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Adequacy Criteria: Exceptions
Adequacy Criteria: Exceptions
Thyroid Cytology
Adequacy Criteria Must see at least 6 groups of well-visualized follicular
epithelial cells, each consisting of at least 10 cells.
Exceptions:
1) Abundant colloid with radiographic findings compatible
with a colloid nodule
2) Abundant inflammation with a solid nodule
(lymphocytes, granulomas, or neutrophils)
3) Atypia
Ideally, follicular epithelium should be in nice big, flat (“monolayered”) sheets, with evenly
spaced (“Honeycomb-like”) dark, round nuclei with uniformly granular chromatin.
Lymphocytic Thyroiditis
Hypercellular smear with abundant, polymorphic lymphocytes.
Hürthle cell metaplasia common (Large cells with abundant
granular cytoplasm and prominent nucleoli).
Advanced cases may be hypocellular (due to fibrosis).
Often middle-aged women with associated circulating
autoantibodies.