Thyroid adenoma classification: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(33 intermediate revisions by 6 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Thyroid adenoma}}
{{Thyroid adenoma}}
{{CMG}}; {{AE}} {{Ammu}}
{{CMG}}; {{AE}} {{RAK}}
==Overview==
==Overview==
Thyroid adenoma may be classified based on [[FNA]] [[cytology]] into 6 groups include macrofollicular, [[Adenomatoid tumor|adenomatoid]], colloid [[adenomas]], [[nodular]] [[goiter]], lymphocytic [[thyroiditis]] and [[granulomatous]] [[thyroiditis]].
==Classification==
==Classification==
==Classification==
*Thyroid adenoma may be classified based on [[Fine needle aspiration]] (FNA) cytology into 6 groups (known as The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC)) :<ref name="pmid198888582">{{cite journal| author=Cibas ES, Ali SZ| title=The Bethesda System for Reporting Thyroid Cytopathology. | journal=Thyroid | year= 2009 | volume= 19 | issue= 11 | pages= 1159-65 | pmid=19888858 | doi=10.1089/thy.2009.0274 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19888858  }}</ref>
Almost all [[thyroid]] adenomas are follicular adenomas.<ref name="isbn0-7216-0187-1">{{cite book |author=Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; Nelso Fausto; Robbins, Stanley L.; Abbas, Abul K. |title=Robbins and Cotran pathologic basis of disease |publisher=Elsevier Saunders |location=St. Louis, Mo |year=2005 |pages=1117 |isbn=0-7216-0187-1 |oclc= |doi= |accessdate=}}</ref> Follicular adenomas can be described as "cold", "warm" or "hot" depending on their level of function.<ref name="urlEndocrine Pathology">{{cite web |url=http://library.med.utah.edu/WebPath/ENDOHTML/ENDO037.html |title=Endocrine Pathology |format= |work= |accessdate=2009-05-08}}</ref> [[Histopathological]]ly, follicular adenomas can be classified according to their cellular architecture and relative amounts of cellularity and colloid into the following types:
** Macrofollicular
*Fetal (microfollicular) - these have the potential for microinvasion.<ref name=Kelley2008/> These consist of small, closely packed follicles lined with epithelium.<ref>[http://medical-dictionary.thefreedictionary.com/microfollicular+adenoma TheFreeDictionary > microfollicular adenoma] Citing: Dorland's Medical Dictionary for Health Consumers. Copyright 2007</ref>
** [[Adenomatoid tumor|Adenomatoid]]/[[Hyperplasia|hyperplastic]] [[nodules]]
* Colloid (macrofollicular) - these do ''not'' have any potential for microinvasion<ref name=Kelley2008/>
** [[Colloid]] [[adenomas]]
* Embryonal (atypical) - have the potential for microinvasion.<ref name=Kelley2008/>
** [[Nodular]] [[goiter]]
* Hürthle cell adenoma (oxyphil or oncocytic tumor) - have the potential for microinvasion.<ref name=Kelley2008/>
** [[Lymphocytic thyroiditis]]
* Hyalinizing trabecular adenoma<ref>{{Cite journal | pmid = 21940281| year = 2011| author1 = Ünlütürk| first1 = U| title = Hyalinizing trabecular tumor in a background of lymphocytic thyroiditis: A challenging neoplasm of the thyroid| journal = Endocrine Practice| volume = 17| issue = 6| pages = e140–3| last2 = Karaveli| first2 = G| last3 = Sak| first3 = S. D.| last4 = Erdoğan| first4 = M. F.| doi = 10.4158/EP11138.CR}}</ref>
** [[Granulomatous thyroiditis]]
 
*For information on the classification of thyroid [[nodules]], [[Thyroid nodule classification|click here]].


Papillary adenomas are very rare.<ref name=Kelley2008>[http://emedicine.medscape.com/article/850823-overview#aw2aab6b4 emedicine > Thyroid, Evaluation of Solitary Thyroid Nodule > Benign Thyroid Nodules] By Daniel J Kelley and Arlen D Meyers. Updated: Oct 17, 2008</ref>
==Reference==
{{Reflist|2}}
[[Category:Disease]]
[[Category:Endocrinology]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Surgery]]

Latest revision as of 23:55, 11 October 2019

Thyroid adenoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Thyroid adenoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Thyroid adenoma classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Thyroid adenoma classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Thyroid adenoma classification

CDC on Thyroid adenoma classification

Thyroid adenoma classification in the news

Blogs on Thyroid adenoma classification

Directions to Hospitals Treating Thyroid adenoma

Risk calculators and risk factors for Thyroid adenoma classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Roukoz A. Karam, M.D.[2]

Overview

Thyroid adenoma may be classified based on FNA cytology into 6 groups include macrofollicular, adenomatoid, colloid adenomas, nodular goiter, lymphocytic thyroiditis and granulomatous thyroiditis.

Classification

Reference

  1. Cibas ES, Ali SZ (2009). "The Bethesda System for Reporting Thyroid Cytopathology". Thyroid. 19 (11): 1159–65. doi:10.1089/thy.2009.0274. PMID 19888858.