Naslov
Značaj citološke punkcije u dijagnostici bolesti štitne žlijezde – prikaz slučaja.
(Relevance of fine-needle aspiration cytology in thyroid gland disease diagnostics)

Autori
Jurić, Nina ; Moslavac, Sandra ; Šehović, Sanja ; Smajić, Emina ; Gašparov, Slavko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Folia Medica Facultatis Medicinae Universitatis Saraeviensis / Hadžović-Džuvo, Almira - Sarajevo, 2016, 70-70

Skup
THIRD CONGRESS OF PATHOLOGISTS OF BOSNIA AND HERCEGOVINA WITH INTERNATIONAL PARTICIPATION

Mjesto i datum
Sarajevo, Bosna i Hercegovina, 02.11.2016. - 03.11.2016

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Citološka punkcija ; Citologija ; Štitnjača
(Fine-needle aspiration ; Cytology ; Thyroid gland)

Sažetak
Introduction/Aim: Cytology exam of thyroid gland lesions using fine needle aspiration cytology is a fast, cheap, technically simple and reliable diagnostic method. Objective of this case is to present personal experiences in FNAC application in nodular lesions of the thyroid gland. Case report: Female patient, age 43, referred to ultrasound controlled fine-needle aspiration cytology with referred diagnosis Struma glandulae thyreoideae lat. dex. The ultrasound exam established lymphadenopathy on the right slice of the neck, which is also treated with FNAC. The cytology exam results of aspirated fragments of the nodule inside the right side and isthmic contains numerous clusters and rosette formations with atypical Hurthle cells with anisocytosis and anisonucleosis, abundant grey-blue cytoplasm, fragments of fatty and connective tissue. The results speak in favor of follicular tumor (Hurthle tumor). The lymph node puncture smears on the right side of the neck contain individual binuclear atypical rough chromatin cells with prominent nucleoli and abundant blue cytoplasm (Reed-Sternbergs cells), individual mononuclear atypical rough chromatin cells with prominent nucleoli and abundant blue cytoplasm (Hodgkin cells), small lymphocytes, transformed lymphatic cells, immunoblasts, plasma cells, numerous eosinophils, erythrocytes and peripheral blood cells. These results indicate Hodgkin disease. It is recommended to perform a histopathological diagnosis of aspirated changes in the thyroid gland and lymph node on the right side of the neck and its haematological treatment. Histopathology results of the right thyroid gland slice corresponds to the Hurthle cell adenoma, and histopathology results of the right node on the neck corresponds to the classic Hodgkin lymphoma, subtype Mixed cellularity classical Hodgkin lymphoma (MCcHL). Conclusion: FNAC is a diagnostic method that should be applied as a routine method with all lesions of the thyroid gland and other organs.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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