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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.
Katharina Glatz, University of Basel
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