Diagnostic Pathology and Molecular Genetics of the Thyroid, Second Edition, offers a comprehensive overview of the diagnostic surgical pathology, cytopathology, immunohistochemistry and molecular genetics of the thyroid diseases, including neoplastic and non-neoplastic conditions. The book provides a detailed description of the surgical pathology of thyroid diseases side by side with major advances in immunohistochemistry and molecular genetics that can be used in evaluating thyroid tumors and non-neoplastic diseases.
In recent years, a series of excellent textbooks have been published dealing with pathology of the thyroid gland. The present volume of CURRENT TOPICS IN PATHOLOGY provides further information for both pathologists and clinicians interested in the thyroid gland. The contributions deal with surgical pathology of the thyroid as well as with basic aspects of thyroid metabolism, hormone transport, and growth factors in thyroid cells. The topics covered in this book should mainly be considered as adjuncts to common textbooks on thyroid pathology. The contributions should help pathologists in their routine diagnosis and should stimulate further thyroid research.
This atlas is the offspring of the “The National Cancer Institute (NCI) Thyroid Fine Needle Aspiration (FNA) State of the Science Conference,” hosted by the NCI and organized by Dr. Andrea Abati. Preparations for the conference began 18 months earlier with the designation of a steering committee and the establishment of a dedicated, p- manent web site. The meeting took place on October 22 and 23, 2007 in Bethesda, Maryland and was co-moderated by Susan J. Mandel and Edmund S. Cibas. The discussions and conclusions regarding terminology and morphologic criteria 1, 2 from the meeting were summarized in publications by Baloch et al. and form the framework for this atlas. The atlas is organized by the general categories of “Nondiagnostic,” “Benign,” “Follicular Neoplasm/Suspicious for a Follicular Neoplasm”, “Suspicious for Malignancy,” and “Malignant,” and it includes the defi- tions and morphologic criteria of these categories as set forth by Baloch et al. The majority of the conference participants also agreed on a category of “undetermined significance,” which is incorporated in this atlas (Chap. 4). It is critical that the cytopathologist communicate thyroid FNA interpretations to the referring physician in terms that are succinct, unambiguous, and helpful clinically. We recognize that the terminology used here is a flexible framework that can be modified by individual laboratories to meet the needs of their providers and the patients they serve.
When the Medicare program was established in 1965, it was viewed as a form of financial protection for the elderly against catastrophic medical expenses, primarily those related to hospitalization for unexpected illnesses. The first expansions to the program increased the eligible population from the retired to the disabled and to persons receiving chronic renal dialysis. It was not until 1980 that an expansion of services beyond those required "for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member" was included in Medicare. These services, known as preventive services, are intended either to prevent disease (by vaccination) or to detect disease (by diagnostic test) before the symptoms of illness appear. A Committee was formed "to conduct a study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries under Title XVIII of the Social Security Act for some or all Medicare beneficiaries."
Written by a leading expert in thyroid biopsy interpretation, this text/atlas is the most comprehensive reference on thyroid pathology. It contains over 1,700 full-color photomicrographs depicting the full range of findings seen on fine needle aspiration biopsies. The illustrations show the wide spectrum of cytologic features for each disease entity, including unusual as well as typical patterns. Particular attention is given to diagnostic pitfalls, overlapping patterns, and differential diagnosis. The book also includes chapters on basic concepts of cytopathology, fine-needle aspiration biopsy techniques, cytopreparation, ancillary diagnostic techniques, liquid-based cytologic preparations, and the application of needle biopsy findings to management decisions. The fully searchable online text and a full-color image bank are available on a companion Website. (www.kinisolution.com)
Thyroid Diseases is a comprehensive reference supported by a useful selection of schematic diagrams, tables, and charts. Its basic science section supplements classic and recent reviews of the subject by discussing structural and functional aspects of the thyroid gland, including thyroid hormone action (receptor and non-receptor mediated) and the hypothalamic-pituitary-thyroid control mechanisms. The clinical aspect of the book critically reviews current diagnostic modalities and addresses the choice of specialized tests and optimal sequence of their performance. Diagnostic modalities discussed include in vitro radioisotopic and nonradioisotopic assays of thyroid hormone, TSH, thyroglobulin, calcitonin, and autoantibodies. The various techniques are evaluated to show which procedures are applicable for each condition. This book brings together information dispersed across the medical and radiological literature. It will benefit professionals in radiology, nuclear medicine, and endocrinology, as well as students in these fields.
This text provides a comprehensive review of the most frequently encountered diagnostic pitfalls in thyroid cytopathology. Written in a case study format, the text provides the most current and complete information on both non-neoplastic and neoplastic thyroid conditions. Each chapter focuses on a specific diagnostic challenge and/or pitfalls that help in the differential diagnosis as well as the judicious use of ancillary studies when necessary. A review of the current literature as it relates to each disease entity is also incorporated into respective chapters. Highly illustrated with ample illustration of microscopic features to tackle common and uncommon diagnostic challenge in everyday routine practice. This book provides a concise yet comprehensive summary of the common cytologic features needed to resolve the diagnostic pitfalls. Common Diagnostic Pitfalls in Thyroid Cytopathology serve as a very useful resource for pathologists and physicians dealing with, and interested in the thyroid.
The first edition of The Bethesda System for Reporting Thyroid Cytopathology was published in 2010 and has greatly influenced the practice of thyroid cytopathology. The terminology proposed and illustrated in this text has been widely adopted not only in the U.S. but also abroad. It has become an essential text for pathology trainees and practicing pathologists examining thyroid fine needle aspiration (FNA) specimens. Since 2010, there have been a number of important advances in the management of patients with nodular thyroid disease and in the understanding of the biology of thyroid cancer. This new edition includes these advances that impact terminology for reporting thyroid cytopathology. In particular, it incorporates a discussion of the recently implemented and now widespread use of molecular testing of thyroid FNA samples, which has transformed the management of patients with nodular thyroid disease in the U.S.. In addition, this edition accommodates the recent changes to the classification of thyroid cancer, most notably the introduction of a new thyroid diagnosis, that of "non-invasive follicular tumor with papillary-like nuclear features (NIFTP)". Thoroughly revised and updated, The Bethesda System for Reporting Thyroid Cytopathology, Second Edition will provide the reader with a unified approach to diagnosing and reporting thyroid FNA interpretations. It serves as a reference guide not just for pathologists, but also endocrinologists, surgeons, and radiologists.
