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Lymphocytic thyroiditis in fine‐needle aspirates: Differential diagnostic aspects
Author(s) -
TseleniBalafouta Sofia,
KyroudiVoulgari Aspasia,
PaiziBiza Penelopi,
Papacharalampous N. X.
Publication year - 1989
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.2840050404
Subject(s) - medicine , differential diagnosis , thyroiditis , pathology , dermatology , disease
This study assessed the morphological criteria for the diagnosis of various types of lymphocytic thyroiditis in fine‐needle aspirates. Of 950 aspirates, 121 revealed lymphocytic thyroiditis, including Hashimoto's thyroiditis (partly confirmed by serological or histological examination) and focal thyroiditis adjacent to neoplasms. The diagnosis of Hashimoto's thyroiditis was easy when the aspirated material was adequate and contained oxyphilic cells: in the fibrous type, diagnosis was rather dificult. Focal thyroiditis may be confused with Hashimoto's thyroiditis, especially when adjacent to neoplasm. Surgical exploration should be performed in cases of severe lymphocytic thyroiditis revealed by fine‐needle aspiration with repeatedly negative antibody titers in order to exclude neoplasm.