Fine-needle aspiration biopsy of papillary thyroid carcinoma

BACKGROUND Papillary thyroid carcinoma is the most common malignant neoplasm of the thyroid gland, and fine-needle aspiration biopsy (FNAB) often is the initial diagnostic method used in its detection. Prior studies have shown that immunohistochemical staining for various cytokeratins in general, an...

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Main Author: Nasser, Selim M. (author)
Other Authors: Pitman, Martha B. (author), Pilch, Ben Z. (author), Faquin, William C. (author)
Format: article
Published: 2000
Online Access:http://hdl.handle.net/10725/5166
http://dx.doi.org/10.1002/1097-0142(20001025)90:5<307::AID-CNCR7>3.0.CO;2-N
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://onlinelibrary.wiley.com/doi/10.1002/1097-0142(20001025)90:5%3C307::AID-CNCR7%3E3.0.CO;2-N/full
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author Nasser, Selim M.
author2 Pitman, Martha B.
Pilch, Ben Z.
Faquin, William C.
author2_role author
author
author
author_facet Nasser, Selim M.
Pitman, Martha B.
Pilch, Ben Z.
Faquin, William C.
author_role author
dc.creator.none.fl_str_mv Nasser, Selim M.
Pitman, Martha B.
Pilch, Ben Z.
Faquin, William C.
dc.date.none.fl_str_mv 2000
2017-02-03T09:40:22Z
2017-02-03T09:40:22Z
2017-02-03
dc.identifier.none.fl_str_mv 1934-662X
http://hdl.handle.net/10725/5166
http://dx.doi.org/10.1002/1097-0142(20001025)90:5<307::AID-CNCR7>3.0.CO;2-N
Nasser, S. M., Pitman, M. B., Pilch, B. Z., & Faquin, W. C. (2000). Fine‐needle aspiration biopsy of papillary thyroid carcinoma. Cancer Cytopathology, 90(5), 307-311.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://onlinelibrary.wiley.com/doi/10.1002/1097-0142(20001025)90:5%3C307::AID-CNCR7%3E3.0.CO;2-N/full
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Cancer Cytopathology
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Fine-needle aspiration biopsy of papillary thyroid carcinoma
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description BACKGROUND Papillary thyroid carcinoma is the most common malignant neoplasm of the thyroid gland, and fine-needle aspiration biopsy (FNAB) often is the initial diagnostic method used in its detection. Prior studies have shown that immunohistochemical staining for various cytokeratins in general, and cytokeratin 19 (CK19) in particular, can be applied as an ancillary technique for diagnosing papillary thyroid carcinoma in histologic specimens. In the current study the authors assessed the diagnostic utility of CK19 to detect papillary carcinoma effectively in cytologic preparations of thyroid FNABs. METHODS Immunocytochemical staining with CK19 was performed on cytologic aspirates from 37 papillary thyroid carcinomas and 36 other lesions of the thyroid (14 follicular adenomas, 10 multinodular goiters, 5 cases of Hashimoto thyroiditis, 6 oncocytic [Hürthle cell] neoplasms, and 1 follicular carcinoma). All cases included in the study had a corresponding histopathology specimen. RESULTS Positive immunocytochemical reactivity for CK19 was identified in 34 of 37 papillary carcinomas and in 1 of 36 other thyroid lesions (sensitivity of 92% and specificity of 97%). Although the strongest reactivity was obtained in methanol fixed thin layer preparations, the antibody also was effective in detecting papillary carcinoma in alcohol fixed and air-dried smears. The single false-positive case was a follicular adenoma with focal areas of papillary hyperplasia. All other aspirates including those from cases of Hashimoto thyroiditis, multinodular goiter, follicular adenoma, oncocytic neoplasms, and follicular carcinoma were negative. CONCLUSIONS CK19 is an effective, highly sensitive, and specific ancillary tool for the diagnosis of papillary carcinoma in thyroid FNABs. Cancer (Cancer Cytopathol) 2000;90:307–11. © 2000 American Cancer Society.
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identifier_str_mv 1934-662X
Nasser, S. M., Pitman, M. B., Pilch, B. Z., & Faquin, W. C. (2000). Fine‐needle aspiration biopsy of papillary thyroid carcinoma. Cancer Cytopathology, 90(5), 307-311.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/5166
publishDate 2000
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spelling Fine-needle aspiration biopsy of papillary thyroid carcinomaNasser, Selim M.Pitman, Martha B.Pilch, Ben Z.Faquin, William C.BACKGROUND Papillary thyroid carcinoma is the most common malignant neoplasm of the thyroid gland, and fine-needle aspiration biopsy (FNAB) often is the initial diagnostic method used in its detection. Prior studies have shown that immunohistochemical staining for various cytokeratins in general, and cytokeratin 19 (CK19) in particular, can be applied as an ancillary technique for diagnosing papillary thyroid carcinoma in histologic specimens. In the current study the authors assessed the diagnostic utility of CK19 to detect papillary carcinoma effectively in cytologic preparations of thyroid FNABs. METHODS Immunocytochemical staining with CK19 was performed on cytologic aspirates from 37 papillary thyroid carcinomas and 36 other lesions of the thyroid (14 follicular adenomas, 10 multinodular goiters, 5 cases of Hashimoto thyroiditis, 6 oncocytic [Hürthle cell] neoplasms, and 1 follicular carcinoma). All cases included in the study had a corresponding histopathology specimen. RESULTS Positive immunocytochemical reactivity for CK19 was identified in 34 of 37 papillary carcinomas and in 1 of 36 other thyroid lesions (sensitivity of 92% and specificity of 97%). Although the strongest reactivity was obtained in methanol fixed thin layer preparations, the antibody also was effective in detecting papillary carcinoma in alcohol fixed and air-dried smears. The single false-positive case was a follicular adenoma with focal areas of papillary hyperplasia. All other aspirates including those from cases of Hashimoto thyroiditis, multinodular goiter, follicular adenoma, oncocytic neoplasms, and follicular carcinoma were negative. CONCLUSIONS CK19 is an effective, highly sensitive, and specific ancillary tool for the diagnosis of papillary carcinoma in thyroid FNABs. Cancer (Cancer Cytopathol) 2000;90:307–11. © 2000 American Cancer Society.PublishedN/A2017-02-03T09:40:22Z2017-02-03T09:40:22Z20002017-02-03Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1934-662Xhttp://hdl.handle.net/10725/5166http://dx.doi.org/10.1002/1097-0142(20001025)90:5<307::AID-CNCR7>3.0.CO;2-NNasser, S. M., Pitman, M. B., Pilch, B. Z., & Faquin, W. C. (2000). Fine‐needle aspiration biopsy of papillary thyroid carcinoma. Cancer Cytopathology, 90(5), 307-311.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://onlinelibrary.wiley.com/doi/10.1002/1097-0142(20001025)90:5%3C307::AID-CNCR7%3E3.0.CO;2-N/fullenCancer Cytopathologyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/51662021-03-19T10:00:48Z
spellingShingle Fine-needle aspiration biopsy of papillary thyroid carcinoma
Nasser, Selim M.
status_str publishedVersion
title Fine-needle aspiration biopsy of papillary thyroid carcinoma
title_full Fine-needle aspiration biopsy of papillary thyroid carcinoma
title_fullStr Fine-needle aspiration biopsy of papillary thyroid carcinoma
title_full_unstemmed Fine-needle aspiration biopsy of papillary thyroid carcinoma
title_short Fine-needle aspiration biopsy of papillary thyroid carcinoma
title_sort Fine-needle aspiration biopsy of papillary thyroid carcinoma
url http://hdl.handle.net/10725/5166
http://dx.doi.org/10.1002/1097-0142(20001025)90:5<307::AID-CNCR7>3.0.CO;2-N
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://onlinelibrary.wiley.com/doi/10.1002/1097-0142(20001025)90:5%3C307::AID-CNCR7%3E3.0.CO;2-N/full