Korean J Cytopathol.  2000 Dec;11(2):109-114.

Fine Needle Aspiration Cytology of Amyloid Goiter: A Case Report

• Chae SW
• Sohn JH
• Nam ES
• Kim DH
• Shin HS

Abstract

Amyloid goiter is a rare disease entity that is defined as a symptomatic mass or clinically detectable thyroid enlargement because of amyloid deposition. We present a case of amyloid goiter diagnosed in the fine needle aspiration cytology(FNAC) in a 73-year-old Korean woman presented with nephrotic syndrome and thyroid enlargement. The thyroid function was in normal range. Thyroid scan showed a nodule, 4x2 cm in the right lobe with underlying diffuse goiter. Aspirates revealed benign looking follicular cells and scattered eosinophilic material. The sections of the cell block showed nodular deposit of eosinophilic hyalinized material in the interfollicular area. It showed apple-green birefringence under polarization with Congo red stain. The renal biopsy also exhibited deposition of eosinophilic materials in the glomeruli and interstitial vascular wall, which were confirmed as amyloidosis. This material was morphologically distinct from the colloid.

Keyword

Amyloid goiter; Fine needle aspiration cytology; Thyroid

MeSH Terms

Aged
Amyloid*
Amyloidosis
Biopsy
Biopsy, Fine-Needle*
Birefringence
Colloids
Congo Red
Eosinophils
Female
Goiter*
Humans
Hyalin
Nephrotic Syndrome
Plaque, Amyloid
Rare Diseases
Reference Values
Thyroid Gland
Amyloid
Colloids
Congo Red