Myeloid Sarcoma of the Thyroid

Goldenberg, Dana; Joshi, Monika; Malysz, Jozef; Claxton, David F.

doi:10.1177/014556131709601205

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Rare cases of granulocytic sarcoma in thyroid have been reported but multiple Auer rods were not detected in these cases. 11,12 It should be noted that cytologic features of FNA smears, including discohesive cells and small clusters, round to oval nuclei with mild to moderate pleomorphism, binucleation, intranuclear cytoplasmic inclusions, cytoplasmic red granules, and amyloid-like materials, lead us to the diagnosis of medullary carcinoma.…”

Section: Discussionmentioning

confidence: 99%

<p>Multiple Auer Rods in Fine-Needle Aspiration Smears of Medullary Thyroid Carcinoma: An Unusual Finding</p>

Avval

Kumar

Dehghani

2020

IMCRJ

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Background: Medullary thyroid carcinoma (MTC) is a rare tumor. Fine-needle aspiration (FNA) cytology is a popular method for the preoperative diagnosis of MTC. Case Report: A 45-year-old man was referred to our center for a palpable thyroid nodule. Ultrasound-guided FNA was carried out for the patient. Cytology slides showed many isolated and small clusters of round to oval cells, some with a moderate amount of cytoplasm and red cytoplasmic granules. Rare cells showed multiple red Auer rods. Histology confirmed the diagnosis of MTC. Conclusion: Cytologic findings of MTC in FNA are variable, and several rare cytologic findings have been reported. Cytoplasmic red granules are one of the usual findings, whereas detection of cells containing multiple Auer rods is an unusual finding, which has not been reported so far.

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Section: Discussionmentioning

confidence: 99%

<p>Multiple Auer Rods in Fine-Needle Aspiration Smears of Medullary Thyroid Carcinoma: An Unusual Finding</p>

Avval

Kumar

Dehghani

2020

IMCRJ

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Electronic Health Record Use among Ophthalmology Residents while on Call

Long

Tai-Seale

El‐Kareh

et al. 2020

Journal of Academic Ophthalmology

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Background As electronic health record (EHR) use becomes more widespread, detailed records of how users interact with the EHR, known as EHR audit logs, are being used to characterize the clinical workflows of physicians including residents. After-hours EHR use is of particular interest given its known association with physician burnout. Several studies have analyzed EHR audit logs for residents in other fields, such as internal medicine, but none thus far in ophthalmology. Here, we focused specifically on EHR use during on-call shifts outside of normal clinic hours. Methods In this retrospective study, we analyzed raw EHR audit log data from on-call shifts for 12 ophthalmology residents at a single institution over the course of a calendar year. Data were analyzed to characterize total time spent using the EHR, clinical volume, diagnoses of patients seen on call, and EHR tasks. Results Across all call shifts, the median and interquartile range (IQR) of the time spent logged into the EHR per shift were 88 and 131 minutes, respectively. The median (IQR) unique patient charts accessed per shift was 7 (9) patients. When standardized to per-hour measures, weekday evening shifts were the busiest call shifts with regard to both EHR use time and clinical volume. Total EHR use time and clinical volume were greatest in the summer months (July to September). Chart review comprised a majority (63.4%) of ophthalmology residents' on-call EHR activities. Conclusion In summary, EHR audit logs demonstrate substantial call burden for ophthalmology residents outside of regular clinic hours. These data and future studies can be used to further characterize the clinical exposure and call burden of ophthalmology residents and could potentially have broader implications in the fields of physician burnout and education policy.

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Myeloid Sarcoma of the Thyroid

Cited by 2 publications

References 5 publications

<p>Multiple Auer Rods in Fine-Needle Aspiration Smears of Medullary Thyroid Carcinoma: An Unusual Finding</p>

<p>Multiple Auer Rods in Fine-Needle Aspiration Smears of Medullary Thyroid Carcinoma: An Unusual Finding</p>

Electronic Health Record Use among Ophthalmology Residents while on Call

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