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Pathology Thyroid Tumor 68c9143b

A palpable mass is noted in the right lobe of the thyroid of a 45-year-old man who visits his physician for a periodic checkup. A biopsy is performed and results in a diagnosis of medullary carcinoma of the thyroid. Which of the following histologic features of thyroid disease would most likely be present in this biopsy specimen?

A
Tumor cells with "Orphan Annie" nuclei
B
Psammoma bodies
C
Tumor cells embedded in an amyloid-laden stroma
D
Infiltrates of lymphocytes with germinal center formation
High-Yield Explanation
- Medullary carcinoma of thyroid is a calcitonin-producing tumor of C cells of thyroid contributing to amyloid deposition within tumor. OTHER OPTIONS GIVEN: - Tumor cells with "Orphan Annie" nuclei & presence of psammoma bodies are seen in papillary carcinoma of thyroid. - Infiltrates of lymphocytes with germinal center formation are seen in Hashimoto thyroiditis.

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