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J.Jpn. Surg. Soc.. 94(4): 416-419, 1993


Case report

HYALINIZING TRABECULAR ADENOMA OF THE THYROID

First Department of Surgery, Yokohama City University, School of Medicine, Yokohama, Japan

Yoshio Kure, Kiminori Sugino, Hiroyuki Iwasaki, Katsuhiko Mukai, Akihiko Matsumoto

We experienced a very rare case of hyalinizing trabecular adenoma of the thyroid. The histopathological features of this case included the following. 1) In puncture-aspiration cytodiagnosis, tumor cells aggregated around pinc-stained hyaline acellular areas in an ellipsoidal or spindy configuration, with a part of the cytoplasm appearing as filamentous with unclear borders. In addition, a large number of intranuclear "holes" and nuclear grooves were evident. 2) In biopsy, tumor cells appeared in ellipsoidal or spindy configuration, with cytoplasm that easily stained with thyroglobulin but did not stained with calcitonin. The nuclei were irregular in size and some of the nuclei appeared strongly atypical, occasionally seen with cytoplastic inclusion body in the nucleus. These cells showed funicular structures in a radical arrangement with a hyaline material at the center. The hyaline material was stained positively with PAS or Laminin, but not with Cong red.


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