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Acta Cytologica Aspiration Cytology of I-Induced Thyroiditis A Case Report Gustavo L. de la Roza, M.D., Kristin C. Burke, C.T.(ASCP), J. Stephen Dumler, M.D., and Seena C. Aisner, M.D. BACKGROUND: Fine needle aspiration (FNA) has be- fibrosis and follicular atrophy. Marked nuclear atypia come an indispensable diagnostic tool for the investiga- was seen in the follicular cells. 131 131 tion of thyroid nodules. Although I may induce mor- CONCLUSION: FNA of thyroid glands exposed to I phologic changes similar to may show significantly those associated with exter- large, atypical follicular cells nal radiation, a known diag- in addition to classical FNA of I-exposed thyroid glands nostic pitfall, the cytology changes of nodular goiter may reveal large, atypical cells in literature on the subject is and/or chronic lymphocytic very sparse. This case exem- thyroiditis. Although the addition to classical changes of plifies the thyroid cytologic clinical history and the dif- 131 nodular goiter and/ or chronic changes associated with I fuse nature of the process exposure. may favor a benign process thyroiditis. CASE: A 50-year-old male in most cases, the presence of with a remote history of I marked atypia could lead to a exposure had an indurated thyroid on
Acta Cytologica – Karger
Published: Jan 1, 2011
Keywords: thyroiditis; aspiration biopsy; radioiodine-induced thyroiditis
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