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The Korean Journal of Cytopathology 1995;6(2): 193-198.
Cytopathology of Hurthle Cell Adenoma: A Cese Report by Fine Needle Aspiration.
Bohng Hee Kim, Myoung Suk Kang, Jae Hoon Park, Youn Wha Kim, Yong Ku Park, Ju Hie Lee, Moon Ho Yang
Department of Pathology, Kyung Hee University College of Medicine, Korea.
ABSTRACT
The increased use of thyroid fine needle aspiration (FNA) has refocused on Hurthle cell lesions. The cytologic diagnosis of Hurthle cell tumor is a challenge due to the presence of Hurthle cells in non-neoplastic lesions and the inability to differentiate between benign and malignant Hurthle cell tumor. We report a case of Hurthle cell adenoma(HCA) in a 68-year old woman, with reivew of the cytopathologic findings. FNA revealed losely cohesive or sheets of sheets of large oval to polygonal Hurthle cells containing bundant granular cytoplasm. The histopathologic examination confirmed the diagnosis of HCA with follicular growth pattern, Ultrastructurally, the cytoplasm was packed with variable sized mitochondria.
Key Words: Hurthle cell adenoma; Fine needle aspiration cytology