KTCC QUIZ (December 2018)   
甲状腺穿刺吸引細胞診 (thyroid FNA)
1.腺腫様結節 2.濾胞性腫瘍 3.低分化癌 4.未分化癌 5.髄様癌
Which diagnosis is appropriate to choose?
1. Nodular goiter 2. Follicular neoplasm 3. Poorly differentiated  carcinoma 4. Anaplastic carcinoma 5. Medullary carcinoma
解説(explanatory notes )
答えは「5. 髄様癌」でした。背景にアミロイド物質がみられます。出現細胞は薄い細胞質を伴い、孤立散在性に出現しています。ごま塩状クロマチンパターンが特徴的です。
The answer is "5. Medullary carcinoma." Amyloid material The background is necrotic, Isolated cells show strong nuclear irregularity and some large nucleoli. Mitotic figure is present. Necrotic background and isolated cells which have severe nuclear atypia are characteristic of anaplastic carcinoma.


髄様癌 Medullary carcinoma: 11

腺腫様結節 Nodular goiter: 1