Important histology Flashcards
Papillary Thyroid Ca
Orphan Annie eyes = Empty-appearing nuclei (containing finely dispersed chromatin) with central clearing
Psamomma bodies
Nuclear grooves
Follicular Thyroid Ca
Colloid containing micro-follicles + invasion of capsule
Medullary Thyroid Ca
Sheets of polygonal cells or spindle shaped cells with extracelullar amyloid deposition (stains with congo red)
Undifferentiated/Anaplastic Thyroid Ca
Markedly pleomorphic cells, including irregular giant cells and biphasic spindle cells
Graves disease
Tall, crowded follicular epithelial cells with scalloped colloid
DIFFUSE radioiodine uptake
Toxic multinodular goiter
FOCAL patches of hyperfunctioning follicular cells distended with colloid
Hashimoto disease
Hürthle cells (eosinophilic epithelial cells)
Lymphoid aggregates with germinal centers
Subacute granulomatous thyroiditis (de Quervain)
Granulomatous inflammation (multinucleated giant cells)
Riedel Thyroiditis
Thyroid replaced by FIBROUS tissue with inflammatory infiltrate