Thyroid Pathology Flashcards

1
Q

What is an oncocytic or a Hurthle cell?

A

Metaplastic follicular cell cell in benign or malignant lesions

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2
Q

___ are finger like projections into follicular cells where metaplastic cells surround a vessel and connective tissue

A

Papillary Formation

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3
Q

Diffuse Thyroid enlargement is usually _____, caused by these two things

A

benign, Hashimoto’s thyroiditis or Graves Disease

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4
Q

Graves disease on gross
Color
Increased ___
Decreased ___

A

red-brown, vascularity, colloid

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5
Q

Hallmark of Graves disease has ____

A

papillary hyperplasia

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6
Q

Graves disease Lymphocytic infiltration takes place in the ___ while hashimoto’s has lymphocytic infiltration where

A

stroma; everywhere

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7
Q

Hashimoto’s thyroiditis has ___ of the follicular cells, and becomes ___

A

atrophy; fibrous

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8
Q

Two hallmark features of Hashimoto’s thyroiditis

Cell seen in this

A

Lymphocytic infiltration and metaplasia (cells look pink)

Oncocytic cells

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9
Q

Non-toxic nodular goiter has increased __ and is hyperplasia due to less __ and more ___
Color

A

colloid; T3/T4; TSH

Amber

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10
Q

Non-toxic nodular goiters grossly have ___ (feature) due to the increased colloid

A

cysts

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11
Q

Non-toxic nodular goiters are very __ (style)

A

heterogenous

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12
Q

Non-toxic nodular goiters can also have ____ ___ (thyroid feature)

A

papillary formation

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13
Q

C-cell embryonic origin

A

neural crest

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14
Q

Follicular adenoma looks like a classic benign lesion grossly and on histo- describe 5 features (2 positive, 3 lacking)

A

well circumscribed, encapsulated, no invasion, hemorrhage, necrosis

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15
Q

Most well known etiological factor for thyroid carcinoma

A

Radiation

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16
Q

Papillary carcinoma gene that’s rearranged

A

ret oncogene

17
Q

Two thyroglobulin producing tumors

A

Papillary and follicular carcinoma

18
Q

Papillary thyroid carcinomas can have these (size) which may be incidental

A

micro-carcinomas

19
Q

PTC diagnosis histologically is based on ___ and these two features are seen

A

nuclear morphology; grooved nuclei and clear cytoplasm

20
Q

Papillary formations in Graves vs PTC

A

look at the nuclei- they’ll be clear in PTC

21
Q

Follicular carcinomas are more common where

A

iodine deficient region

22
Q

Follicular carcinoma is basically adenoma plus

A

invasion

23
Q

Follicular carcinomas invade via ___ while PTC invade via

A

blood vessels; lymph nodes

24
Q

Medullary Carcinomas are __ cell derived and associated with __ syndromes
They make ___ (hormone) and form ___
They have lots of ___ present

A

c-cell; MEN
Calcitonin; nests
amyloid

25
Q

Most aggressive tumor in the thyroid

Diagnosis

A

anaplastic carcinoma

Fatal

26
Q

Anaplastic carcinoma more common in __ bc they get more nodules
Preceded by a history of ___

A

women; goiter

27
Q

Anaplastic carcinomas look like PTCs but don’t make

A

thyroglobulin