Australian Society of Cytology - Pursuit of Excellence
Australian Society of Cytology

Case of the Month

February 2003

Presented by:
Dr Diane Cominos
Sullivan Nicolaides Pathology
Brisbane, Australia

Specimen type:

Fine needle aspiration of swelling in the neck.


Clinical History:

 

A 48 year old female presented with a non-tender swelling in the neck. She was otherwise well.

Clinical examination confirmed a palpable nodule on the right lobe of the thyroid which was seen to be "cold" and solid/cystic on imaging study. A fine needle aspiration was performed.

Images:

Mid power (pap) cystic background, scanty follicular cells and metaplastic cells Mid power (diff) cystic background, scanty follicular cells and metaplastic cells High power (diff) rare atypical metaplastic cells with intranuclear cytoplasmic vacuoles
Pap stain Diff Quik stain Diff Quik stain

Instructions:

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When you have made your diagnosis click on the answer link below for the answer and further discussion on the case.

Answer

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