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Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update
Chien-Chin Chen, Jen-Fan Hang, Chih-Yi Liu, Yeh-Han Wang, Chiung-Ru Lai
J Pathol Transl Med. 2020;54(5):361-366.   Published online August 31, 2020
DOI: https://doi.org/10.4132/jptm.2020.07.17
  • 2,670 View
  • 120 Download
  • 3 Citations
AbstractAbstract PDF
In Taiwan, thyroid fine-needle aspiration cytology is easily accessible and reliable for evaluating thyroid nodules. The sonographic pattern plays a major role and is the deciding factor for aspiration. We conducted a nationwide survey in 2017 and it revealed that 31% of laboratories had adopted The Bethesda System for Reporting Thyroid Cytopathology. There was a relatively high unsatisfactory rate (24.04%) and low rates of indeterminate diagnoses, including atypia of undetermined significance/follicular lesions of undetermined significance: 4.87%, and follicular neoplasm/suspicious for a follicular neoplasm: 0.35%. Moreover, the risks of malignancy in benign, atypia of undetermined significance, and suspicious for a follicular neoplasm were relatively high. These may reflect strict diagnostic criteria for indeterminate categories and better patient selection for surgery. Improvements in specimen sampling and continuing education programs are crucial. Newly-developed thyroid cytology technologies, such as immunocytochemistry, molecular testing, and computerized cytomorphometry, may further facilitate cytology diagnoses.

Citations

Citations to this article as recorded by  
  • Comparison of fine-needle aspiration with fine-needle capillary cytology in thyroid nodules
    H Hatami, M Samsami, S Movahedinia, B Salehi, M Movahedinia, M Ardeshir
    The Annals of The Royal College of Surgeons of England.2022;[Epub]     CrossRef
  • Noninvasive follicular thyroid neoplasm with papillary-like nuclear features: its updated diagnostic criteria, preoperative cytologic diagnoses and impact on the risk of malignancy
    Hee Young Na, So Yeon Park
    Journal of Pathology and Translational Medicine.2022; 56(6): 319.     CrossRef
  • Thyroid malignancy rates according to the Bethesda reporting system in Israel - A multicenter study
    Ory Madgar, Galit Avior, Isaac Shochat, Ben-Zion Joshua, Lior Baraf, Yuval Avidor, Avi khafif, Niddal Assadi, Eran E. Alon
    European Journal of Surgical Oncology.2021; 47(6): 1370.     CrossRef
Thyroid Fine-Needle Aspiration in Taiwan: The History and Current Practice
Jen-Fan Hang, Chih-Yi Hsu, Chiung-Ru Lai
J Pathol Transl Med. 2017;51(6):560-564.   Published online October 18, 2017
DOI: https://doi.org/10.4132/jptm.2017.09.20
  • 6,686 View
  • 99 Download
  • 8 Citations
AbstractAbstract PDF
In Taiwan, thyroid cancer is the most common endocrine gland malignancy and the incidence of thyroid cancer has increased four-fold in the past two decades. Fine-needle aspiration is an accurate and cost-effective method of evaluating thyroid nodules and has been the gold-standard diagnostic tool for thyroid tumors in Taiwan since the 1980s. This article reviews the history, current practice, reporting systems, training, and quality assurance for thyroid fine-needle aspiration cytology in Taiwan.

Citations

Citations to this article as recorded by  
  • Machine Learning–Assisted Diagnostic System for Indeterminate Thyroid Nodules
    Lei Chen, Minda Chen, Qian Li, Viksit Kumar, Yu Duan, Kevin A. Wu, Theodore T. Pierce, Anthony E. Samir
    Ultrasound in Medicine & Biology.2022; 48(8): 1547.     CrossRef
  • Radiomics Nomogram for Identifying Sub-1 cm Benign and Malignant Thyroid Lesions
    Xinxin Wu, Jingjing Li, Yakui Mou, Yao Yao, Jingjing Cui, Ning Mao, Xicheng Song
    Frontiers in Oncology.2021;[Epub]     CrossRef
  • Biokinetic model of radioiodine I-131 in nine thyroid cancer patients subjected to in-vivo gamma camera scanning: A simplified five-compartmental model
    Chao-Chun Huang, Ya-Hui Lin, Samrit Kittipayak, Yi-Shi Hwua, Shan-Ying Wang, Lung-Kwang Pan, Juan Pardo-Montero
    PLOS ONE.2020; 15(5): e0232480.     CrossRef
  • Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan
    Yu-Ching Huang, Yu-Hung Chen
    Journal of Oncology.2020; 2020: 1.     CrossRef
  • Thyroid fine-needle aspiration cytology in Taiwan: a nationwide survey and literature update
    Chien-Chin Chen, Jen-Fan Hang, Chih-Yi Liu, Yeh-Han Wang, Chiung-Ru Lai
    Journal of Pathology and Translational Medicine.2020; 54(5): 361.     CrossRef
  • Machine Learning–Assisted System for Thyroid Nodule Diagnosis
    Bin Zhang, Jie Tian, Shufang Pei, Yubing Chen, Xin He, Yuhao Dong, Lu Zhang, Xiaokai Mo, Wenhui Huang, Shuzhen Cong, Shuixing Zhang
    Thyroid.2019; 29(6): 858.     CrossRef
  • Thyroid FNA cytology in Asian practice-Active surveillance for indeterminate thyroid nodules reduces overtreatment of thyroid carcinomas
    K. Kakudo, M. Higuchi, M. Hirokawa, S. Satoh, C. K. Jung, A. Bychkov
    Cytopathology.2017; 28(6): 455.     CrossRef
  • The Use of Fine-Needle Aspiration (FNA) Cytology in Patients with Thyroid Nodules in Asia: A Brief Overview of Studies from the Working Group of Asian Thyroid FNA Cytology
    Chan Kwon Jung, SoonWon Hong, Andrey Bychkov, Kennichi Kakudo
    Journal of Pathology and Translational Medicine.2017; 51(6): 571.     CrossRef
Case Study
Follicular Dendritic Cell Sarcoma of the Inflammatory Pseudotumor-like Variant Presenting as a Colonic Polyp
Shien-Tung Pan, Chih-Yuan Cheng, Nie-Sue Lee, Peir-In Liang, Shih-Sung Chuang
Korean J Pathol. 2014;48(2):140-145.   Published online April 28, 2014
DOI: https://doi.org/10.4132/KoreanJPathol.2014.48.2.140
  • 7,654 View
  • 76 Download
  • 24 Citations
AbstractAbstract PDF

Follicular dendritic cell (FDC) sarcoma is rare and is classified either as conventional type or inflammatory pseudotumor (IPT)-like variant. Extranodal presentation is uncommon and nearly all gastrointestinal FDC tumors are of the conventional type. IPT-like variant tumors occur almost exclusively in the liver and spleen and are consistently associated with Epstein-Barr virus (EBV). Here we report the case of a 78-year-old woman with an IPT-like FDC sarcoma presenting as a pedunculated colonic polyp. Histologically, scanty atypical ovoid to spindle cells were mixed with a background of florid lymphoplasmacytic infiltrate, which led to an initial misdiagnosis of pseudolymphoma. These atypical cells expressed CD21, CD23, CD35, and D2-40, and were positive for EBV by in situ hybridization, confirming the diagnosis. The patient was free of disease five months after polypectomy without adjuvant therapy. Although extremely rare, the differential diagnosis for colonic polyp should include FDC sarcoma to avoid an erroneous diagnosis. A review of the 24 cases of IPT-like FDC sarcoma reported in the literature reveal that this tumor occurs predominantly in females with a predilection for liver and spleen, and has a strong association with EBV.

Citations

Citations to this article as recorded by  
  • Granulomatous splenic mass with necrosis revealing an EBV-positive inflammatory follicular dendritic cell sarcoma
    Irena Antonia Ungureanu, Renato Micelli Lupinacci, Marie Parrens, Jean-François Emile
    Journal of Surgical Case Reports.2022;[Epub]     CrossRef
  • Case report: Hepatic inflammatory pseudotumor-like follicular dendritic cell sarcoma: A rare case and minireview of the literature
    Fan Ding, Chao Wang, Chi Xu, Hui Tang
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Follicular dendritic cell sarcoma of gastrointestinal tract with two emerging distinct subtypes: a case report and systemic review
    Hongxing Gui, Jigisha Chaudhari, Rifat Mannan
    Diagnostic Pathology.2022;[Epub]     CrossRef
  • Surgical treatment of liver inflammatory pseudotumor-like follicular dendritic cell sarcoma: A case report
    Li-Yue Fu, Jiu-Liang Jiang, Meng Liu, Jun-Jun Li, Kai-Ping Liu, Hai-Tao Zhu
    World Journal of Gastrointestinal Oncology.2022; 14(11): 2288.     CrossRef
  • Recent Advances in Digestive Tract Tumors: Updates From the 5th Edition of the World Health Organization “Blue Book”
    Raul S. Gonzalez, Anwar Raza, Robert Propst, Oyedele Adeyi, Justin Bateman, Sabrina C. Sopha, Janet Shaw, Aaron Auerbach
    Archives of Pathology & Laboratory Medicine.2021; 145(5): 607.     CrossRef
  • Hepatic inflammatory pseudotumor-like follicular dendritic cell tumor: a case report
    Ana Daniela Pascariu, Andreea Ioana Neagu, Andrei Valentin Neagu, Alexandru Băjenaru, Cezar Iulian Bețianu
    Journal of Medical Case Reports.2021;[Epub]     CrossRef
  • Inflammatory pseudotumor-like follicular dendritic cell sarcoma: Literature review of 67 cases
    Hao Wu, Peng Liu, Xiao-Ran Xie, Jing-Shu Chi, Huan Li, Can-Xia Xu
    World Journal of Meta-Analysis.2021; 9(1): 1.     CrossRef
  • New Clinicopathologic Scenarios of EBV+ Inflammatory Follicular Dendritic Cell Sarcoma
    Xiang-Nan Jiang, Yan Zhang, Tian Xue, Jie-Yu Chen, Alex C.L. Chan, Wah Cheuk, John K.C. Chan, Xiao-Qiu Li
    American Journal of Surgical Pathology.2021; 45(6): 765.     CrossRef
  • Select Epstein-Barr Virus–Associated Digestive Tract Lesions for the Practicing Pathologist
    Zainab I. Alruwaii, Elizabeth A. Montgomery
    Archives of Pathology & Laboratory Medicine.2021; 145(5): 562.     CrossRef
  • Overview of Gastrointestinal Lymphoproliferative disorders✰
    Aaron Auerbach, Nadine S. Aguilera
    Seminars in Diagnostic Pathology.2021; 38(4): 1.     CrossRef
  • Follicular dendritic cell sarcoma
    Fabio Facchetti, Matteo Simbeni, Luisa Lorenzi
    Pathologica.2021; 113(5): 316.     CrossRef
  • Hepatic inflammatory pseudotumor-like follicular dendritic cell tumor with hepatic lymphoma history
    Jiang Li, Hai-su Tao, Dong Chen, Zhi-yong Huang, Er-lei Zhang
    Medicine.2021; 100(39): e27392.     CrossRef
  • Clinicopathological characteristics of extranodal follicular dendritic cell sarcoma: A report of two cases
    Xing Zhao, Dayong Sun, Gang Zhang
    Oncology Letters.2021;[Epub]     CrossRef
  • Inflammatory pseudotumour-like follicular dendritic cell tumour of the colon with plasmacytosis mimicking EBV-positive lymphoproliferative disorder
    Ying-Ren Chen, Chi-Lin Lee, Yen-Chien Lee, Kung-Chao Chang
    Pathology.2020; 52(4): 484.     CrossRef
  • Beware the inflammatory cell-rich colonic polyp: a rare case of EBV-positive inflammatory pseudotumour-like follicular dendritic cell sarcoma with increased IgG4-positive plasma cells
    Lynne Goh, Nan Zun Teo, Lai Mun Wang
    Pathology.2020; 52(6): 713.     CrossRef
  • Epstein–Barr virus‐positive inflammatory follicular dendritic cell sarcoma presenting as a solitary colonic mass: two rare cases and a literature review
    Xiaokang Ke, Huihua He, Qingping Zhang, Jingping Yuan, Qilin Ao
    Histopathology.2020; 77(5): 832.     CrossRef
  • Inflammatory pseudotumor-like follicular dendritic cell sarcoma: A brief report of two cases
    Bi-Xi Zhang, Zhi-Hong Chen, Yu Liu, Yuan-Jun Zeng, Yan-Chun Li
    World Journal of Gastrointestinal Oncology.2019; 11(12): 1231.     CrossRef
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    Sherif A. Rezk, Xiaohui Zhao, Lawrence M. Weiss
    Human Pathology.2018; 79: 18.     CrossRef
  • A Rare Case of Epstein-Barr Virus Negative Inflammatory Pseudotumor-like Follicular Dendritic Cell Sarcoma Presenting as a Solitary Colonic Mass in a 53-Year-Old Woman; Case Report and Review of Literature
    Rossana Kazemimood, Farid Saei Hamedani, Asma Sharif, Sujata Gaitonde, Elizabeth Wiley, Pier Cristoforo Giulianotti, John Vincent Groth
    Applied Immunohistochemistry & Molecular Morphology.2017; 25(5): e30.     CrossRef
  • A Case of Inflammatory Pseudotumor-like Follicular Dendritic Cell Sarcoma of the Lymph Node in the Small Bowel Mesentery Accompanied by Myasthenia Gravis
    Daichi KITAGUCHI, Katsuji HISAKURA, Taiki SATO, Masanao KURATA, Tatsuya ODA, Nobuhiro OHKOHCHI
    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2017; 78(3): 527.     CrossRef
  • Clinicopathological features of inflammatory pseudotumour-like follicular dendritic cell tumour of the abdomen
    Yanyang Chen, Huijuan Shi, Hui Li, Tiantian Zhen, Anjia Han
    Histopathology.2016; 68(6): 858.     CrossRef
  • A Rare Case of Follicular Dendritic Cell Sarcoma with Pseudochylous Effusion and Review of Literature From India
    Kamal Kant Sahu, Gaurav Prakash, Sandeep Rao, Amanjit Bal, Pankaj Malhotra, Jasmina Ahluwalia, Rakesh K. Vashistha
    Indian Journal of Hematology and Blood Transfusion.2015; 31(2): 307.     CrossRef
  • Epstein-Barr virus–associated inflammatory pseudotumor presenting as a colonic mass
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    Human Pathology.2015; 46(12): 1956.     CrossRef
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    Robert M Conry
    Clinical Sarcoma Research.2014;[Epub]     CrossRef

JPTM : Journal of Pathology and Translational Medicine