用的是什么采图设备？怎么会有标尺？我们最近也考虑重新购买取图设备呢，能告诉一下，哪家？

 神经内分泌癌

 分化差的癌，考虑鳞癌或伴胸腺样分化的癌

 后者好像淋巴细胞不明显

 伴胸腺样分化的癌

分化差的 癌，原发？转移？

 还是甲状腺乳头状癌。

Though no apparent amyloid material or associated calcification and foreign body reaction is seen in these photos, I suspect medullary carcinoma should be ruled out. There are no follicular or glandular spaces or papillary architecture to support papillary or follicular carcinoma, and the cytology is not that of an anaplastic carcinoma. Immunohistochemical stains would definitely help.

 免疫组化排除一下类癌

 有意思的病例，更有意思的带标尺图片

 甲状腺呈胸腺样分化癌(CASTLE)

 图20－－syn，图21－－NSE, 图22－－CK, 图23－－CD5。

ki－67大于5％，CgA－，TG－，TTF－1－，CT－。

 分化差的癌，考虑鳞癌或伴胸腺样分化的癌,待IHC而定。