Significance of eosinophils in diagnosing Hashimoto′s thyroiditis on fine-needle aspiration cytology

<b>Background:</b> Hashimoto&#x2032;s thyroiditis (HT) is the most common cause of hypothyroidism in those areas of the world where iodine levels are sufficient. Fine-needle aspiration cytology (FNAC) can accurately diagnose this lesion in most of the patients. However, a small perce...

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Main Authors: Ekambaram Maheswari, Kumar Bipin, Chowdhary Nitlotpal, Siddaraju N, Kumar Surendra
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-07-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=3;spage=476;epage=479;aulast=Ekambaram
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author Ekambaram Maheswari
Kumar Bipin
Chowdhary Nitlotpal
Siddaraju N
Kumar Surendra
author_facet Ekambaram Maheswari
Kumar Bipin
Chowdhary Nitlotpal
Siddaraju N
Kumar Surendra
author_sort Ekambaram Maheswari
collection DOAJ
description <b>Background:</b> Hashimoto&#x2032;s thyroiditis (HT) is the most common cause of hypothyroidism in those areas of the world where iodine levels are sufficient. Fine-needle aspiration cytology (FNAC) can accurately diagnose this lesion in most of the patients. However, a small percentage of cases may be missed due to inherent limitations of this procedure. Therefore, cytologic clues to increase sensitivity of diagnosis need to be searched for. <b>Aims:</b> To assess whether an eosinophilic infiltration of the thyroid gland has a higher association with HT than colloid goiter. <b>Materials and Methods:</b> The study was a case-control study. Smears obtained by FNAC of 50 case, each of HT (which served as cases) and colloid goiter (which served as controls) were observed. The number of eosinophils and neutrophils per high-power field (HPF) was counted in all the smears. The eosinophil-neutrophil ratio in the smears, diagnosed as HT, was then compared with that of colloid goiter using unpaired <i>t</i>-test. <b>Results:</b> Smears diagnosed as HT was found to have a significantly higher eosinophil-neutrophil ratio than smears diagnosed as colloid goiter (<i>P</i> value 0.0001). <b>Conclusion:</b> Eosinophilic infiltration of the thyroid gland has higher association with Hashimoto thyroiditis.
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spelling doaj.art-dafe4aeb541e4498a0bf88c41369d1e52022-12-21T22:33:18ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302010-07-01533476479Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytologyEkambaram MaheswariKumar BipinChowdhary NitlotpalSiddaraju NKumar Surendra<b>Background:</b> Hashimoto&#x2032;s thyroiditis (HT) is the most common cause of hypothyroidism in those areas of the world where iodine levels are sufficient. Fine-needle aspiration cytology (FNAC) can accurately diagnose this lesion in most of the patients. However, a small percentage of cases may be missed due to inherent limitations of this procedure. Therefore, cytologic clues to increase sensitivity of diagnosis need to be searched for. <b>Aims:</b> To assess whether an eosinophilic infiltration of the thyroid gland has a higher association with HT than colloid goiter. <b>Materials and Methods:</b> The study was a case-control study. Smears obtained by FNAC of 50 case, each of HT (which served as cases) and colloid goiter (which served as controls) were observed. The number of eosinophils and neutrophils per high-power field (HPF) was counted in all the smears. The eosinophil-neutrophil ratio in the smears, diagnosed as HT, was then compared with that of colloid goiter using unpaired <i>t</i>-test. <b>Results:</b> Smears diagnosed as HT was found to have a significantly higher eosinophil-neutrophil ratio than smears diagnosed as colloid goiter (<i>P</i> value 0.0001). <b>Conclusion:</b> Eosinophilic infiltration of the thyroid gland has higher association with Hashimoto thyroiditis.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=3;spage=476;epage=479;aulast=EkambaramEosinophilsHashimoto&#x2032;s thyroiditisfine-needle aspiration cytology
spellingShingle Ekambaram Maheswari
Kumar Bipin
Chowdhary Nitlotpal
Siddaraju N
Kumar Surendra
Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
Indian Journal of Pathology and Microbiology
Eosinophils
Hashimoto&#x2032;s thyroiditis
fine-needle aspiration cytology
title Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
title_full Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
title_fullStr Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
title_full_unstemmed Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
title_short Significance of eosinophils in diagnosing Hashimoto&#x2032;s thyroiditis on fine-needle aspiration cytology
title_sort significance of eosinophils in diagnosing hashimoto x2032 s thyroiditis on fine needle aspiration cytology
topic Eosinophils
Hashimoto&#x2032;s thyroiditis
fine-needle aspiration cytology
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2010;volume=53;issue=3;spage=476;epage=479;aulast=Ekambaram
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