Sandbox:DDx HEENT: Difference between revisions

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* Elevated CEA
* Elevated CEA


* Nested with delicate vascular septa pattern of growth
* Nested cellular pattern separated by delicate vascular septa  
* Polygonal cells, round nuclie with coarse chromatin, granular cytoplasm, surrounded by amyloid deposits
* Polygonal cells, round nuclie with coarse chromatin, granular cytoplasm, surrounded by amyloid deposits
* Vascular stroma with hemorrhage, edema, and coarse calcification
* Vascular stroma with hemorrhage, edema, and coarse calcification

Revision as of 16:59, 1 November 2015

  • 35 yo women
  • May have diarrhea, flushing, and pruritis
  • MEN2 (pheochromocytoma and hyperparathyroidism symptoms)
  • Painless thyroid nodule
  • Neck lymphadenopathy
  • Elevated calcitonin
  • Elevated chromogranin
  • Elevated CEA
  • Nested cellular pattern separated by delicate vascular septa
  • Polygonal cells, round nuclie with coarse chromatin, granular cytoplasm, surrounded by amyloid deposits
  • Vascular stroma with hemorrhage, edema, and coarse calcification
  • C-cell hyperplasia may be present


  • RET proto-oncogene