5内分泌系统课件教案.ppt

Differential diagnosis of multinodular goiter vs. follicular adenoma Multinodular goiter Usually does not compress adjacent thyroid Variable encapsultion Comparable growth pattern in adjacent gland Dilated follicles and colloid nodules in gland common Polyclonal cell population Usually solitary nodule Compression of nonneoplastic thyroid Well-developed capsule Different growth pattern in adjacent gland Remainder of gland usually without histopathologic abnormalities Monclonal cell population Thyroid carcinomas Papillary carcinoma Follicular carcinoma Anaplastic carcinoma Medullary amy