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Sampling to be redone.
Received 03 smears from an ultrasound-guided aspiration cytology of a 10 mm right thyroid nodule, TIRADS 4B. Microscopy: The microscopic study shows poor cellularity, made up of rare small clusters of regular follicular cells, on a hemorrhagic background, insufficient to make a reliable cytological diagnosis. Sampling to be redone.
Cytological appearance in favor of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 06 ultrasound-guided aspiration cytology smears of a 20 mm isthmic nodule, isoechoic, with clear and regular contours. Microscopy: The microscopic study shows scanty cellularity, made up of clusters and aggregates of follicular cells with regular nuclei, on a serohaematic background.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 04 ultrasound-guided cytopuncture smears of a 20 mm right lobar nodule, hypoechoic, classified EUTIRADS 4, with clear and regular contours. Microscopy: The microscopic study shows scanty cellularity, made up of clusters and aggregates of follicular cells with round or ovoid nuclei, with homogeneous chromatin, on a hemorrhagic background.
Cytological appearance very suggestive of an oncocytic papillary carcinoma of the right lobe of the thyroid.
Received 03 spreads from an ultrasound-guided cytopuncture of two thyroid nodules: Mixed right thyroid nodule of 22 mm TIRADS 4 A (02 slides). Left nodule of 14 mm TIRADS 4 A (01 slide). Microscopy: The microscopic study shows: Right lobar nodule: rich cellularity, made of isolated follicular cells or grouped in clusters, aggregates and polypoid plaques. These are often oncocytic inflection, with hypertrophied, round or ovoid nuclei, with homogeneous chromatin, some of which are provided with pseudo intranuclear inclusions. The background is colloid and hematic, dotted with siderophagous histiocytes and rare multinucleated cells. Left lobar nodule: paucicellular serohematic spread, inconclusive.
Chronic reactive lymphadenitis. ++
Received 02 ultrasound-guided aspiration cytology films of a 13 mm left laterocervical lymphadenopathy in the context of a total thyroidectomy for bifocal papillary microcarcinoma. Microscopy: The microscopic study shows moderate cellularity made up of layers of regular lymphocytic cells, mixed with activated immunoblastic and centroblastic lymphoid cells. The background is serohematic.
1- Paucicellular right lobar sample inconclusive. 2- Cytological appearance in favor of a left lobar colloid goitrous nodule. Benign cytology.
Received 03 ultrasound-guided cytopuncture smears of a right thyroid nodule of 13 mm EUTIRADS 4 (01 slide) + left lobar nodule of 19 mm EUTIRADS 4 (02 slides). Microscopy: The microscopic study shows: Right lobar nodule: poor cellularity, represented only by three small clusters of regular follicular cells, on a hemorrhagic background. Left lobar nodule: moderate cellularity, made of micro and macrovesicles, composed of follicular cells with small and regular nuclei. The background is colloid and hematic.
No evidence of galactophoric cells or atypical cells within the limits of the material examined.
Clinical information: Liquid from puncture of a breast cyst, classified ACR 3. Material transmitted: 03 cc of a liquid with a cloudy yellow appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: Microscopic study of the smears shows moderate cellularity, made almost exclusively of polynuclear neutrophils, mixed with rare histiocytic cells. No evidence of galactophoric cells or atypical cells within the limits of the material examined.
Inconclusive sampling.
Received 04 ultrasound-guided cytopuncture smears of a palpated swelling at the left axillary level, which probably corresponds to glandular tissue, poorly limited without proper wall, with development of the ductal system within it. Microscopy: Microscopic study of all smears shows acellular hemorrhagic smears.
Microscopic study of the two smears received shows an acellular serous nipple discharge fluid.
Received 02 spreads of nipple discharge. Microscopy: Microscopic study of the two smears received shows an acellular serous nipple discharge fluid.
Cytological appearance suggests a goitrous colloid nodule with oncocytic inflection. Cytology classifiable in the “benign” Bethesda category.
Received 04 smears from an ultrasound-guided aspiration cytology of a left lower polar lobar nodule measuring 14 mm, heterogeneous isoechoic with a few cystic areas with clear and regular contours. Microscopy: The microscopic study shows moderate cellularity, made of clusters and aggregates of follicular cells essentially with oncocytic inflection, with regular nuclei, on a hemorrhagic background, dotted with an aqueous colloid substance.
Cytological appearance in favor of a goitrous colloid nodule. Cytology classifiable in the benign category according to Bethesda.
The cytopuncture focused on a right apicolobar thyroid nodule, mobile when swallowed. 01 cc of a colloidal liquid was aspirated. a moderate cellularity made essentially of histiocytic cells, mixed with rare clusters of regular follicular cells, on a colloid background.
Benign cytology suggestive of breast fibroadenoma.
The cytopuncture focused on a juxta-areolar nodule of the right breast, well defined, mobile. A scant serous material was aspirated. Ultrasound: Benign-looking right breast nodule, ACR 2. Microscopy: The microscopic study shows moderate cellularity , made of clusters, aggregates and pseudopapillary structures, composed of galactophoric cells with regular nuclei, mixed with myoepithelial cells. The base is serous, dotted with bare nuclei.
Cytological appearance in favor of goitrous colloid nodules. Benign cytology.
Received 08 smears from an ultrasound-guided cytopuncture of thyroid nodular formations (classified TIRADS 3 on the right and TIRADS 4 on the left). Microscopy: The microscopic study shows: Right lobar nodule: scanty cellularity, made of clusters and aggregates of regular follicular cells, on a colloid and hematic background. Left lobar nodule: scanty cellularity, presenting the same appearance described above.
Cytological appearance consistent with papillary thyroid carcinoma.
Received 05 smears from an ultrasound-guided cytopuncture of a right lobar thyroid nodule of 13 mm, classified EUTIRADS 5. Microscopy: The microscopic study shows significant cellularity, made of clusters, aggregates of plaques and pseudopapillary structures, composed of follicular cells presenting slightly hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, some of which have pseudo intranuclear inclusions. The background is hemorrhagic.
Paucicellular sampling, not very contributory.
Received 06 ultrasound-guided cytopuncture smears of a nodular formation next to the lower pole of the parotid gland of more than 35 mm, moderately heterogeneous hypoechoic without microcalcifications, irregular contours suggestive of a pleomorphic adenoma. Microscopy: The microscopic study shows poor cellularity, made up of a few clusters and aggregates of myoepithelial-looking cells, with regular nuclei, on a hemorrhagic background.
Paucicellular sampling, inconclusive.
Received 04 smears from an ultrasound-guided cytopuncture of a right lobar nodule of 10 mm, heterogeneous isoechoic with some calcifications, with clear and regular contours, EUTIRADS 5. Microscopy: The microscopic study of all the smears received shows poor cellularity, made rare small clusters of regular follicular cells, on a serohaematic background.
Low contribution levy, to be redone with precise labeling of the spreads.
Received 08 unlabeled smears from an ultrasound-guided cytopuncture of two left lobar nodules, classifiable EUTIRADS 5. Microscopy: The study shows on three smears a scant cellularity, made of clusters and aggregates of regular follicular cells, on a background serohematic. The other five smears are hemorrhagic, acellular. No evidence of atypical cells within the limits of the material examined. Low contribution levy, to be redone with precise labeling of the spreads.
This microscopic appearance corresponds to the contents of a colloid cyst. No evidence of atypical cells
Received 02 spreads and 03 cc of a citrus yellow liquid taken by Ultrasound-guided cytopuncture of a 36 mm right thyroid cyst (1 syringe) and a 8.3 mm left lobar nodule EUTIRADS 4 (02 slides). Microscopy: The microscopic study shows: 1- Left lobar nodule: scant cellularity, made of rare clusters of regular follicular cells, on a hematic background. Conclusion 01: This microscopic appearance is suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined. 2- Right lobar thyroid cyst: the microscopic study of the smears produced shows an acellular colloid background. Conclusion 02: This microscopic appearance corresponds to the contents of a colloid cyst. No evidence of atypical cells
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 05 ultrasound-guided cytopuncture smears of a nodular formation (unspecified side) heterogeneous hyperechoic by the presence of hyperechoic trabeculae and fine fluid zones, regular and well-limited contours, TIRADS 3. Microscopy: The microscopic study shows a scanty cellularity, made of clusters and aggregates of regular follicular cells, on a serohematic background.
No evidence of atypical cells.
Clinical information: Control urinary cytology. Material transmitted:25 cc of a urinary liquid with an orange-yellow appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the different smears produced shows poor cellularity, made up of rare scattered transitional cells with regular nuclei, on a clean serous background. No evidence of atypical cells.
Cytological appearance suggests a goitrous nodule.
Received 03 smears from an ultrasound-guided cytopuncture of a 10 mm left thyroid nodule, TIRADS 4 A. Microscopy: The microscopic study shows moderate cellularity, made of clusters and aggregates of follicular cells with normal-sized nuclei, regular, on a diluted hematic background of aqueous colloid substance.
Benign cytology in favor of a goitrous colloid nodule.
Received 04 smears from an ultrasound-guided cytopuncture of a right lobar nodule measuring 08x05 mm, classifiable TIRADS 4. Microscopy: The microscopic study shows scanty cellularity, made of clusters and aggregates of regular follicular cells, on a background colloid.
Cytological appearance of suppurative lymphadenitis. Superinfected lymph node tuberculosis cannot be eliminated. To be compared with bacteriological and/or histological data.
Cytopuncture focused on a chronically evolving right sub-maxillary mass. Ultrasound: * Right side-cervical lymphadenopathy at the level of lymph node sectors I and II, measuring 24x13 mm and 36x17 mm for the largest, discreetly compressive on the sub-maxillary gland. right maxilla, the nature of which is not specific on ultrasound. A scant puriform material was aspirated. A BK culture was requested. Microscopy: The microscopic study shows very cellular necrotico-inflammatory smears, very rich in healthy and altered polymorphonuclear cells, with participation of macrophage histiocytic cells.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 04 ultrasound-guided cytopuncture smears of a left isthmo-lobar lobar nodule measuring 09 mm, discreetly hypoechoic with some calcifications, with clear and regular contours. Microscopy: The microscopic study shows poor cellularity, made up of rare clusters of regular follicular cells, on a serohematic background.
Chronic reactive lymphadenitis. ++
Received 04 ultrasound-guided FNA smears of left cervical adenopathy of 10 mm, oval and well limited, regular contours, homogeneous echostructure. Microscopy: The microscopic study shows moderate cellularity made of regular lymphocytic cells, mixed with activated lymphoid cells. The background is serohematic.
Non-contributory levy. To be redone.
Received 04 smears from an ultrasound-guided aspiration cytology of a 34 mm left basilobar thyroid nodule, classified EUTIRADS 4. Microscopy: The microscopic study of the four smears received shows paucicellular hemorrhagic smears, inconclusive.
Cytological appearance in favor of a goitrous colloid nodule. Cytology classifiable in the benign category according to Bethesda.
Received 03 smears from an ultrasound-guided cytopuncture of a 23 mm left thyroid nodule, TIRADS 3. Microscopy: The microscopic study shows significant cellularity, made of clusters, aggregates and plaques of follicular cells with regular nuclei, on a diluted hematic background of aqueous colloid substance.
Chronic reactive lymphadenitis. ++
Received 04 ultrasound-guided aspiration cytology smears of left upper laterocervical adenomegaly, with clear and regular contours of 20 mm. Microscopy: The microscopic study shows moderate cellularity made up of layers of regular lymphocytic cells, mixed with activated immunoblastic and centroblastic lymphoid cells. The background is serohematic.
Cytological appearance suggestive of a subcutaneous epidermal cyst.
The cytopuncture focused on a left peri-areolar subcutaneous nodule. Ultrasound: classified BIRADS 2/3. A little abundant pearly-white material was aspirated. Microscopy: Microscopic study shows anucleated scales, isolated or grouped in aggregates, on a fibrinous background.
Microscopic study of the prepared slides shows frankly hematic, acellular smears.
Clinical information: Cytopuncture of a breast cyst at the right IEQ level. Material transmitted: 04 cc of a liquid with a hematic appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: Microscopic study of the prepared slides shows frankly hematic, acellular smears.
Benign cytology in favor of a left lobar colloid goitrous nodule.
Fine aspiration focused on a left lobar macronodule, mobile when swallowed, classified TIRADS 3. A citrine yellow material was aspirated. Microscopy: Microscopic study shows moderate cellularity, made of clusters and aggregates of regular follicular cells, on a colloid background.
Paucicellular sample, inconclusive. To be repeated.
Received 04 smears from an ultrasound-guided aspiration cytology of a right lobar thyroid nodule, solid, (17x12) mm, classifiable TIRADS 5. Microscopy: The microscopic study of all the smears shows paucicellular, hemorrhagic smears.
This microscopic appearance is suggestive of a recurrent goitrous nodule. No evidence of atypical cells within the limits of the material examined. Higher quality control cytology would be necessary to support the diagnosis.
Received 02 ultrasound-guided cytopuncture smears of a nodule of the left thyroid compartment of 8.8 mm, classifiable TIRADS 4, post total thyroidectomy for papillary carcinoma. Microscopy: The microscopic study shows poor cellularity, made up of rare small clusters of regular follicular cells, on a hemorrhagic background.
Inconclusive sampling.
Received 04 smears from a cytopuncture of a right thyroid nodule, TIRADS 4.  Microscopic study: The microscopic study of the four slides received shows acellular hemorrhagic smears.
Benign cytology in favor of a goitrous colloid nodule.
Received 04 smears from an ultrasound-guided cytopuncture of a 16 mm right thyroid nodule, TIRADS 4 B.  Microscopic study: The microscopic study shows a scant cellularity, made of clusters and aggregates of follicular cells with regular nuclei, on a hematic background, diluted with aqueous colloid substance.
No evidence of atypical cells within the limits of the material examined.
Clinical information: Resected bladder tumor Material transmitted: 40 cc of light yellow urinary fluid. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows scanty cellularity, made up of regular paramalpighian cells, isolated or grouped in small clusters, on a clean, serous background. No evidence of atypical cells within the limits of the material examined.
Suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 07 spreads from an ultrasound-guided cytopuncture of a right lobar nodular formation of more than 35 mm in diameter, rounded, regular and well limited with a homogeneous hyperechoic range without necrosis and without micro-calcifications, TIRADS 3. Microscopy: The microscopic study shows scanty cellularity, made up of a few clusters of thyreocyte cells with regular nuclei, on a serohemorrhagic background.
Cytological appearance suggestive of a goitrous colloid nodule. No evidence of atypical cells within the limits of the material examined.
Received 02 spreads from a fine puncture of a left lobar nodule of 20 mm. Microscopy: Microscopic study shows only two clusters of regular follicular cells, on a colloid background.
No evidence of atypical cells within the limits of the material examined.
Received 02 ultrasound-guided aspiration cytology smears of bilateral, sero-bloody nipple discharge. Microscopy: The microscopic study of the two smears received shows poor cellularity, made exclusively of histiocytic cells, on a serofibrinous background. No evidence of atypical cells within the limits of the material examined.
Benign cytology in favor of a goitrous colloid nodule.
Received 06 smears from an ultrasound-guided cytopuncture of a left isthmo-lobar nodular formation of 15 mm, TIRADS 3. Microscopy: The microscopic study shows poor cellularity, made of a few clusters of regular follicular cells, on a colloid and hematic background .
No evidence of atypical cells within the limits of the material examined.
Clinical information: Cytopuncture of a breast cyst of the QSID. Material transmitted: 05 cc of a liquid with a cloudy yellow appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows poor cellularity, made exclusively of histiocytic cells, on a serofibrinous background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance suggests a papillary thyroid carcinoma.
Received 05 ultrasound-guided cytopuncture smears of a thyroid nodule:* Measurement: 10x06x07 mm* located at the level of the right lower lobe.* Irregular contours, but well defined.* Strongly hypoechoic echostructure.* Site of a few hyperechoic spots in sound breast.* Low Doppler vascularization.* EUTIRADS classifiable 5.* Absence of obvious pejorative cervical lymphadenopathy. Microscopy: The microscopic study shows a rich cellularity, made up of clusters, aggregates, plaques, pseudopapillary structures and isolated plasmacytoid cells, with hypertrophied nuclei, packed against each other in places, some of which are equipped with of grooves.The bottom is serohematic.
Cytological appearance suggestive of a colloid cyst. No evidence of atypical cells within the limits of the material examined.
Clinical information: Left isthmo lobar thyroid cyst measuring 24 mm. Material transmitted: 01 cc of a liquid with a brownish appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows a colloidal and hematic background, dotted with histiocytes and lymphocytic elements.
No evidence of atypical cells within the limits of the material examined.
Clinical information: Large pericardial effusion. Material transmitted: 30 cc of a liquid with a cloudy yellowish appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows a scant cellularity, made up of quiescent mesothelial cells isolated or grouped in small clusters, mixed with histiocytic cells, on a serous background. No evidence of atypical cells within the limits of the material examined.
Microscopic appearance suggestive of caseous necrosis. To be completed by BK culture.
Clinical information: Ultrasound-guided cytopuncture of a left suprasternal collection, carried out in this patient under anti-tuberculosis treatment for 6 months. Material transmitted: 10 cc of a liquid with a puriform appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows a fine granular necrotic background dotted with polymorphonuclear cells, lymphocytic elements and histiocytic elements, some of which are multinucleated.
acellular hemorrhagic.
Clinical information: Right ovarian cyst measuring (63x40) mm. Material transmitted/microscopy: * 10 cc of ovarian cyst puncture fluid with a brownish appearance.Centrifugation, smearing on slides and papanicolaou staining. Microscopic study of the smears produced shows an acellular hemorrhagic fluid. * 02 cc of a liquid with a hemorrhagic appearance (not labeled). Centrifugation, smearing on slides and papanicolaou staining. Microscopic study of the smears produced shows acellular hemorrhagic smears.
No evidence of atypical cells within the limits of the material examined.
Clinical information: Urinary cytology. Material transmitted: 60 cc of a light yellow urinary fluid. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows rare transitional cells with regular nuclei, on a clean, serous background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 06 ultrasound-guided cytopuncture smears of a 23 mm right lobar nodular formation, mixed, TIRADS 4. Microscopy: The microscopic study shows scanty cellularity, made up of a few clusters of regular follicular cells, on a serohaematic background.
Cytological appearance very suggestive of papillary thyroid carcinoma.
Received 04 smears from an ultrasound-guided cytopuncture of a left lobar thyroid nodule of (27x26x37) mm, bilobed, classifiable TIRADS 4. Microscopy: The microscopic study shows a rich cellularity, made of clusters, aggregates and monolayer plaques , composed of follicular cells with slightly hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, some of which have grooves. A few multinucleated cells are associated with it. The background is serohematic.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 03 ultrasound-guided cytopuncture smears of a 17 mm left thyroid nodule, EUTIRADS 4. Microscopic study: The microscopic study shows poor cellularity, made up of a few clusters of follicular cells with regular nuclei, on a hemorrhagic background.
Cytological appearance suggests a colloid goitrous nodule.
Received 04 smears from an ultrasound-guided cytopuncture of a bilobed right lobar nodule, measuring (15x15x26) mm, site of calcifications on multiheteronodular goiter, classifiable TIRADS 3. Microscopy: The microscopic study shows scanty cellularity, made up of a few clusters of follicular cells with regular nuclei, on a discreetly hematic colloid background.
Paucicellular sampling, non-contributory.
Received 06 smears from an ultrasound-guided cytopuncture of a posteromedial left lobar nodular formation, TIRADS 3. Microscopy: The microscopic study of all the smears received shows poor cellularity, made of rare small clusters of regular follicular cells, on a hemorrhagic background, insufficient to make a reliable cytological diagnosis.
No evidence of atypical cells within the limits of the material examined.
Received 01 smear of a right uniporous nipple discharge  Microscopy: The microscopic study of the smear received shows an acellular serofibrinous smear. No evidence of atypical cells within the limits of the material examined.
This cytological appearance corresponds to the contents of a colloid cyst. No evidence of atypical cells within the limits of the material examined.
Clinical information: Cytopuncture of a 20 mm right thyroid cyst. Material transmitted: 02 cc of a liquid with a brownish appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows a colloidal background dotted with some lymphocytic elements.
No evidence of atypical cells within the limits of the material examined.
Clinical information: Acute intestinal obstruction due to neoplastic process in the left colic angle. Material transmitted: 10 cc of a liquid with a serohematic appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows poor cellularity, made up of rare regular mesothelial cells, on a serohematic background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance strongly suggests a papillary thyroid carcinoma.
Received 08 smears from an ultrasound-guided cytopuncture of a right mid-lobar nodular formation measuring 14 mm, EUTIRADS 4. Microscopy: The microscopic study shows scanty cellularity, made of clusters and aggregates of follicular cells with slightly hypertrophied, packed against each other in places, with homogeneous chromatin, sometimes provided with grooves and pseudo intranuclear inclusions. The background is hemorrhagic.
Benign cytology in favor of a goitrous colloid nodule.
Received 07 smears from an ultrasound-guided cytopuncture of a cluster of grouped right lobar nodules, heterogeneous hyperechoic containing hyperechoic trabeculae, regular and well-limited confluents occupying 2/3 of the overall thyroid volume, classified TIRADS 3. Microscopy: The microscopic study shows scanty cellularity, made of clusters of regular follicular cells, on an aqueous colloid background, discreetly hematic.
Suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 04 smears from an ultrasound-guided cytopuncture of a right lobar thyroid nodule of (50x30) mm, isoechoic, well limited, with cystic foci and some calcifications, classifiable TIRADS 3. Microscopy: The microscopic study shows scanty cellularity, made of a few clusters of thyrocytic cells with regular nuclei, on a hemorrhagic background diluted with aqueous colloid substance and dotted with a few bare nuclei.
Cytological appearance suggests a non-specific galactophoritis. Histological control would be desirable if persistence after treatment.
Patient with left nipple discharge, uniporic, scanty, serohematic. Microscopy: The microscopic study shows an inflammatory background made essentially of polymorphonuclear and histiocytic cells, including multinucleated histiocytes. Note also the presence of two clusters of galactophoric cells with small, slightly densified nuclei.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 03 ultrasound-guided cytopuncture smears of a 17 mm right thyroid nodule, EUTIRADS 4. Microscopic study: The microscopic study shows scanty cellularity, made of clusters and a few microfollicular structures, composed of thyrocytic cells with nuclei of normal size, with homogeneous chromatin, regular. The background is hemorrhagic.
Chronic reactive lymphadenitis. ++
Received 04 smears of ultrasound-guided aspiration cytology of right submaxillary lymphadenopathy, measuring 12x08 mm. Microscopy: The microscopic study shows moderate cellularity made up of layers of regular lymphocytic cells, mixed with rare activated immunoblastic and centroblastic lymphoid cells. The background is serohematic.
Cytological appearance suggests an oncocytic macronodule with a dystrophic appearance. To be completed by a histological control.
Received 03 smears from an ultrasound-guided cytopuncture of a 31 mm left thyroid nodule, TIRADS 3. Microscopy: The microscopic study shows a rich cellularity, made of clusters, aggregates and monolayer plaques, composed of follicular cells with oncocytic inflection, with sometimes hypertrophied nuclei, lacking the nuclear characteristics of papillary carcinomas. The background is hemorrhagic, diluted with an aqueous colloid substance.
Cytological appearance suggestive of a breast fibroadenoma. To be compared with clinical and radiological data.
Received 05 ultrasound-guided aspiration cytology smears of a 15 mm right breast formation, ACR3. Microscopy: The microscopic study shows moderate cellularity, made of clusters and aggregates of galactophoric cells with often regular, sometimes dystrophic nuclei, on a serohematic background dotted with bare nuclei.
Cytological appearance in favor of a goitrous nodule. No evidence of atypical cells within the limits of the material examined. Cytology classifiable in category II according to Bethesda.
Received 04 smears from an ultrasound-guided cytopuncture of a 26 mm left lobar thyroid nodule, classified EUTIRADS 4. Microscopy: The microscopic study shows scanty cellularity, made of clusters and aggregates of follicular cells with regular nuclei, on a serohematic background.
Cytological appearance suggests a papillary microcarcinoma of the thyroid.
Received 04 ultrasound-guided aspiration cytology smears of a left lobar nodule measuring (06x04) mm, generally hypoechoic. Microscopy: The microscopic study shows a rich cellularity, made of clusters, aggregates and plaques of follicular cells with hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, some of which have pseudo intranuclear inclusions. background is hemorrhagic.
Cytological appearance suggestive of a goitrous nodule. Cytology classifiable in category II according to Bethesda.
Received 07 smears from an ultrasound-guided cytopuncture of a left posterior midlobar nodular formation, hyperechoic, homogeneous, oval, regular, well limited, classified TIRADS 3. Microscopy: The microscopic study shows scanty cellularity, made of clusters and of aggregates of regular follicular cells, on a diluted hematic background of aqueous colloid substance.
Cytological appearance suggestive of reactive lymphadenitis. No evidence of specific signs within the limits of the material examined. Histological control would be necessary if persistence after treatment.
Cytopuncture focused on left laterocervical lymphadenopathy that had been present for around 15 days. Ultrasound: multiple cervical lymphadenopathy. Serohematic material was aspirated. Microscopy: The microscopic study shows moderate cellularity, made essentially of lymphocytic cells, mixed with quite numerous activated lymphoid cells, on a hemorrhagic background.
we are conclusive.
Received 04 ultrasound-guided cytopuncture smears of a 34 mm left basilobar thyroid nodule, classified EUTIRADS 4. Hemorrhagic sampling taken twice. Microscopy: Microscopic study of the four smears received shows paucicellular hemorrhagic smears, inconclusive.
Inconclusive paucicellular sample, classifiable in category I according to Bethesda.
Received 05 smears from an ultrasound-guided cytopuncture of a right lobar thyroid nodule, hypoechoic, heterogeneous and blurred boundaries, measuring 24 mm, classified TIRADS 4 A. Microscopy: The microscopy study shows poor cellularity, made of rare small clusters of follicular cells regular, on a hemorrhagic background.
Cytological appearance very suggestive of papillary thyroid carcinoma.
Received 03 smears from an ultrasound-guided cytopuncture of a 13 mm left thyroid nodule, EUTIRADS 4. Microscopy: The microscopic study shows significant cellularity, made of clusters, aggregates and plaques, composed of follicular cells with nuclei slightly hypertrophied, packed against each other in places, with homogeneous chromatin, some of which have grooves. The background is hemorrhagic.
Cytological appearance very suggestive of papillary thyroid carcinoma.
Received 03 smears from an ultrasound-guided cytopuncture of a 12 mm right thyroid nodule, TIRADS 5. Microscopy: The microscopic study shows significant cellularity, made of clusters, aggregates and monolayer plaques, often composed of follicular cells with oncocytic inflection, with hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, provided with a few grooves and rare pseudo intranuclear inclusions. The background is serohematic.
Inconclusive sampling.
Received 03 smears from an ultrasound-guided aspiration cytology of a 26 mm right thyroid nodule, TIRADS 4 A. Microscopy: The microscopic study of all the smears shows paucicellular hemorrhagic smears.
Cytological appearance suggestive of an oncocytic nodule, with nuclear atypia of undetermined significance. Cytology classifiable in category III according to Bethesda.
Received 03 ultrasound-guided aspiration cytology smears of a right thyroid nodule of 11 mm, EUTIRADS 4 on autoimmune thyroiditis. Microscopy: The microscopic study shows moderate cellularity, made essentially of oncocytic cells grouped in clusters, aggregates and plaques, with slightly hypertrophied nuclei, with homogeneous chromatin. The background is serohematic dotted with scattered lymphocytic elements.
Cytological appearance suggests a goitrous colloid cystic nodule. Cytology classifiable in category II according to Bethesda.
Received 02 smears and 01cc of a yellowish colloid liquid taken by Ultrasound-guided cytopuncture of a mixed left isthmo lobar thyroid nodule of 15 mm, TIRADS 3. (01 syringe for the liquid part + 02 blades for the solid part). Microscopy: The microscopic study shows moderate cellularity, made up of clusters and plaques of follicular cells with regular nuclei, on a colloid background dotted with siderophagous histiocytes.
No evidence of atypical cells within the limits of the material examined.
Received 04 ultrasound-guided cytopuncture smears of a right breast cystic lesion measuring 08 mm, with echogenic content, classified BIRADS 3. Microscopy: The microscopic study shows moderate cellularity, made essentially of polymorphonuclear cells, histiocytic cells and a few elements lymphocytic, on a serohaematic background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance in favor of a goitrous colloid nodule. Cytology classifiable in category II according to Bethesda.
Received 04 ultrasound-guided aspiration cytology scans of a 13 mm right lobar nodule, iso-echoic and heterogeneous with some calcifications, with clear and regular contours. Microscopy: The microscopic study shows scanty cellularity, made of clusters and aggregates of follicular cells with regular nuclei, on a colloid background, dotted with siderophagous histiocytes.
Cytological appearance suggests a breast fibroadenoma.
Received 04 smears from an ultrasound-guided cytopuncture of a right supra-areolar breast nodule, oval in shape, well defined, homogeneous hypoechoic, 14x09 mm, classified ACR 3. Microscopy: The microscopic study shows moderate cellularity, made of clusters and aggregates of galactophoric cells with regular nuclei, on a serous background dotted with bare nuclei.
Benign cytology in favor of a goitrous colloid nodule. Cytology classifiable in category II according to Bethesda.
The cytopuncture focused on a left isthmo lobar thyroid macronodule, mobile on swallowing, in a context of multinodular goiter, classified TIRADS 4 a. A viscous colloid material was aspirated. Microscopy: The microscopic study shows significant cellularity, made of clusters, aggregates, monolayer plaques and vesicular structures, composed of follicular cells with regular nuclei, on a colloidal, discreetly hematic background.
Cytological appearance suggestive of a goitrous colloid nodule. No evidence of atypical cells within the limits of the material examined.
Received 04 smears from an ultrasound-guided aspiration cytology of a left lobar nodule of 41 mm, heterogeneous iso-echoic with cystic changes within it, with clear and regular contours. Microscopy: The microscopic study shows scanty cellularity, made up of a few clusters of regular follicular cells, on a colloid background.
Cytological appearance very suggestive of superinfected tuberculous lymphadenitis. To be compared with the results of the tuberculin IDR.
Received 04 ultrasound-guided cytopuncture smears of a right laterocervical lymphadenopathy 12 mm high, with a well-defined oval shape, without necrotic changes. Microscopy: The microscopic study shows an inflammatory necrotic background rich in polynuclear cells and histiocytic elements, dotted with some aggregates of epithelioid histiocytic cells, associated with rare multinucleated giant cells.
This appearance is suggestive of a benign nodular lesion. No evidence of atypical cells within the limits of the material examined.
The cytopuncture focused on a nodule of the QSI of the right breast, mobile with the gland. Ultrasound: Multi-locular cyst of the right breast. Hemorrhagic material was aspirated (nodule bleeding spontaneously on contact with the needle). Microscopy: The microscopic study shows scanty cellularity, made up of clusters and aggregates of regular galactophoric cells, on a hemorrhagic background.
No evidence of atypical cells within the limits of the material examined.
Clinical information: Pericardial effusion. History of craniopharyngioma operated on several times. Material transmitted: 07 cc of a liquid with a serohematic appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears shows scanty cellularity, made essentially of lymphocytic cells, mixed with a few histiocytic elements, on a serofibrinous background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined.
Received 06 ultrasound-guided aspiration cytology smears of a 27 mm right midlobar nodule, heterogeneous isoechoic with some calcifications, with clear and regular contours. Microscopy: The microscopic study shows poor cellularity, made up of rare small clusters of regular follicular cells, on a serohematic background.
Cytological appearance in favor of a goitrous nodule with oncocytic inflection. No evidence of atypical cells within the limits of the material examined.
Received 03 ultrasound-guided cytopuncture smears of a 27 mm right thyroid nodule, TIRADS 3. Microscopy: The microscopic study shows moderate cellularity, made up of clusters and aggregates of follicular cells often with oncocytic inflection, at the nuclei regular, on a serohaematic background.
No evidence of atypical cells within the limits of the material examined.
Clinical Information: Pleural fluid. Material transmitted: 10 cc of a pleural fluid with a serohematic appearance. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study of the smears produced shows moderate cellularity, made essentially of lymphocytic cells, mixed with rare regular mesothelial cells. The background is serohematic. No evidence of atypical cells within the limits of the material examined.
Cytological appearance suggestive of a goitrous nodule. No evidence of atypical cells within the limits of the material examined. Cytology classifiable in category II according to Bethesda.
Received 03 smears from an ultrasound-guided cytopuncture of a right thyroid nodule measuring 09 mm, EUTIRADS 4. Microscopy: The microscopic study shows moderate cellularity, made of clusters, aggregates and vesicular structures, composed of follicular cells at regular nuclei, sometimes dystrophic, on a hemorrhagic background, dotted with a scanty fine colloid substance.
Absence of atypical cells within the limits of the material examined.
Clinical information:- Urinary cytology.- Patient followed for TVNIM. Material transmitted: 60 cc of a light yellow urinary fluid. Centrifugation, spreading on slides and papanicolaou staining. Microscopy: The microscopic study shows scanty cellularity, made of mature transitional cells with regular nuclei, on a serous background, dotted with polynuclear cells. Absence of atypical cells within the limits of the material examined.
Cytological appearance in favor of a goitrous colloid nodule. Cytology classifiable in category II according to Bethesda.
Received 03 smears from an ultrasound-guided cytopuncture of a 24 mm left thyroid nodule, TIRADS 4 A.  Microscopic study: The microscopic study shows moderate cellularity, made of clusters and aggregates of regular follicular cells, on a colloid background , discreetly hematic.
No evidence of atypical cells within the limits of the material examined.
Received 02 spreads of unipore nipple discharge from the right breast. Microscopy: The microscopic study shows rich cellularity, made exclusively of histiocytic cells, on a serofibrinous background. No evidence of atypical cells within the limits of the material examined.
Cytological appearance suggests a goitrous nodule. Cytology classifiable in category II according to Bethesda.
Received 03 smears from an ultrasound-guided cytopuncture of a 15 mm left thyroid nodule, EUTIRADS 4. Microscopy: The microscopic study shows moderate cellularity, made of clusters and aggregates of regular follicular cells, on a sero- hematic.
Cytological appearance suspicious of papillary thyroid carcinoma, calling for histological control.
Received 05 ultrasound-guided cytopuncture spreads of a right lower lobar nodule measuring (33x27x21) mm, mixed heterogeneous, with clear and regular contours. Microscopy: The microscopic study shows a scant cellularity, made of clusters and aggregates of follicular cells with slightly hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, some of which are provided with grooves.The bottom is hemorrhagic, dotted with siderophagous histiocytes.
Inconclusive sampling.
Received 02 smears from an ultrasound-guided cytopuncture of a right supra-areolar breast nodule of 19 mm, oval, well limited, hypoechoic, without calcification or attenuation, classifiable BIRADS 3. Microscopy: The microscopic study of the two smears received shows acellular serous smear.
Cytological appearance suggestive of superinfected caseous necrosis. To be compared with clinical, paraclinical and bacteriological data in particular.
Received 04 ultrasound-guided aspiration cytology smears of left side-cervical lymphadenopathy, hypoechoic, largely necrotic, with a long axis of more than 30 mm with significant locoregional inflammatory changes. Microscopy: The microscopic study shows rich cellularity, made essentially of healthy and altered polymorphonuclear cells, mixed with histiocytic cells, on a fine granular eosinophilic necrotic film.
Cytological appearance which may suggest an intragalactophoric papillary lesion, calling for histological control.
Patient with no particular history, presenting a right uniporic nipple discharge, after an episode of mastitis. Ultrasound: Discreet bilateral ductal dilatation more marked on the right with certain ducts with thick content. BIRADS 3 of the ACR. Microscopy: The microscopic study shows a scant cellularity made up of clusters, a few pseudopapillary structures and aggregates of galactophoric cells sometimes with an apocrine appearance, with round or ovoid nuclei, not very atypical. The background is serohematic.
This microscopic appearance may correspond either to an ectopic thyroid nodule or to a lymph node location of the papillary carcinoma already known in this patient. Interest in histological control.
Received 02 ultrasound-guided aspiration cytology films of a 16 mm left laterocervical lymphadenopathy, performed in this patient with a history of total thyroidectomy for papillary microcarcinoma. Microscopy: The microscopic study shows poor cellularity, made up of a few clusters of thyreocyte cells with abundant cytoplasm, with slightly hypertrophied nuclei, with homogeneous chromatin, mixed with lymphocytic elements. The background is hemorrhagic, dotted with lymphocytic elements.
This microscopic appearance is in favor of a colloid goitrous nodule. Cytology classifiable in category II according to Bethesda.
Received 02 smears and 02 cc of a brownish liquid collected by cytopuncture ultrasound-guided examination of a 14 mm right thyroid nodule TIRADS 4 A (02 blades) + 18 mm right lobar cyst TIRADS 2 (01 syringe). Microscopy: The microscopic study shows: 1- Right lobar nodule: moderate cellularity, made of clusters and aggregates of regular follicular cells, on a colloid background, discreetly hematic. This microscopic appearance is in favor of a colloid goitrous nodule. Cytology classifiable in category II according to Bethesda.2- Right lobar cyst: colloid background, dotted with macrophage histiocytes. This microscopic appearance is suggestive of a colloid cyst. No evidence of atypical cells within the limits of the material examined.
Paucicellular sample, inconclusive. To be repeated with a better quality sample.
Received 06 smears from an ultrasound-guided cytopuncture of a left lower lobar thyroid nodular formation measuring more than 10 mm long axis, classified EUTIRADS 4. Microscopy: The microscopic study of all the smears shows a single small cluster of follicular cells at the nuclei crushed, on a hemorrhagic background.
Cytological appearance consistent with a papillary microcarcinoma with oncocytic inflection, in a context of chronic lymphocytic thyroiditis.
Received 03 ultrasound-guided aspiration cytology smears of a 05 mm right thyroid nodule, TIRADS 4 on thyroiditis. Microscopy: The microscopic study shows moderate cellularity, characterized by the presence of flaps of follicular cells with oncocytic inflection, with hypertrophied nuclei, packed against each other in places, with homogeneous chromatin, some of which are provided with pseudo intranuclear inclusions. It is associated with clusters of regular follicular cells. The background is hemorrhagic, rich in lymphocytic elements.
Inconclusive sampling.
Received 05 smears from an ultrasound-guided cytopuncture of left lobar nodular formations, EUTIRADS 4.  Microscopic study: The microscopic study of all the smears shows paucicellular sero-hemorrhagic smears.
Inconclusive sampling.
Received 01 spread of a fine puncture of a small breast nodule at the level of the QSI of the left breast, classified ACR2. Microscopy: Microscopic study shows an acellular serous smear.