Differential diagnostic of Hashimoto's thyroiditis: atypia
The pleomorphism (to simplify: the variation in shape in excess of a normal range) is a more important type of atypia than anisonucleoisis (i.e. the variation in size in excess of a normal range). Nevertheless, in the presence of lymphocytic thyroiditis, it has only a limited significance. If we analyze single atypical cells from Hashimoto's thyroiditis, the degree of atypia will frequently reach that observed in an anaplastic cancer. In cases where lymphocytes occur in great number on the smear, the presence of pleomorphism without other signs of malignancy (inclusion or groove) causes no problem.
   
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