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- 第一次并且独立做甲状腺穿刺,请指教
I need to congratulate you on your first thyroid FNA. I agree with most of the posters that this case looks benign. What stain are you using? Some stains, such as H&E and Pap stain, can get rid of the thin colloid completely, which can make wonder about follicular neoplasm. But, the bottomline is that the follicular cells here do not have features of papillary carcinoma.
I am also interested in how did you do the thyroid FNA? When I was a cytopathology fellow, I did around 250 thyroid FNAs/year just by palpation. Now, after 4-year in my current hospital, I only did <10 thyroid FNAs because almost all the thyroid FNAs are done under ultrasound guidance by endocrinologists.
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I need to congratulate you on your first thyroid FNA.首先恭喜你的首次甲状腺穿刺， I agree with most of the posters that this case looks benign.我同意多数人的意见，该例象是良性， What stain are you using?你使用什么染色，Some stains, such as H&E and Pap stain, can get rid of the thin colloid completely, 有些染色如HE 和巴氏可以完全除去薄的甲状腺胶质，which can make wonder about follicular neoplasm.这样可以诊断滤泡性肿瘤， But, the bottomline is that the follicular cells here do not have features of papillary carcinoma.但是滤泡细胞一定不能含有乳头状癌的特点， I am also interested in how did you do the thyroid FNA?我也有兴趣想知道你如何做甲状腺细针穿刺的？ When I was a cytopathology fellow, I did around 250 thyroid FNAs/year just by palpation. 当我做细胞病理医生实习时，一年内，我凭手摸着做了约250例甲状腺穿刺，Now, after 4-year in my current hospital, I only did <10 thyroid FNAs because almost all the thyroid FNAs are done under ultrasound guidance by endocrinologists.现在四年内，在我目前工作的医院里只做了不到10例穿刺，因为我们医院所有的穿刺都由内分泌医生在B超导引下做。 |
