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Acta Cytol. 2010 Sep-Oct;54(5):668-72.

Anaplastic thyroid carcinoma: morphologic findings and PAX-8 expression in cytology specimens.

Author information

1
Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA.

Abstract

OBJECTIVE:

To evaluate the morphologic findings most encountered in anaplastic thyroid carcinomas (ATCs) and evaluate for the expression of PAX-8.

STUDY DESIGN:

The cytology specimens from 21 cases of ATC were evaluated for the following several cytologic criteria: cell morphology, pleomorphism, presence or absence of multinucleated cells, colloid, neutrophilic infiltrate and well-differentiated component. Immunohistochemical studies for PAX-8 were performed on cell blocks in selected cases.

RESULTS:

The most common morphology present was epithelioid, followed by spindle, multinucleated giant cell and rhabdoid, with 75% demonstrating more than 1 cell morphology. Marked pleomorphism (81%), neutrophilic infiltrate (90%) and necrosis (63%) were frequent. No nuclear grooves, colloid or well-differentiated component was identified in any case. Immunocytochemical stains for PAX-8 were negative in 5 cases in which a cell block was available.

CONCLUSION:

ATC is a tumor with diverse morphologic characteristics, and more than 1 cell morphology is usually present. A neutrophilic infiltrate is a common finding and represents a clue to the correct diagnosis.

PMID:
20968153
DOI:
10.1159/000325230
[Indexed for MEDLINE]

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