剖宫产瘢痕处发生的透明细胞癌。1例细针穿刺细胞学报告。
Clear cell carcinoma arising in a cesarean section scar. Report of a case with fine needle aspiration cytology.
作者信息
Ishida Gabriela M, Motoyama Teiichi, Watanabe Tohru, Emura Iwao
机构信息
Department of Pathology, Yamagata University School of Medicine, Yamagata 990-9585, Japan.
出版信息
Acta Cytol. 2003 Nov-Dec;47(6):1095-8. doi: 10.1159/000326655.
BACKGROUND
Clear cell carcinoma arising in a cesarean section scar is an extremely rare disease. To the best of our knowledge, there is no published report on the aspiration cytology.
CASE
A 56-year-old woman presented with a mass in a cesarean section scar. Initially an abdominal desmoid was considered, but the features of fine needle aspiration (FNA) cytology suggested an adenocarcinoma. The resected tumor was histologically composed of clear cell carcinoma showing cystic, solid and papillary patterns.
CONCLUSION
FNA cytology of masses arising in a surgical scar can be a useful tool in obtaining an accurate pathologic diagnosis of a malignant neoplasm.
背景
剖宫产瘢痕处发生的透明细胞癌是一种极其罕见的疾病。据我们所知，尚无关于细针穿刺细胞学检查的报道。
病例
一名56岁女性，剖宫产瘢痕处出现肿物。最初考虑为腹壁硬纤维瘤，但细针穿刺（FNA）细胞学特征提示为腺癌。切除的肿瘤组织学检查显示为透明细胞癌，呈囊性、实性和乳头状结构。
结论
手术瘢痕处肿物的FNA细胞学检查可作为准确诊断恶性肿瘤的有用工具。
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