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728 |
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Medullary thyroid carcinoma |
| 8345/3 |
|
Thyroid |
| Haematoxylin & Eosin (H&E) |
| 18 years |
| male |
| MEN 2A. Gain of function germline mutation of the RET proto-oncogene. |
| Tumor with infiltrative margins. The tumor forms nests of polygonal and spindle cells separated by large amounts of fibrovascular stroma imparting it a lobular appearance. Epithelial nests vary in size. Tumor cell nuclei are round to oval and have finely nuclear chromatin ('salt and pepper' pattern). |
| Tumor cells are immunoreactive for calcitonin, CEA, synaptophysin, chromogranin A, and TTF-1. |