甲状腺细针穿刺细胞学：鉴别诊断与局限（原书第2版）
甲状腺细针穿刺细胞学：鉴别诊断与局限（原书第2版）
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本书帮助我们提升甲状腺结节穿刺取材及阅片水平、提高甲状腺疾病术前细胞病理学诊断准确率，提高甲状腺癌患者术前 TNM 分期比例，指导制订治疗方案，避免不必要的诊断性手术。
本书引进自世界知名的 Springer 出版社，是一部新颖、独特的甲状腺细针穿刺参考书，由来自日本的 Kennichi Kakudo 教授联合 Kuma 医院、密歇根大学医学院、克利夫兰大学医院等多家医疗中心及日、美、中多国细胞学、病理学专家共同执笔完成。书中各章所述均以经典病例为主线，继而延伸至临床表现、影像学特点、细胞学表现、鉴别诊断、大体标本及组织学诊断，后以著者的精彩讨论收尾。本书为全新第 2 版，不仅对前一版的重要内容（如各类甲状腺疾病的细胞形态学特点、鉴别诊断和常见的诊断误区）进行了深入扩展，同时还关注了一些尚存争议的热点话题，如 Bethesda Ⅲ类（AUS/FLUS）结节的诊断、非浸润性包裹性滤泡型甲状腺乳头状癌的命名修订等，增补了有关液基细胞学检查、免疫组化检查、分子诊断、穿刺技术和固定等内容。本书内容丰富、图片精美、深入浅出，是一部实用性很强的学术专著，可供所有应用细针穿刺细胞学检查进行甲状腺及甲状旁腺疾病诊断、评估与治疗的临床医师查阅参考，也可作为内分泌医师、外科医师的相关工具书。
一、概述
二、背景
三、排列
四、细胞形状
五、细胞质
六、核
第 2 章 日本 FNA 细胞学报告系统中影响甲状腺细针穿刺细胞学和细胞学诊断规则的因素
一、甲状腺 FNA 细胞学诊断系统
二、日本系统的诊断方法
三、第 1 版甲状腺 FNA 细胞学、鉴别诊断和缺陷中讨论的其他因素
四、甲状腺 FNA 细胞学报告新诊断类别的提出
五、以组织学类型为导向的分类是选择分子检测以获得更明确诊断的关键
六、形态学标准与观察者的意见不统一
一、概述
甲状腺细针穿刺细胞学（fifine needle aspiration cytology， FNAC）的诊断并没有特征性的病理学表现。例如，核内假包涵体常见于甲状腺乳头状癌（papillary thyroid carcinoma， PTC），这是该肿瘤的特征性表现，但也见于其他甲状腺肿瘤，如透明变梁状肿瘤（hyalinizing trabecular tumor， HTT）、甲状腺髓样癌（medullary thyroid carcinoma， MTC）、甲状腺未分化癌（anaplastic thyroid carcinoma， ATC）等。因此，实际工作中，我们必须找到尽可能多的诊断线索，并通过对它们进行全面分析后做出诊断。本章中我们将介绍甲状腺 FNAC 的有助于初学者的诊断线索。
二、背景
（一）胶质
Shipping Overview:
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• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
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Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
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Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
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Duration: You have 30 days from receiving your item to initiate a return.
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Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
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Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
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Defective Products: Return labels are provided for defective items.
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Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
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Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
本书帮助我们提升甲状腺结节穿刺取材及阅片水平、提高甲状腺疾病术前细胞病理学诊断准确率，提高甲状腺癌患者术前 TNM 分期比例，指导制订治疗方案，避免不必要的诊断性手术。
本书引进自世界知名的 Springer 出版社，是一部新颖、独特的甲状腺细针穿刺参考书，由来自日本的 Kennichi Kakudo 教授联合 Kuma 医院、密歇根大学医学院、克利夫兰大学医院等多家医疗中心及日、美、中多国细胞学、病理学专家共同执笔完成。书中各章所述均以经典病例为主线，继而延伸至临床表现、影像学特点、细胞学表现、鉴别诊断、大体标本及组织学诊断，后以著者的精彩讨论收尾。本书为全新第 2 版，不仅对前一版的重要内容（如各类甲状腺疾病的细胞形态学特点、鉴别诊断和常见的诊断误区）进行了深入扩展，同时还关注了一些尚存争议的热点话题，如 Bethesda Ⅲ类（AUS/FLUS）结节的诊断、非浸润性包裹性滤泡型甲状腺乳头状癌的命名修订等，增补了有关液基细胞学检查、免疫组化检查、分子诊断、穿刺技术和固定等内容。本书内容丰富、图片精美、深入浅出，是一部实用性很强的学术专著，可供所有应用细针穿刺细胞学检查进行甲状腺及甲状旁腺疾病诊断、评估与治疗的临床医师查阅参考，也可作为内分泌医师、外科医师的相关工具书。
一、概述
二、背景
三、排列
四、细胞形状
五、细胞质
六、核
第 2 章 日本 FNA 细胞学报告系统中影响甲状腺细针穿刺细胞学和细胞学诊断规则的因素
一、甲状腺 FNA 细胞学诊断系统
二、日本系统的诊断方法
三、第 1 版甲状腺 FNA 细胞学、鉴别诊断和缺陷中讨论的其他因素
四、甲状腺 FNA 细胞学报告新诊断类别的提出
五、以组织学类型为导向的分类是选择分子检测以获得更明确诊断的关键
六、形态学标准与观察者的意见不统一
一、概述
甲状腺细针穿刺细胞学（fifine needle aspiration cytology， FNAC）的诊断并没有特征性的病理学表现。例如，核内假包涵体常见于甲状腺乳头状癌（papillary thyroid carcinoma， PTC），这是该肿瘤的特征性表现，但也见于其他甲状腺肿瘤，如透明变梁状肿瘤（hyalinizing trabecular tumor， HTT）、甲状腺髓样癌（medullary thyroid carcinoma， MTC）、甲状腺未分化癌（anaplastic thyroid carcinoma， ATC）等。因此，实际工作中，我们必须找到尽可能多的诊断线索，并通过对它们进行全面分析后做出诊断。本章中我们将介绍甲状腺 FNAC 的有助于初学者的诊断线索。
二、背景
（一）胶质
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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