Laforga Juan B
Department of Pathology, Hospital Marina Alta, Denia, Alicante, Spain.
Diagn Cytopathol. 2003 Aug;29(2):95-100. doi: 10.1002/dc.10314.
The diagnosis of cellular schwannoma in intraoperative consultation is difficult because of the hypercellularity and deep location, which may lead to errors. The recognition of cytologic features together with the histological appearance are of great importance to make the correct diagnosis. An accurate diagnosis of this variant of schwannoma is important because other spindle cell tumors display differences in treatment and clinical behavior. We report a demonstrative case of cellular schwannoma arising in retroperitoneum of a 52-yr-old woman in which the cytologic imprints were useful to make an accurate diagnosis intraoperatively. Briefly, the differential diagnosis is discussed.
在术中会诊时,细胞性神经鞘瘤的诊断很困难,因为细胞密度高且位置深,这可能会导致误诊。认识到细胞学特征以及组织学表现对于做出正确诊断非常重要。准确诊断这种神经鞘瘤变体很重要,因为其他梭形细胞瘤在治疗和临床行为上存在差异。我们报告了一例发生在一名52岁女性腹膜后的细胞性神经鞘瘤的示范病例,其中细胞学印片有助于在术中做出准确诊断。简要讨论了鉴别诊断。