sensitivity and specificity of the kits were compared to determine which of the two was more efficient as a screening test for systemic lupus eryth...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/81.3.308

    authors: Valdiserri RO,Petronie JS

    更新日期:1984-03-01 00:00:00

  • A cytochemical and ultrastructural study of acute myelomonocytic leukemia exhibiting the pseudo-Chediak-Higashi anomaly of leukemia and "splinter-type" Auer rods.

    abstract::An unusual case of acute myelomonocytic leukemia (AMML) in an 81-year-old man is described. Ultrastructural examination revealed the presence of distinct Auer bodies, which commonly are found in acute promyelocytic leukemia (APL). The Auer bodies had a splinterlike appearance with a distinct tubular substructure. The ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/80.2.216

    authors: Payne CM,Harrow EJ

    更新日期:1983-08-01 00:00:00

  • T-Cell Large Granular Lymphocytic Leukemia and Coexisting B-Cell Lymphomas: A Study From the Bone Marrow Pathology Group.

    abstract:Objective:T-cell large granular lymphocytic (T-LGL) leukemia is associated with B-cell lymphomas (BCLs), especially small BCLs. We aimed to explore and expand upon its association with BCLs. Methods:We retrospectively studied clinicopathologic features of T-LGL leukemia patients with coexisting BCL from January 2001 t...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ajcp/aqx146

    authors: Goyal T,Thakral B,Wang SA,Bueso-Ramos CE,Shi M,Jevremovic D,Morice WG,Zhang QY,George TI,Foucar KK,Bhattacharyya S,Bagg A,Rogers HJ,Bodo J,Durkin L,Hsi ED

    更新日期:2018-01-29 00:00:00

  • The blood counts and lactate dehydrogenase levels in thrombotic thrombocytopenic purpura (TTP).

    abstract::The blood counts and lactic dehydrogenase values of eight patients with thrombotic thrombocytopenic purpura (TTP) were reviewed in relation to the clinical course. Three of the eight patients died. In these patients, the hemoglobin was significantly lower and the LDH higher at the time of presentation than that of the...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/80.5.700

    authors: Crowley JP,Metzger JB,L'Europa RA

    更新日期:1983-11-01 00:00:00

  • Pathology consultation on the laboratory evaluation of thrombophilia: when, how, and why.

    abstract::Venous thromboembolism (VTE) results from the interaction of the Virchow triad (venous stasis, endothelial injury, and hypercoagulability). Risk factors for increased hypercoagulability, or thrombophilia, include activated protein C resistance/factor V Leiden, the prothrombin G20210A mutation, deficiencies of the natu...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCP5SQT3ZKYQFBM

    authors: Ballard RB,Marques MB,Education Committee of the Academy of Clinical Laboratory Physicians and Scientists.

    更新日期:2012-04-01 00:00:00

  • Ultrastructure of the gastric mucosa harboring Campylobacter-like organisms.

    abstract::The association between Campylobacter-like organisms (CLOs) and lesions of the gastric mucosa was studied in 59 consecutive biopsies. Hematoxylin and eosin and Warthin-Starry silver stains, as well as high-resolution light microscopy (HRLM) and transmission electron microscopy (TEM), were used. The organisms were foun...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/86.5.575

    authors: Chen XG,Correa P,Offerhaus J,Rodriguez E,Janney F,Hoffmann E,Fox J,Hunter F,Diavolitsis S

    更新日期:1986-11-01 00:00:00

  • Diagnostic decision-making in anatomic pathology.

    abstract::In diagnostic pathology, decision-making skills are used to match the facts of a particular case to a diagnostic category. Ideally the diagnosis is established with "beyond a reasonable doubt" certainty, but substantial uncertainty orfrank diagnostic error can afflict the diagnostic process for a variety of reasons. M...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1309/YUCA-HMEE-BKQ5-BH5B

    authors: Foucar E

    更新日期:2001-12-01 00:00:00

  • Ultraviolet spectrophotometric analysis of barbiturates. Current assessment as an emergency screening procedure.

    abstract::Several laboratory methods are currently available for the detection of barbiturates, but few are suitable for emergency use, The authors evaluated use of an ultraviolet spectrophotometric method as a screening procedure and compared the results with results obtained by other barbiturate methods (colorimetric, gas-li...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/66.5.823

    authors: Schumann GB,Lauenstein K,LeFever D,Henry JB

    更新日期:1976-11-01 00:00:00

  • Noninvasive monitoring of hemoglobin. The effects of WBC counts on measurement.

    abstract::The efficacy of a noninvasive hemoglobin monitoring device (Astrin, Sysmex, Kobe, Japan) was evaluated for healthy volunteers and for patients with hematologic disorders. At the same time, the effects of WBC counts on noninvasive monitoring were studied by clinical evaluation and in ex vivo experiments. The hemoglobin...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/61AN-J1XV-3MW8-78YP

    authors: Saigo K,Imoto S,Hashimoto M,Mito H,Moriya J,Chinzei T,Kubota Y,Numada S,Ozawa T,Kumagai S

    更新日期:2004-01-01 00:00:00

  • Evaluation of the FIAX test for the detection of antibodies to herpes simplex virus and cytomegalovirus.

    abstract::Laboratory Branch Complement Fixation and FIAX (fluorescence immunoassay) were compared for the detection of antibodies to herpes simplex virus and cytomegalovirus in human sera. Of 68 sera with no antibodies to herpes simplex virus by complement fixation, one specimen was positive by FIAX (specificity, 98.6%). Of 75 ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/75.3.387

    authors: Segar JE,Smith TF,Ilstrup DM

    更新日期:1981-03-01 00:00:00

  • Quality assurance measures for critical diagnoses in anatomic pathology.

    abstract::We sought to characterize how well computerized "case flags" performed in evaluating critical diagnoses in anatomic pathology. All cases identified by a pathologist at sign-out and flagged as a critical diagnosis in anatomic pathology in 2 hospital laboratories during a 3-year period were reviewed. A subset of all cri...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCPL1N5KBAFFDHV

    authors: Renshaw A,Gould EW

    更新日期:2012-03-01 00:00:00

  • Richter's syndrome with different immunoglobulin light chain types. Molecular and cytogenetic features indicate a common clonal origin.

    abstract::To investigate the issue of clonality in Richter's syndrome, phenotypic, molecular genetic, and cytogenetic studies were performed on tumor tissue from a patient with concurrent chronic lymphocytic leukemia and diffuse large cell lymphoma in a single lymph node specimen. The tumor was biphenotypic for immunoglobulin (...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/97.5.656

    authors: Nakamine H,Masih AS,Sanger WG,Wickert RS,Mitchell DW,Armitage JO,Weisenburger DD

    更新日期:1992-05-01 00:00:00

  • Analysis of intestinal lymphocyte subpopulations in patients with acquired immunodeficiency syndrome (AIDS) and AIDS-related complex.

    abstract::Lymphocyte subpopulations in the intestinal tissues of seven patients with acquired immunodeficiency syndrome (AIDS) or AIDS-related complex (ARC) were studied by immunohistologic technics at two different locations, the small bowel and the rectum. Intraepithelial and lamina propria lymphocyte subsets stained with mon...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/87.3.356

    authors: Ellakany S,Whiteside TL,Schade RR,van Thiel DH

    更新日期:1987-03-01 00:00:00

  • An immunocytochemical study of p53 and bcl-2 protein expression in Hodgkin's disease.

    abstract::In view of their reported reciprocal effects on apoptosis, the expression of p53 and bcl-2 proteins was studied in 46 cases of Hodgkin's disease by immunocytochemical labeling. We found p53 protein in Reed-Sternberg cells and their mononuclear variants in 16 of the 46 cases (34.7%) of Hodgkin's disease, mainly in a nu...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/99.6.663

    authors: Doussis IA,Pezzella F,Lane DP,Gatter KC,Mason DY

    更新日期:1993-06-01 00:00:00

  • Proliferative activity in placentas with hydropic change and hydatidiform mole as detected by Ki-67 and proliferating cell nuclear antigen immunostaining.

    abstract::Complete hydatidiform moles (CHM) and partial hydatidiform moles (PHM) represent different clinicopathologic entities. To obtain prognostic and therapeutic information about both entities, it is important that pathologic classification be as accurate as possible. The distinction of molar pregnancy and an abortus with ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/110.6.776

    authors: Ostrzega N,Phillipson J,Liu P

    更新日期:1998-12-01 00:00:00

  • Immunoglobulin production in lymphomatoid granulomatosis and relation to other "benign" lymphoproliferative disorders.

    abstract::Immunoperoxidase technics were used to examine the immunoglobulin content of sections of pulmonary tissue from two typical cases of lymphomatoid granulomatosis and two cases of pneumonic processes initially diagnosed as lymphomatoid granulomatosis but representing different processes on review. Both "typical" cases an...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/73.1.41

    authors: Bender BL,Jaffe R

    更新日期:1980-01-01 00:00:00

  • Solid Tumor Metastases to the Pancreas Diagnosed Using Fine-Needle Aspiration.

    abstract:OBJECTIVES:Solid tumor metastases to the pancreas are rare, and only limited literature on the topic is available. In this retrospective study, we reviewed 107 cases of solid tumor metastases to the pancreas diagnosed by fine-needle aspiration (FNA) from 2005 to 2019. METHODS:Information including the patients' clinic...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/aqaa090

    authors: Hou T,Stewart JM,Lee JH,Gan Q

    更新日期:2020-10-13 00:00:00

  • Peroxidase activity in circulating mast cells in blast crisis of chronic granulocytic leukemia. Comparative studies with basophils and cutaneous mast cells.

    abstract::Although the hematopoietic origin of mast cells is very probable, the cell from which they originate is still a matter of speculation. The description of "transitional basophil/mast cells" in myeloproliferative disorders has suggested a common origin for basophils and mast cells. In a case of mast cell transformation ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/86.2.212

    authors: Gabriel LC,Escribano LM,Marie JP,Zittoun R,Navarro JL

    更新日期:1986-08-01 00:00:00

  • Cytologic features of poorly differentiated 'insular' carcinoma of the thyroid, as revealed by fine-needle aspiration biopsy.

    abstract::The authors report on the cytologic features of six cases of poorly differentiated "insular" carcinoma (IC) of the thyroid, a recently described variety of thyroid tumor intermediate between well-differentiated and anaplastic neoplasms. It is characterized by trabecular and/or alveolar growth patterns, merging with fo...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/94.6.687

    authors: Pietribiasi F,Sapino A,Papotti M,Bussolati G

    更新日期:1990-12-01 00:00:00

  • Transfusion significance of Lewis system antibodies. Success in transfusion with crossmatch-compatible blood.

    abstract::Patients with nonhemolytic Lewis antibodies in the serum were transfused on the basis of major crossmatch compatibility alone. No adverse clinical affects were noted when 33 such patients received a total of 230 transfusions. Considerable savings in technologist time and reagent cost were realized by adopting this pol...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/76.3.294

    authors: Waheed A,Kennedy MS,Gerhan S,Senhauser DA

    更新日期:1981-09-01 00:00:00

  • Hodgkin disease associated with T-cell non-Hodgkin lymphomas: case reports and review of the literature.

    abstract::Non-Hodgkin lymphoma (NHL) is more likely to develop in patients with Hodgkin disease (HD) than in the general population. Although reports of synchronous or metachronous HD and NHL are not uncommon in the literature, the biologic relationship of these 2 malignant neoplasms often is unclear. A larger-than-expected fra...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/W1GW-43HT-793U-F86R

    authors: Brown JR,Weng AP,Freedman AS

    更新日期:2004-05-01 00:00:00

  • Papillary thyroid carcinoma with heterotopic ossification is a special subtype with extensive progression.

    abstract::An immunohistochemical study was conducted of 108 papillary carcinoma cases, including 48 cases with intratumoral heterotopic ossification (IHO). In 48 cases, papillary carcinoma with IHO was accompanied by nodular fibrosis. Cases of papillary carcinoma with IHO or nodular fibrosis showed higher incidences of lymph no...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCPQZQN50HKIAHA

    authors: Takeda M,Mikami T,Numata Y,Okamoto M,Okayasu I

    更新日期:2013-05-01 00:00:00

  • Management training for pathology residents. I. Results of a national survey.

    abstract::The professional activities of anatomic and clinical pathologists involve, to a large extent, management issues. To evaluate the management training received by pathology residents, the authors surveyed pathology residency training programs in the United States. Responses were collected from 138 of 187 programs (73.8%...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/101.5.559

    authors: Brugnara C,Fenton T,Winkelman JW

    更新日期:1994-05-01 00:00:00

  • The status and distance of cone biopsy margins as a predictor of excision adequacy for endocervical adenocarcinoma in situ.

    abstract::Cervical cone biopsy has become an important surgical procedure for endocervical adenocarcinoma in situ (AIS), especially for patients who desire to retain their fertility. Establishing the usefulness of the endocervical margin status in cone biopsy specimens as a predictor of residual AIS is paramount. We examined th...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/109.6.727

    authors: Goldstein NS,Mani A

    更新日期:1998-06-01 00:00:00

  • Significance of paneth cell metaplasia in Barrett esophagus: a morphologic and clinicopathologic study.

    abstract:OBJECTIVES:The metaplastic intestinal epithelium in Barrett esophagus (BE) occasionally contains Paneth cells; however, little is known regarding the prevalence and significance of Paneth cell metaplasia (PCM) in BE. METHODS:We evaluated 757 esophageal biopsy specimens with intestinal metaplasia (IM) for PCM. Outcome ...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1309/AJCPVUJMCVBC9PKM

    authors: Chen W,Frankel WL,Cronley KM,Yu L,Zhou X,Yearsley MM

    更新日期:2015-05-01 00:00:00

  • Encephalitozoon (Septata) intestinalis: cytologic, histologic, and electron microscopic features of a systemic intestinal pathogen.

    abstract::Encephalitozoon (Septata) intestinalis affects AIDS patients with CD4 counts <100/microL, causing intestinal and disseminated disease. It must be distinguished from the more common intestinal microsporidian, Enterocytozoon bieneusi, and from other microsporidia of extraintestinal tissues, such as Encephalitozoon helle...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/106.5.606

    authors: Chu P,West AB

    更新日期:1996-11-01 00:00:00

  • Fatal intravascular immune hemolysis induced by hydrochlorothiazide.

    abstract::A patient receiving antihypertensive therapy developed acute intravascular hemolysis and died. Hemolysis was due to an immune process associated with antibody to thiazide. Only two other cases have been reported. Thiazide-induced hemolysis appears to be confined to those patients treated concommitantly with methyldopa...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/81.6.791

    authors: Beck ML,Cline JF,Hardman JT,Racela LS,Davis JW

    更新日期:1984-06-01 00:00:00

  • The effect of the platelet count on the aggregation response and adenosine triphosphate release in an impedance lumi-aggregometer.

    abstract::Platelet aggregation studies are usually performed in either electrical impedance or optical systems and the release reaction assessed by quantitating adenosine triphosphate (ATP) from luminesence produced by the firefly luciferin-luciferase system. In evaluating the results of such studies, attention is paid to a var...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1093/ajcp/89.5.655

    authors: Sweeney JD,Labuzetta JW,Fitzpatrick JE

    更新日期:1988-05-01 00:00:00

  • SPLEEN/PATHOL.

    abstract::Lymphocyte subpopulations were studied in the peripheral blood, lymph nodes, and spleens in a group of 17 patients with untreated Hodgkin's disease. In 12 of 15 cases, diminished absolute levels of T-lymphocytes in the peripheral blood were found; however, this was correlated with total lymphopenia. No direct relation...

    journal_title:American journal of clinical pathology

    pub_type: 杂志文章

    doi:

    authors: Bukowski RM,Noguchi S,Hewlett JS,Deodhar S

    更新日期:1976-01-01 00:00:00