Evaluation of thyroid lymphoma by fine needle aspiration - Overcoming the barriers and recognizing the pitfalls

2^nd International Conference on Cytopathology & Histopathology

August 10-12, 2016 Las Vegas, USA

Laura Adhikari

University of Oklahoma Health Science Center, USA

Scientific Tracks Abstracts: J Cytol Histol

Abstract :

Fine needle aspirates of the thyroid are commonly seen in practice and usually involve a workup for a clinically suspected follicular neoplasm. Lymphocytes are commonly present in these specimens � as lymphocytic thyroiditis is present in up to 45% of the general population. When the lymphocytic infiltrate gets particularly dense, when should a workup for lymphoma be triggered? Today there is still much debate over the clinical utility of fine needle aspiration for the work up in an abnormal lymphoproliferative process. A general understanding of lymphoma and reactive lymphoid processes is key to understanding tissue limitations. In an age where molecular testing is more readily available, the use of flow cytometry, fluorescence in situ hybridization (FISH), PCR, and immunohistochemical stains can be helpful in the work-up for the initial presentation of a patient with lymphadenopathy.

Biography :

Laura Adhikari, MD completed her residency training at the Mayo Clinic and completed her cytopathology fellowship at Ohio State University. She is currently at the University of Oklahoma and has published many articles on endocrine pathology focusing on pancreas and thyroid cytology. One of her most recent publications included a multi-institutional study of fine needle aspiration for thyroid lymphoma which collected data from the Washington University in St. Louis, the Ohio State University, and the Cleveland Clinic Foundation.

Email: ladhikari@path.wustl.edu