Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-10 | 378-380
Original Research Article
Role of Nuclear Grooves in Cytological Diagnosis of Papillary Carcinoma Thyroid
Dr. Bhat Archana S, Dr. Varma Lisa, Dr Fernandes Hilda, Dr C S Jayaprakash
Published : Oct. 30, 2018
Abstract
It is well known that nuclear grooves play a major role in the diagnosis of
papillary carcinoma thyroid. Also grooves are found in many non- neoplastic lesions
of thyroid. To calculate the percentage of nuclear grooves in histopathologically
proven cases of papillary carcinoma and non –neoplastic lesions (hashimoto’s
thyroiditis and colloid goiter). This retrospective study was carried out by reviewing
the data and cytology smears of 21 histopathologically confirmed cases of papillary
carcinoma thyroid and 10 cases each of hashimoto’s thyoiditis and colloid goitre. The
percentage of nuclear grooves was calculated in oil immersion by counting 100 to 500
cells depending on the cellularity. The percentage of nuclear grooving ranged from
15% to 85% in the papillary carcinoma cases. Greater than 20% nuclear grooves were
observed in 19(90.4%) of the cases. Nuclear crowding and overlapping, pale
chromatin, nuclear grooves, nuclear enlargement and prominent nucleoli were seen in
all (100%) the cases. Intranuclear cytoplasmic pseudoinclusions were seen in only
5(23.8%) of the cases. Histiocytes, metaplastic cells and multinucleated giant cells
were seen in 12(57.1%), 10(47.6%) and 6(28.5%) of the cases. The percentage of
nuclear grooves in non neoplastic cases overall observed was <10%. The sensitivity
and specificity of grooves for PCT at >=20% were 90.5% and 100% respectively.
Whenever in doubt, a diagnosis of papillary carcinoma can be offered confidently by
this semiquantitative approach for grooves in combination with other features.