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Erschienen in: Indian Journal of Surgery 1/2016

30.10.2015 | Review Article

Hurthle Cell Lesion: Controversies, Challenges, and Debates

verfasst von: Michael Shawky, Mahmoud Sakr

Erschienen in: Indian Journal of Surgery | Ausgabe 1/2016

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Abstract

Hurthle cell lesion is one of the most questionable clinico-pathological entities in most of its aspects. Literature has used the terms oncocytic, oxyphilic, Hurthle, and Ashkanazy interchangeably; what does each term denote? Who first described these cells? What is the cell of origin? How much Hurthle cells should be present to define the lesion as Hurthle cell one? Is it possible to differentiate hyperplastic from neoplastic and benign from malignant Hurthle cell lesion on a non-histopathologic ground? Does it belong to follicular or to papillary neoplasms or should it be classified separately? Can we anticipate its clinical behavior or predict its outcome? How can we manage? We will try to answer these questions in light of the ongoing relevant arguments with the aim of resolving some uncertainties and suggesting how to solve others.
Literatur
1.
Zurück zum Zitat Wakely PE Jr (2008) Oncocytic and oncocyte-like lesions of the head and neck. Ann Diagn Pathol 12(3):222–230PubMedCrossRef Wakely PE Jr (2008) Oncocytic and oncocyte-like lesions of the head and neck. Ann Diagn Pathol 12(3):222–230PubMedCrossRef
2.
Zurück zum Zitat Kontaxis A, Zanarotti U, Kainz J, Beham A (2004) Die diffuse Onkozytose der Glandula Parotidea. Laryngo-Rhino-Otologie 83(03):185–188PubMedCrossRef Kontaxis A, Zanarotti U, Kainz J, Beham A (2004) Die diffuse Onkozytose der Glandula Parotidea. Laryngo-Rhino-Otologie 83(03):185–188PubMedCrossRef
3.
Zurück zum Zitat Prabakaran SS, Chen F, Aguirre A (2010) Oncocytoma of the parotid gland and its mimickers: a comprehensive review. N Am J Med Sci 3:171–180CrossRef Prabakaran SS, Chen F, Aguirre A (2010) Oncocytoma of the parotid gland and its mimickers: a comprehensive review. N Am J Med Sci 3:171–180CrossRef
4.
Zurück zum Zitat Mete O, Asa SL (2010) Oncocytes, oxyphils, Hurthle, and Askanazy cells: morphological and molecular features of oncocytic thyroid nodules. Endocr Pathol 21(1):16–24PubMedCrossRef Mete O, Asa SL (2010) Oncocytes, oxyphils, Hurthle, and Askanazy cells: morphological and molecular features of oncocytic thyroid nodules. Endocr Pathol 21(1):16–24PubMedCrossRef
5.
Zurück zum Zitat Hurthle K (1894) BeitrÃgezurKenntniss des Secretionsvorgangs in der. SchilddrÃse. Pflugers Arch Physiol 56:10–44CrossRef Hurthle K (1894) BeitrÃgezurKenntniss des Secretionsvorgangs in der. SchilddrÃse. Pflugers Arch Physiol 56:10–44CrossRef
6.
Zurück zum Zitat Ashkanazy M (1898) Pathologisch-anatomischeBeitrÃgezurKenntniss des. MorbusBasedowii, insbesondere über die dabeiauftretendeMuskelerkrankung. Dtsch Arch Klin Med 61:118–186 Ashkanazy M (1898) Pathologisch-anatomischeBeitrÃgezurKenntniss des. MorbusBasedowii, insbesondere über die dabeiauftretendeMuskelerkrankung. Dtsch Arch Klin Med 61:118–186
7.
Zurück zum Zitat Johnson TL, Lloyd RV, Burney RE, Thompson NW (1987) Hurthle cell thyroid tumors. An immunohistochemical study. Cancer 59(1):107–112PubMedCrossRef Johnson TL, Lloyd RV, Burney RE, Thompson NW (1987) Hurthle cell thyroid tumors. An immunohistochemical study. Cancer 59(1):107–112PubMedCrossRef
8.
Zurück zum Zitat Clark OH, Gerend PL (1985) Thyrotropin receptor-adenylate cyclase system in Hurthle cell neoplasms. J Clin Endocrinol Metab 61(4):773–778PubMedCrossRef Clark OH, Gerend PL (1985) Thyrotropin receptor-adenylate cyclase system in Hurthle cell neoplasms. J Clin Endocrinol Metab 61(4):773–778PubMedCrossRef
9.
Zurück zum Zitat Chen H, Udelsman R (2005) Chapter 14 - Hürthle cell adenoma and carcinoma. In: Kebebew OHC-YD (ed) Textbook of endocrine surgery, 2nd edn. W.B. Saunders, Philadelphia, pp 123–128CrossRef Chen H, Udelsman R (2005) Chapter 14 - Hürthle cell adenoma and carcinoma. In: Kebebew OHC-YD (ed) Textbook of endocrine surgery, 2nd edn. W.B. Saunders, Philadelphia, pp 123–128CrossRef
10.
Zurück zum Zitat Evans HL, Vassilopoulou-Sellin R (1998) Follicular and Hurthle cell carcinomas of the thyroid: a comparative study. Am J Surg Pathol 22(12):1512–1520PubMedCrossRef Evans HL, Vassilopoulou-Sellin R (1998) Follicular and Hurthle cell carcinomas of the thyroid: a comparative study. Am J Surg Pathol 22(12):1512–1520PubMedCrossRef
11.
Zurück zum Zitat Sanders LE, Silverman M (1998) Follicular and Hürthle cell carcinoma: predicting outcome and directing therapy. Surgery 124(6):967–974PubMedCrossRef Sanders LE, Silverman M (1998) Follicular and Hürthle cell carcinoma: predicting outcome and directing therapy. Surgery 124(6):967–974PubMedCrossRef
12.
Zurück zum Zitat Masood S, Auguste L-J, Westerband A et al (1993) Differential oncogenic expression in thyroid follicular and Hürthle cell carcinomas. Am J Surg 166(4):366–368PubMedCrossRef Masood S, Auguste L-J, Westerband A et al (1993) Differential oncogenic expression in thyroid follicular and Hürthle cell carcinomas. Am J Surg 166(4):366–368PubMedCrossRef
13.
Zurück zum Zitat Stankov K, Romeo G (2003) Oxyphilic carcinoma of the thyroid gland. Arch Oncol 11(2):81–89CrossRef Stankov K, Romeo G (2003) Oxyphilic carcinoma of the thyroid gland. Arch Oncol 11(2):81–89CrossRef
14.
Zurück zum Zitat Rosai J, Kuhn E, Carcangiu ML (2006) Pitfalls in thyroid tumour pathology. Histopathology 49(2):107–120PubMedCrossRef Rosai J, Kuhn E, Carcangiu ML (2006) Pitfalls in thyroid tumour pathology. Histopathology 49(2):107–120PubMedCrossRef
16.
Zurück zum Zitat Kroeker T, Prisman E, Shah M et al (2014) Hurthle cell lesions-a retrospective review of final surgical pathology. Thyroid Disord Ther 3(155):2 Kroeker T, Prisman E, Shah M et al (2014) Hurthle cell lesions-a retrospective review of final surgical pathology. Thyroid Disord Ther 3(155):2
17.
Zurück zum Zitat Elliott DD, Pitman MB, Bloom L, Faquin WC (2006) Fine-needle aspiration biopsy of Hurthle cell lesions of the thyroid gland: a cytomorphologic study of 139 cases with statistical analysis. Cancer 108(2):102–109PubMedCrossRef Elliott DD, Pitman MB, Bloom L, Faquin WC (2006) Fine-needle aspiration biopsy of Hurthle cell lesions of the thyroid gland: a cytomorphologic study of 139 cases with statistical analysis. Cancer 108(2):102–109PubMedCrossRef
18.
Zurück zum Zitat Barnabei A, Ferretti E, Baldelli R et al (2009) Hurthle cell tumours of the thyroid. Personal experience and review of the literature. Acta Otorhinolaryngol Ital 29(6):305–311PubMedPubMedCentral Barnabei A, Ferretti E, Baldelli R et al (2009) Hurthle cell tumours of the thyroid. Personal experience and review of the literature. Acta Otorhinolaryngol Ital 29(6):305–311PubMedPubMedCentral
19.
Zurück zum Zitat McHenry CR, Thomas SR, Slusarczyk SJ, Khiyami A (1999) Follicular or Hu ̈rthle cell neoplasm of the thyroid: can clinical factors be used to predict carcinoma and determine extent of thyroidectomy? Surgery 126(4):798–804PubMedCrossRef McHenry CR, Thomas SR, Slusarczyk SJ, Khiyami A (1999) Follicular or Hu ̈rthle cell neoplasm of the thyroid: can clinical factors be used to predict carcinoma and determine extent of thyroidectomy? Surgery 126(4):798–804PubMedCrossRef
20.
Zurück zum Zitat Pisanu A, Di Chiara B, Reccia I, Uccheddu A (2010) Oncocytic cell tumors of the thyroid: factors predicting malignancy and influencing prognosis, treatment decisions, and outcomes. World J Surg 34(4):836–843PubMedCrossRef Pisanu A, Di Chiara B, Reccia I, Uccheddu A (2010) Oncocytic cell tumors of the thyroid: factors predicting malignancy and influencing prognosis, treatment decisions, and outcomes. World J Surg 34(4):836–843PubMedCrossRef
21.
Zurück zum Zitat Yang YJ, Khurana KK (2001) Diagnostic utility of intracytoplasmic lumen and transgressing vessels in evaluation of Hurthle cell lesions by fine-needle aspiration. Arch Pathol Lab Med 125(8):1031–1035PubMed Yang YJ, Khurana KK (2001) Diagnostic utility of intracytoplasmic lumen and transgressing vessels in evaluation of Hurthle cell lesions by fine-needle aspiration. Arch Pathol Lab Med 125(8):1031–1035PubMed
22.
Zurück zum Zitat Lee KH, Shin JH, Ko ES et al (2013) Predictive factors of malignancy in patients with cytologically suspicious for Hurthle cell neoplasm of thyroid nodules. Int J Surg 11(9):898–902PubMedCrossRef Lee KH, Shin JH, Ko ES et al (2013) Predictive factors of malignancy in patients with cytologically suspicious for Hurthle cell neoplasm of thyroid nodules. Int J Surg 11(9):898–902PubMedCrossRef
23.
Zurück zum Zitat Mills SC, Haq M, Smellie WJ, Harmer C (2009) Hurthle cell carcinoma of the thyroid: retrospective review of 62 patients treated at the Royal Marsden Hospital between 1946 and 2003. Eur J Surg Oncol 35(3):230–234PubMedCrossRef Mills SC, Haq M, Smellie WJ, Harmer C (2009) Hurthle cell carcinoma of the thyroid: retrospective review of 62 patients treated at the Royal Marsden Hospital between 1946 and 2003. Eur J Surg Oncol 35(3):230–234PubMedCrossRef
24.
Zurück zum Zitat Hoos A, Stojadinovic A, Singh B et al (2002) Clinical significance of molecular expression profiles of Hurthle cell tumors of the thyroid gland analyzed via tissue microarrays. Am J Pathol 160(1):175–183PubMedPubMedCentralCrossRef Hoos A, Stojadinovic A, Singh B et al (2002) Clinical significance of molecular expression profiles of Hurthle cell tumors of the thyroid gland analyzed via tissue microarrays. Am J Pathol 160(1):175–183PubMedPubMedCentralCrossRef
25.
Zurück zum Zitat Maizlin ZV, Wiseman SM, Vora P et al (2008) Hurthle cell neoplasms of the thyroid: sonographic appearance and histologic characteristics. J Ultrasound Med 27(5):751–757, quiz 9 PubMed Maizlin ZV, Wiseman SM, Vora P et al (2008) Hurthle cell neoplasms of the thyroid: sonographic appearance and histologic characteristics. J Ultrasound Med 27(5):751–757, quiz 9 PubMed
27.
Zurück zum Zitat Melck A, Bugis S, Baliski C et al (2006) Hemithyroidectomy: the preferred initial surgical approach for management of Hurthle cell neoplasm. Am J Surg 191(5):593–597PubMedCrossRef Melck A, Bugis S, Baliski C et al (2006) Hemithyroidectomy: the preferred initial surgical approach for management of Hurthle cell neoplasm. Am J Surg 191(5):593–597PubMedCrossRef
28.
Zurück zum Zitat Chao T-C, Lin J-D, Chen M-F (2005) Surgical treatment of Hurthle cell tumors of the thyroid. World J Surg 29(2):164–168PubMedCrossRef Chao T-C, Lin J-D, Chen M-F (2005) Surgical treatment of Hurthle cell tumors of the thyroid. World J Surg 29(2):164–168PubMedCrossRef
29.
Zurück zum Zitat Chen H, Nicol TL, Zeiger MA et al (1998) Hurthle cell neoplasms of the thyroid: are there factors predictive of malignancy? Ann Surg 227(4):542–546PubMedPubMedCentralCrossRef Chen H, Nicol TL, Zeiger MA et al (1998) Hurthle cell neoplasms of the thyroid: are there factors predictive of malignancy? Ann Surg 227(4):542–546PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Hudak K, Mazeh H, Sippel RS, Chen H (2012) Hürthle cell metaplasia on fine-needle aspiration biopsy is not by itself an indication for thyroid surgery. Am J Surg 203(3):287–291PubMedCrossRef Hudak K, Mazeh H, Sippel RS, Chen H (2012) Hürthle cell metaplasia on fine-needle aspiration biopsy is not by itself an indication for thyroid surgery. Am J Surg 203(3):287–291PubMedCrossRef
31.
Zurück zum Zitat Montone KT, Baloch ZW, LiVolsi VA (2008) The thyroid Hurthle (oncocytic) cell and its associated pathologic conditions: a surgical pathology and cytopathology review. Arch Pathol Lab Med 132(8):1241–1250PubMed Montone KT, Baloch ZW, LiVolsi VA (2008) The thyroid Hurthle (oncocytic) cell and its associated pathologic conditions: a surgical pathology and cytopathology review. Arch Pathol Lab Med 132(8):1241–1250PubMed
32.
Zurück zum Zitat Cooper DS, Doherty GM, Haugen BR et al (2009) Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 19(11):1167–1214PubMedCrossRef Cooper DS, Doherty GM, Haugen BR et al (2009) Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 19(11):1167–1214PubMedCrossRef
33.
Zurück zum Zitat Pu RT, Yang J, Wasserman PG et al (2006) Does Hurthle cell lesion/neoplasm predict malignancy more than follicular lesion/neoplasm on thyroid fine-needle aspiration? Diagn Cytopathol 34(5):330–334PubMedCrossRef Pu RT, Yang J, Wasserman PG et al (2006) Does Hurthle cell lesion/neoplasm predict malignancy more than follicular lesion/neoplasm on thyroid fine-needle aspiration? Diagn Cytopathol 34(5):330–334PubMedCrossRef
34.
Zurück zum Zitat Alaedeen DI, Khiyami A, McHenry CR (2005) Fine-needle aspiration biopsy specimen with a predominance of Hürthle cells: a dilemma in the management of nodular thyroid disease. Surgery 138(4):650–657PubMedCrossRef Alaedeen DI, Khiyami A, McHenry CR (2005) Fine-needle aspiration biopsy specimen with a predominance of Hürthle cells: a dilemma in the management of nodular thyroid disease. Surgery 138(4):650–657PubMedCrossRef
35.
Zurück zum Zitat Galera-Davidson H, González-Cámpora R (2008) Chapter 23 - thyroid. In: Wilbur MB (ed) Comprehensive cytopathology, 3rd edn. W.B. Saunders, Edinburgh, pp 633–670CrossRef Galera-Davidson H, González-Cámpora R (2008) Chapter 23 - thyroid. In: Wilbur MB (ed) Comprehensive cytopathology, 3rd edn. W.B. Saunders, Edinburgh, pp 633–670CrossRef
36.
Zurück zum Zitat Clark D, Faquin W (2010) Hurthle cell lesions. Thyroid cytopathology. Springer, US, pp 93–107 Clark D, Faquin W (2010) Hurthle cell lesions. Thyroid cytopathology. Springer, US, pp 93–107
37.
Zurück zum Zitat Kasper K, Stewart J III, Das K (2012) Fine needle aspiration cytology of thyroid nodules with Hürthle cells: cytomorphologic predictors for neoplasms, improving diagnostic accuracy and overcoming pitfalls. J Am Soc Cytopathol 1(1):S62–S63CrossRef Kasper K, Stewart J III, Das K (2012) Fine needle aspiration cytology of thyroid nodules with Hürthle cells: cytomorphologic predictors for neoplasms, improving diagnostic accuracy and overcoming pitfalls. J Am Soc Cytopathol 1(1):S62–S63CrossRef
38.
Zurück zum Zitat Baloch ZW, LiVolsi VA, Asa SL et al (2008) Diagnostic terminology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol 36(6):425–437PubMedCrossRef Baloch ZW, LiVolsi VA, Asa SL et al (2008) Diagnostic terminology and morphologic criteria for cytologic diagnosis of thyroid lesions: a synopsis of the National Cancer Institute Thyroid Fine-Needle Aspiration State of the Science Conference. Diagn Cytopathol 36(6):425–437PubMedCrossRef
39.
Zurück zum Zitat Chiappetta G, Toti P, Cetta F et al (2002) The RET/PTC oncogene is frequently activated in oncocytic thyroid tumors (Hurthle cell adenomas and carcinomas), but not in oncocytic hyperplastic lesions. J Clin Endocrinol Metab 87(1):364–369PubMedCrossRef Chiappetta G, Toti P, Cetta F et al (2002) The RET/PTC oncogene is frequently activated in oncocytic thyroid tumors (Hurthle cell adenomas and carcinomas), but not in oncocytic hyperplastic lesions. J Clin Endocrinol Metab 87(1):364–369PubMedCrossRef
40.
Zurück zum Zitat Zhang YW, Greenblatt DY, Repplinger D et al (2008) QS264. Factors that predict malignancy in Hürthle cell neoplasms of the thyroid. J Surg Res 144(2):371–372CrossRef Zhang YW, Greenblatt DY, Repplinger D et al (2008) QS264. Factors that predict malignancy in Hürthle cell neoplasms of the thyroid. J Surg Res 144(2):371–372CrossRef
41.
Zurück zum Zitat Stojadinovic A, Ghossein RA, Hoos A et al (2001) Hurthle cell carcinoma: a critical histopathologic appraisal. J Clin Oncol 19(10):2616–2625PubMed Stojadinovic A, Ghossein RA, Hoos A et al (2001) Hurthle cell carcinoma: a critical histopathologic appraisal. J Clin Oncol 19(10):2616–2625PubMed
42.
Zurück zum Zitat Pisanu A, Sias L, Uccheddu A (2004) Factors predicting malignancy of Hürthle cell tumors of the thyroid: influence on surgical treatment. World J Surg 28(8):761–765PubMedCrossRef Pisanu A, Sias L, Uccheddu A (2004) Factors predicting malignancy of Hürthle cell tumors of the thyroid: influence on surgical treatment. World J Surg 28(8):761–765PubMedCrossRef
43.
Zurück zum Zitat Lopez-Penabad L, Chiu AC, Hoff AO et al (2003) Prognostic factors in patients with Hurthle cell neoplasms of the thyroid. Cancer 97(5):1186–1194PubMedCrossRef Lopez-Penabad L, Chiu AC, Hoff AO et al (2003) Prognostic factors in patients with Hurthle cell neoplasms of the thyroid. Cancer 97(5):1186–1194PubMedCrossRef
44.
Zurück zum Zitat Zhang Y, Greenblatt D, Repplinger D et al (2008) Older age and larger tumor size predict malignancy in Hürthle cell neoplasms of the thyroid. Ann Surg Oncol 15(10):2842–2846PubMedCrossRef Zhang Y, Greenblatt D, Repplinger D et al (2008) Older age and larger tumor size predict malignancy in Hürthle cell neoplasms of the thyroid. Ann Surg Oncol 15(10):2842–2846PubMedCrossRef
45.
Zurück zum Zitat Suh I, Vriens MR, Guerrero MA et al (2010) Serum thyroglobulin is a poor diagnostic biomarker of malignancy in follicular and Ḧurthle-cell neoplasms of the thyroid. Am J Surg 200(1):41–46PubMedCrossRef Suh I, Vriens MR, Guerrero MA et al (2010) Serum thyroglobulin is a poor diagnostic biomarker of malignancy in follicular and Ḧurthle-cell neoplasms of the thyroid. Am J Surg 200(1):41–46PubMedCrossRef
46.
Zurück zum Zitat Parikh PP, Allan BJ, Lew JI (2013) Surgeon-performed ultrasound predictors of malignancy in patients with Hürthle cell neoplasms of the thyroid. J Surg Res 184(1):247–252PubMedCrossRef Parikh PP, Allan BJ, Lew JI (2013) Surgeon-performed ultrasound predictors of malignancy in patients with Hürthle cell neoplasms of the thyroid. J Surg Res 184(1):247–252PubMedCrossRef
47.
Zurück zum Zitat Sugino K, Ito K, Mimura T et al (2001) Hürthle cell tumor of the thyroid: analysis of 188 cases. World J Surg 25(9):1160–1163PubMedCrossRef Sugino K, Ito K, Mimura T et al (2001) Hürthle cell tumor of the thyroid: analysis of 188 cases. World J Surg 25(9):1160–1163PubMedCrossRef
48.
Zurück zum Zitat Sippel RS, Elaraj DM, Khanafshar E et al (2008) Tumor size predicts malignant potential in Hurthle cell neoplasms of the thyroid. World J Surg 32(5):702–707PubMedCrossRef Sippel RS, Elaraj DM, Khanafshar E et al (2008) Tumor size predicts malignant potential in Hurthle cell neoplasms of the thyroid. World J Surg 32(5):702–707PubMedCrossRef
49.
Zurück zum Zitat Paunovic I, Krgovic K, Tatic S et al (2006) Surgery for thyroid Hürthle cell tumours—a single institution experience. Eur J Surg Oncol 32(4):458–461PubMedCrossRef Paunovic I, Krgovic K, Tatic S et al (2006) Surgery for thyroid Hürthle cell tumours—a single institution experience. Eur J Surg Oncol 32(4):458–461PubMedCrossRef
50.
Zurück zum Zitat Petric R, Besic H, Besic N (2014) Preoperative serum thyroglobulin concentration as a predictive factor of malignancy in small follicular and Hürthle cell neoplasms of the thyroid gland. World J Surg Oncol 12(1):1–7CrossRef Petric R, Besic H, Besic N (2014) Preoperative serum thyroglobulin concentration as a predictive factor of malignancy in small follicular and Hürthle cell neoplasms of the thyroid gland. World J Surg Oncol 12(1):1–7CrossRef
51.
Zurück zum Zitat Arduc A, Dogan BA, Tuna MM, et al (2015) Higher body mass index and larger waist circumference may be predictors of thyroid carcinoma in patients with Hurthle-cell lesion/neoplasm fine-needle aspiration diagnosis. Clin Endocrinol (Oxf) 83(3):405–411 Arduc A, Dogan BA, Tuna MM, et al (2015) Higher body mass index and larger waist circumference may be predictors of thyroid carcinoma in patients with Hurthle-cell lesion/neoplasm fine-needle aspiration diagnosis. Clin Endocrinol (Oxf) 83(3):405–411
52.
Zurück zum Zitat Erickson LA, Jin L, Goellner JR et al (2000) Pathologic features, proliferative activity, and cyclin D1 expression in Hurthle cell neoplasms of the thyroid. Mod Pathol 13(2):186–192PubMedCrossRef Erickson LA, Jin L, Goellner JR et al (2000) Pathologic features, proliferative activity, and cyclin D1 expression in Hurthle cell neoplasms of the thyroid. Mod Pathol 13(2):186–192PubMedCrossRef
53.
Zurück zum Zitat Cheung CC, Ezzat S, Ramyar L et al (2000) Molecular basis of Hurthle cell papillary thyroid carcinoma. J Clin Endocrinol Metab 85(2):878–882PubMed Cheung CC, Ezzat S, Ramyar L et al (2000) Molecular basis of Hurthle cell papillary thyroid carcinoma. J Clin Endocrinol Metab 85(2):878–882PubMed
54.
Zurück zum Zitat Histopathology A (2004) Histopathology of thyroid tumors. An overview. Hormones 3(2):100–110CrossRef Histopathology A (2004) Histopathology of thyroid tumors. An overview. Hormones 3(2):100–110CrossRef
55.
Zurück zum Zitat Berho M, Suster S (1997) The oncocytic variant of papillary carcinoma of the thyroid: a clinicopathologic study of 15 cases. Hum Pathol 28(1):47–53PubMedCrossRef Berho M, Suster S (1997) The oncocytic variant of papillary carcinoma of the thyroid: a clinicopathologic study of 15 cases. Hum Pathol 28(1):47–53PubMedCrossRef
56.
Zurück zum Zitat Sabino de Matos P (2008) Thyroid epithelial tumours. Diagn Histopathol 14(5):236–246CrossRef Sabino de Matos P (2008) Thyroid epithelial tumours. Diagn Histopathol 14(5):236–246CrossRef
58.
Zurück zum Zitat Belchetz G, Cheung CC, Freeman J et al (2002) Hürthle cell tumors: using molecular techniques to define a novel classification system. Arch Otolaryngol Head Neck Surg 128(3):237–240PubMedCrossRef Belchetz G, Cheung CC, Freeman J et al (2002) Hürthle cell tumors: using molecular techniques to define a novel classification system. Arch Otolaryngol Head Neck Surg 128(3):237–240PubMedCrossRef
59.
Zurück zum Zitat Musholt PB, Imkamp F, von Wasielewski R et al (2003) RET rearrangements in archival oxyphilic thyroid tumors: new insights in tumorigenesis and classification of Hürthle cell carcinomas? Surgery 134(6):881–889PubMedCrossRef Musholt PB, Imkamp F, von Wasielewski R et al (2003) RET rearrangements in archival oxyphilic thyroid tumors: new insights in tumorigenesis and classification of Hürthle cell carcinomas? Surgery 134(6):881–889PubMedCrossRef
60.
Zurück zum Zitat Nikiforov YE, Biddinger PW, Thompson LDR (2012) Diagnostic pathology and molecular genetics of the thyroid: a comprehensive guide for practicing thyroid pathology. USA, Wolters Kluwer Health Nikiforov YE, Biddinger PW, Thompson LDR (2012) Diagnostic pathology and molecular genetics of the thyroid: a comprehensive guide for practicing thyroid pathology. USA, Wolters Kluwer Health
61.
Zurück zum Zitat Haigh PI, Urbach DR (2005) The treatment and prognosis of Hürthle cell follicular thyroid carcinoma compared with its non-Hürthle cell counterpart. Surgery 138(6):1152–1158PubMedCrossRef Haigh PI, Urbach DR (2005) The treatment and prognosis of Hürthle cell follicular thyroid carcinoma compared with its non-Hürthle cell counterpart. Surgery 138(6):1152–1158PubMedCrossRef
62.
Zurück zum Zitat Khafif A, Khafif RA, Attie JN (1999) Hürthle cell carcinoma: a malignancy of low-grade potential. Head Neck 21(6):506–511PubMedCrossRef Khafif A, Khafif RA, Attie JN (1999) Hürthle cell carcinoma: a malignancy of low-grade potential. Head Neck 21(6):506–511PubMedCrossRef
63.
Zurück zum Zitat Kushchayeva Y, Duh Q-Y, Kebebew E et al (2008) Comparison of clinical characteristics at diagnosis and during follow-up in 118 patients with Hurthle cell or follicular thyroid cancer. Am J Surg 195(4):457–462PubMedCrossRef Kushchayeva Y, Duh Q-Y, Kebebew E et al (2008) Comparison of clinical characteristics at diagnosis and during follow-up in 118 patients with Hurthle cell or follicular thyroid cancer. Am J Surg 195(4):457–462PubMedCrossRef
64.
Zurück zum Zitat Dettori T, Frau DV, Lai ML et al (2003) Aneuploidy in oncocytic lesions of the thyroid gland: diffuse accumulation of mitochondria within the cell is associated with trisomy 7 and progressive numerical chromosomal alterations. Genes Chromosom Cancer 38(1):22–31PubMedCrossRef Dettori T, Frau DV, Lai ML et al (2003) Aneuploidy in oncocytic lesions of the thyroid gland: diffuse accumulation of mitochondria within the cell is associated with trisomy 7 and progressive numerical chromosomal alterations. Genes Chromosom Cancer 38(1):22–31PubMedCrossRef
65.
Zurück zum Zitat Wada N, Duh QY, Miura D et al (2002) Chromosomal aberrations by comparative genomic hybridization in hurthle cell thyroid carcinomas are associated with tumor recurrence. J Clin Endocrinol Metab 87(10):4595–4601PubMedCrossRef Wada N, Duh QY, Miura D et al (2002) Chromosomal aberrations by comparative genomic hybridization in hurthle cell thyroid carcinomas are associated with tumor recurrence. J Clin Endocrinol Metab 87(10):4595–4601PubMedCrossRef
66.
Zurück zum Zitat Máximo V, Soares P, Lima J et al (2002) Mitochondrial DNA somatic mutations (point mutations and large deletions) and mitochondrial DNA variants in human thyroid pathology: a study with emphasis on Hürthle cell tumors. Am J Pathol 160(5):1857–1865PubMedPubMedCentralCrossRef Máximo V, Soares P, Lima J et al (2002) Mitochondrial DNA somatic mutations (point mutations and large deletions) and mitochondrial DNA variants in human thyroid pathology: a study with emphasis on Hürthle cell tumors. Am J Pathol 160(5):1857–1865PubMedPubMedCentralCrossRef
67.
Zurück zum Zitat Carcangiu ML, Bianchi S, Savino D et al (1991) Follicular Hurthle cell tumors of the thyroid gland. Cancer 68(9):1944–1953PubMedCrossRef Carcangiu ML, Bianchi S, Savino D et al (1991) Follicular Hurthle cell tumors of the thyroid gland. Cancer 68(9):1944–1953PubMedCrossRef
68.
Zurück zum Zitat Finley DJ, Zhu B, Fahey Iii TJ (2004) Molecular analysis of Hurthle cell neoplasms by gene profiling. Surgery 136(6):1160–1168PubMedCrossRef Finley DJ, Zhu B, Fahey Iii TJ (2004) Molecular analysis of Hurthle cell neoplasms by gene profiling. Surgery 136(6):1160–1168PubMedCrossRef
69.
Zurück zum Zitat Chindris A-M, Casler JD, Bernet VJ, et al (2014) Clinical and molecular features of Hürthle cell carcinoma of the thyroid. J Clin Endocrinol Metab 0(0):jc.2014-1634 Chindris A-M, Casler JD, Bernet VJ, et al (2014) Clinical and molecular features of Hürthle cell carcinoma of the thyroid. J Clin Endocrinol Metab 0(0):jc.2014-1634
70.
Zurück zum Zitat Papotti M, Torchio B, Grassi L et al (1996) Poorly differentiated oxyphilic (Hurthle cell) carcinomas of the thyroid. Am J Surg Pathol 20(6):686–694PubMedCrossRef Papotti M, Torchio B, Grassi L et al (1996) Poorly differentiated oxyphilic (Hurthle cell) carcinomas of the thyroid. Am J Surg Pathol 20(6):686–694PubMedCrossRef
71.
Zurück zum Zitat Dedivitis RA, Di Giovanni JH, Silva GF et al (2004) Oncocytic variant of medullary thyroid carcinoma: case report. Arq Bras Endocrinol Metabol 48(2):315–317PubMedCrossRef Dedivitis RA, Di Giovanni JH, Silva GF et al (2004) Oncocytic variant of medullary thyroid carcinoma: case report. Arq Bras Endocrinol Metabol 48(2):315–317PubMedCrossRef
72.
Zurück zum Zitat Sobrinho-Simões M, Magalhães J, Fonseca E, Amendoeira I (2005) Diagnostic pitfalls of thyroid pathology. Curr Diagn Pathol 11(1):52–59CrossRef Sobrinho-Simões M, Magalhães J, Fonseca E, Amendoeira I (2005) Diagnostic pitfalls of thyroid pathology. Curr Diagn Pathol 11(1):52–59CrossRef
73.
74.
Zurück zum Zitat Bhattacharyya N (2003) Survival and prognosis in Hürthle cell carcinoma of the thyroid gland. Arch Otolaryngol Head Neck Surg 129(2):207–210PubMedCrossRef Bhattacharyya N (2003) Survival and prognosis in Hürthle cell carcinoma of the thyroid gland. Arch Otolaryngol Head Neck Surg 129(2):207–210PubMedCrossRef
75.
Zurück zum Zitat Ozlem Kucuk N, Kulak H, Tokmak E et al (2006) Hurthle cell carcinoma: a clinicopathological study of thirteen cases. Nucl Med Commun 27(4):377–379PubMedCrossRef Ozlem Kucuk N, Kulak H, Tokmak E et al (2006) Hurthle cell carcinoma: a clinicopathological study of thirteen cases. Nucl Med Commun 27(4):377–379PubMedCrossRef
76.
Zurück zum Zitat Yutan E, Clark O (2001) Hürthle cell carcinoma. Curr Treat Options in Oncol 2(4):331–335CrossRef Yutan E, Clark O (2001) Hürthle cell carcinoma. Curr Treat Options in Oncol 2(4):331–335CrossRef
77.
Zurück zum Zitat Shaha AR, Shah JP, Loree TR (1996) Patterns of nodal and distant metastasis based on histologic varieties in differentiated carcinoma of the thyroid. Am J Surg 172(6):692–694PubMedCrossRef Shaha AR, Shah JP, Loree TR (1996) Patterns of nodal and distant metastasis based on histologic varieties in differentiated carcinoma of the thyroid. Am J Surg 172(6):692–694PubMedCrossRef
78.
Zurück zum Zitat Ruegemer JJ, Hay ID, Bergstralh EJ et al (1988) Distant metastases in differentiated thyroid carcinoma: a multivariate analysis of prognostic variables. J Clin Endocrinol Metab 67(3):501–508PubMedCrossRef Ruegemer JJ, Hay ID, Bergstralh EJ et al (1988) Distant metastases in differentiated thyroid carcinoma: a multivariate analysis of prognostic variables. J Clin Endocrinol Metab 67(3):501–508PubMedCrossRef
79.
Zurück zum Zitat Schneider DF, Chen H (2013) New developments in the diagnosis and treatment of thyroid cancer. CA Cancer J Clin 63(6):373–394PubMedCentralCrossRef Schneider DF, Chen H (2013) New developments in the diagnosis and treatment of thyroid cancer. CA Cancer J Clin 63(6):373–394PubMedCentralCrossRef
80.
Zurück zum Zitat Shaha AR, Loree TR, Shah JP (1995) Prognostic factors and risk group analysis in follicular carcinoma of the thyroid. Surgery 118(6):1131–1138PubMedCrossRef Shaha AR, Loree TR, Shah JP (1995) Prognostic factors and risk group analysis in follicular carcinoma of the thyroid. Surgery 118(6):1131–1138PubMedCrossRef
81.
Zurück zum Zitat Herrera M, Hay I, Wu PC et al (1992) Hürthle cell (oxyphilic) papillary thyroid carcinoma: a variant with more aggressive biologic behavior. World J Surg 16(4):669–674PubMedCrossRef Herrera M, Hay I, Wu PC et al (1992) Hürthle cell (oxyphilic) papillary thyroid carcinoma: a variant with more aggressive biologic behavior. World J Surg 16(4):669–674PubMedCrossRef
82.
Zurück zum Zitat McDonald MP, Sanders LE, Silverman ML et al (1996) Hürthle cell carcinoma of the thyroid gland: prognostic factors and results of surgical treatment. Surgery 120(6):1000–1005PubMedCrossRef McDonald MP, Sanders LE, Silverman ML et al (1996) Hürthle cell carcinoma of the thyroid gland: prognostic factors and results of surgical treatment. Surgery 120(6):1000–1005PubMedCrossRef
83.
Zurück zum Zitat Stojadinovic A, Hoos A, Ghossein R et al (2002) Hürthle cell carcinoma: a 60-year experience. Ann Surg Oncol 9(2):197–203PubMed Stojadinovic A, Hoos A, Ghossein R et al (2002) Hürthle cell carcinoma: a 60-year experience. Ann Surg Oncol 9(2):197–203PubMed
84.
Zurück zum Zitat Goldstein NS, Czako P, Neill JS (2000) Metastatic minimally invasive (encapsulated) follicular and Hurthle cell thyroid carcinoma: a study of 34 patients. Mod Pathol 13(2):123–130PubMedCrossRef Goldstein NS, Czako P, Neill JS (2000) Metastatic minimally invasive (encapsulated) follicular and Hurthle cell thyroid carcinoma: a study of 34 patients. Mod Pathol 13(2):123–130PubMedCrossRef
85.
Zurück zum Zitat Azadian A, Rosen IB, Walfish PG, Asa SL (1995) Management considerations in Hürthle cell carcinoma. Surgery 118(4):711–715PubMedCrossRef Azadian A, Rosen IB, Walfish PG, Asa SL (1995) Management considerations in Hürthle cell carcinoma. Surgery 118(4):711–715PubMedCrossRef
86.
Zurück zum Zitat Kauffmann PR, Dejax C, de Latour M, Dauplat J (2004) The meaning and predictivity of Hürthle cells in fine needle aspiration cytology for thyroid nodular disease. Eur J Surg Oncol 30(7):786–789PubMedCrossRef Kauffmann PR, Dejax C, de Latour M, Dauplat J (2004) The meaning and predictivity of Hürthle cells in fine needle aspiration cytology for thyroid nodular disease. Eur J Surg Oncol 30(7):786–789PubMedCrossRef
88.
Zurück zum Zitat Alexander EK, Kennedy GC, Baloch ZW et al (2012) Preoperative diagnosis of benign thyroid nodules with indeterminate cytology. N Engl J Med 367(8):705–715PubMedCrossRef Alexander EK, Kennedy GC, Baloch ZW et al (2012) Preoperative diagnosis of benign thyroid nodules with indeterminate cytology. N Engl J Med 367(8):705–715PubMedCrossRef
89.
Zurück zum Zitat Tuzun D, Ersoy R, Kilicyazgan A, et al (2014) Elastosonography scoring and strain index of thyroid nodules with Hurthle cells. Minerva Endocrinol [Epub ahead of print] Tuzun D, Ersoy R, Kilicyazgan A, et al (2014) Elastosonography scoring and strain index of thyroid nodules with Hurthle cells. Minerva Endocrinol [Epub ahead of print]
Metadaten
Titel
Hurthle Cell Lesion: Controversies, Challenges, and Debates
verfasst von
Michael Shawky
Mahmoud Sakr
Publikationsdatum
30.10.2015
Verlag
Springer India
Erschienen in
Indian Journal of Surgery / Ausgabe 1/2016
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-015-1381-x

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