Prn. Kirchgraber et al., FINE-NEEDLE ASPIRATION CYTOLOGY OF LANGERHANS CELL HISTIOCYTOSIS INVOLVING THE THYROID - A CASE-REPORT, Acta cytologica, 38(1), 1994, pp. 101-106
We present an unusual case of Langerhans cell histiocytosis (LCH) invo
lving the thyroid gland initially diagnosed by fine needle aspiration
biopsy in a 16-year-old boy. The cytologic findings in LCH involving t
he thyroid include high cellularity, isolated Langerhans cells with pr
ominent nuclear grooves, multinucleate Langerhans cells, eosinophils,
lymphocytes and rare benign follicular cells. Confirmation of LCH was
obtained by cove biopsy, positive S-100 protein immunohistochemical st
aining and the demonstration of Bir beck granules on electron microsco
py. We present the complete clinicopathologic features of this case wi
th a review of the literature and discussion of the differential diagn
osis.