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    標題: Constitutive Cytomorphologic Features of Medullary Thyroid Carcinoma Using Different Staining Methods
    作者: Liu, Chih-Yi
    Chen, Chien-Chin
    Bychkov, Andrey
    Agarwal, Shipra
    Zhu, Yun
    Hang, Jen-Fan
    Lai, Chiung-Ru
    Na, Hee Young
    Park, So Yeon
    Li, Weiwei
    Liu, Zhiyan
    Jain, Deepali
    Suzuki, Ayana
    Hirokawa, Mitsuyoshi
    Chia, Noel
    Nga, Min En
    Jitpasutham, Tikamporn
    Keelawat, Somboon
    Satoh, Shinya
    Gunawardena, Dilini
    Kumarasinghe, Priyanthi
    Jung, Chan Kwon
    Kakudo, Kennichi
    貢獻者: Sijhih Cathay Gen Hosp, Div Pathol
    Fu Jen Catholic Univ, Coll Med, Sch Med
    Ditmanson Med Fdn Chia Yi Christian Hosp, Dept Pathol
    Chia Nan Univ Pharm & Sci, Dept Cosmet Sci
    Kameda Med Ctr, Dept Pathol, Kamogawa
    Nagasaki Univ, Dept Pathol, Grad Sch Biomed Sci
    All India Inst Med Sci, Dept Pathol
    Jiangsu Inst Nucl Med, Dept Pathol
    Taipei Vet Gen Hosp, Dept Pathol & Lab Med
    Natl Yang Ming Chiao Tung Univ, Sch Med
    Seoul Natl Univ, Coll Med, Dept Pathol, Bundang Hosp
    Shandong Univ, Dept Pathol, Sch Basic Med Sci
    Shanghai Jiao Tong Univ, Dept Pathol
    Kuma Hosp, Dept Diagnost Pathol & Cytol, Kobe, Hyogo 6500011, Japan;[Chia, Noel;Nga, Min En
    Natl Univ Singapore Hosp, Dept Pathol
    Chulalongkorn Univ, Fac Med, Dept Pathol
    Yamashita Thyroid & Parathyroid Clin, Dept Endocrine Surg
    Univ Western Australia, Sch Pathol & Lab Med, Perth
    Catholic Univ Korea, Dept Hosp Pathol, Coll Med
    Izumi City Gen Hosp, Dept Pathol & Thyroid Dis Ctr, Izumi
    關鍵字: cytology
    fine-needle aspiration
    medullary thyroid carcinoma
    sensitivity
    specificity
    thyroid
    日期: 2021
    上傳時間: 2023-11-11 11:48:39 (UTC+8)
    出版者: MDPI
    摘要: (1) Background: Accurate preoperative identification of medullary thyroid carcinoma (MTC) is challenging due to a spectrum of cytomorphologic features. However, there is a scarcity of studies describing the cytomorphologic features as seen on fine-needle aspiration (FNA) smears prepared using different staining methods. (2) Methods: We performed a retrospective study on MTC cases with available FNA slides from 13 hospitals distributed across 8 Asia-Pacific countries. The differences in the constitutive cytomorphologic features of MTC with each cytopreparatory method were recorded. A comparative analysis of cytologic characteristics was carried out with appropriate statistical tests. (3) Results: Of a total of 167 MTC samples retrospectively recruited, 148 (88.6%) were interpreted as MTC/suspicious for MTC (S-MTC). The staining methods used were Papanicolaou, hematoxylin-eosin, and Romanowsky stains. Seven out of the eleven cytologic criteria can be readily recognized by all three cytopreparatory methods: high cellularity, cellular pleomorphism, plasmacytoid cells, round cells, dyshesive cells, salt-and-pepper chromatin, and binucleation or multinucleation. An accurate diagnosis was achieved in 125 (84.5%) of the 148 samples whose FNAs exhibited five or more atypical features. Conclusions: The present work is the first study on MTC to compare the morphological differences among the cytologic staining techniques. We investigated the constitutive features and the reliability of diagnostic parameters. A feasible scoring system based upon cytomorphologic data alone is proposed to achieve a high degree of diagnostic accuracy.
    關聯: DIAGNOSTICS, v.11, n.8
    顯示於類別:[化妝品應用與管理系(所)] 期刊論文

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