Thyroid

Question 1

Choose the most appropriate answer from the list

• Grave’s disease
• Thyroglossal cyst
• Riedel thyroiditis
• Primary hyperparathyroidism
• Toxic multinodular goitre
• Non-hodkgin’s lymphoma
• De Quervain’s thyroiditis
• Papillary thyroid carcinoma
• Carotid body tumour
• Medullary thyroid carcinoma
• Hashimotos thyroiditis
• Hodkgin’s lymphoma
• Brachial cyst
• Follicular carcinoma
• Plummer’s disease
• Anaplastic carcinoma

Fine needle aspirate of midline neck swelling reveals branching structures with concentric calcified rings (psammoma bodies).

Answer 1

Papillary thyroid carcinoma

Question 2

Choose the most appropriate answer from the list

• Grave’s disease
• Thyroglossal cyst
• Riedel thyroiditis
• Primary hyperparathyroidism
• Toxic multinodular goitre
• Non-hodkgin’s lymphoma
• De Quervain’s thyroiditis
• Papillary thyroid carcinoma
• Carotid body tumour
• Medullary thyroid carcinoma
• Hashimotos thyroiditis
• Hodkgin’s lymphoma
• Brachial cyst
• Follicular carcinoma
• Plummer’s disease
• Anaplastic carcinoma

Fine needle aspirate of midline neck swelling reveals diffuse mononuclear infiltration with formation of well-developed germinal centres.

Answer 2

Hashimotos thyroiditis

Question 3

Choose the most appropriate answer from the list

• Grave’s disease
• Thyroglossal cyst
• Riedel thyroiditis
• Primary hyperparathyroidism
• Toxic multinodular goitre
• Non-hodkgin’s lymphoma
• De Quervain’s thyroiditis
• Papillary thyroid carcinoma
• Carotid body tumour
• Medullary thyroid carcinoma
• Hashimotos thyroiditis
• Hodkgin’s lymphoma
• Brachial cyst
• Follicular carcinoma
• Plummer’s disease
• Anaplastic carcinoma

Fine needle aspirate of midline neck swelling extensive stromal fibrosis extending beyond the thyroid capsule.

Answer 3

Riedel thyroiditis

Question 4

Choose the most appropriate answer from the list

• Grave’s disease
• Thyroglossal cyst
• Riedel thyroiditis
• Primary hyperparathyroidism
• Toxic multinodular goitre
• Non-hodkgin’s lymphoma
• De Quervain’s thyroiditis
• Papillary thyroid carcinoma
• Carotid body tumour
• Medullary thyroid carcinoma
• Hashimotos thyroiditis
• Hodkgin’s lymphoma
• Brachial cyst
• Follicular carcinoma
• Plummer’s disease
• Anaplastic carcinoma

Fine needle aspirate of midline neck swelling nests of polygonal or spindle shaped cells which stain positive for calcitonin.

Answer 4

Medullary thyroid carcinoma

Question 5

Choose the most appropriate answer from the list

• Grave’s disease
• Thyroglossal cyst
• Riedel thyroiditis
• Primary hyperparathyroidism
• Toxic multinodular goitre
• Non-hodkgin’s lymphoma
• De Quervain’s thyroiditis
• Papillary thyroid carcinoma
• Carotid body tumour
• Medullary thyroid carcinoma
• Hashimotos thyroiditis
• Hodkgin’s lymphoma
• Brachial cyst
• Follicular carcinoma
• Plummer’s disease
• Anaplastic carcinoma

Fine needle aspirate of midline neck swelling sheets of large cells with eosonophilic cytoplasm (Hurthle cells).

Answer 5

Follicular carcinoma