PMID- 37202787 OWN - NLM STAT- MEDLINE DCOM- 20230522 LR - 20230522 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 18 IP - 1 DP - 2023 May 18 TI - Feasibility of fine needle aspiration for diagnosis of b-cell lymphoma of the thyroid: a case series and review of the literature. PG - 69 LID - 10.1186/s13000-023-01346-4 [doi] LID - 69 AB - BACKGROUND: Primary thyroid lymphoma (PTL) is a rare cancer accounting for approximately 5% of thyroid malignancies. Historically, incisional biopsy has been the gold standard for definitive diagnosis of PTL, however, the use of cell block as an adjunct to fine needle aspiration (FNA) provides a high sensitivity and specificity for diagnosis and classification. METHODS: Three patients presented with a symptomatic enlarging thyroid mass. Patient 1 underwent incisional biopsy under general anesthesia, Patient 2 underwent core needle biopsy to avoid high risk intubation, and Patient 3 underwent fine needle aspiration alone with the use of cell block. RESULTS: All patients were diagnosed with a fully classified non-Hodgkin's lymphoma using immunohistochemistry, flow cytometry, and fluorescence in situ hybridization (FISH) analysis. CONCLUSIONS: FNA for diagnosis of some subtypes of PTL is feasible and preferred in cases that are particularly high risk for general anesthesia. This minimally invasive technique is safe and cost effective as it avoids expenses associated with operative intervention. CI - (c) 2023. The Author(s). FAU - Karabachev, Alexander D AU - Karabachev AD AD - Department of Otolaryngology, University of Cincinnati Medical Center, Cincinnati, OH, USA. karabaar@ucmail.uc.edu. AD - Robert Larner College of Medicine, University of Vermont, Burlington, VT, USA. karabaar@ucmail.uc.edu. FAU - Brundage, William J AU - Brundage WJ AD - Robert Larner College of Medicine, University of Vermont, Burlington, VT, USA. AD - Department of Surgery, Division of Otolaryngology, University of Vermont Medical Center, Burlington, VT, USA. FAU - Sajisevi, Mirabelle B AU - Sajisevi MB AD - Robert Larner College of Medicine, University of Vermont, Burlington, VT, USA. AD - Department of Surgery, Division of Otolaryngology, University of Vermont Medical Center, Burlington, VT, USA. FAU - Ciolino, Allison L AU - Ciolino AL AD - Robert Larner College of Medicine, University of Vermont, Burlington, VT, USA. AD - Department of Pathology and Laboratory Medicine, University of Vermont Medical Center, Burlington, VT, USA. LA - eng PT - Journal Article PT - Review DEP - 20230518 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 SB - IM MH - Humans MH - Biopsy, Fine-Needle/methods MH - In Situ Hybridization, Fluorescence MH - Feasibility Studies MH - *Lymphoma, B-Cell/diagnosis MH - *Lymphoma/pathology MH - *Thyroid Neoplasms/diagnosis/pathology PMC - PMC10193605 OTO - NOTNLM OT - Cell block OT - Diagnosis OT - Fine needle aspiration OT - Pathology OT - Thyroid cancer-clinical OT - Thyroid lymphoma COIS- There are no competing interests with any of the authors or individuals mentioned in our acknowledgments. EDAT- 2023/05/19 01:05 MHDA- 2023/05/22 06:42 PMCR- 2023/05/18 CRDT- 2023/05/18 23:33 PHST- 2022/11/09 00:00 [received] PHST- 2023/04/25 00:00 [accepted] PHST- 2023/05/22 06:42 [medline] PHST- 2023/05/19 01:05 [pubmed] PHST- 2023/05/18 23:33 [entrez] PHST- 2023/05/18 00:00 [pmc-release] AID - 10.1186/s13000-023-01346-4 [pii] AID - 1346 [pii] AID - 10.1186/s13000-023-01346-4 [doi] PST - epublish SO - Diagn Pathol. 2023 May 18;18(1):69. doi: 10.1186/s13000-023-01346-4.