Coffing Bryan, Gutmann Edward J
Department of Pathology, Dartmouth-Hitchcock Medical Center and Dartmouth Medical School, Lebanon, New Hampshire 03756, USA.
Diagn Cytopathol. 2005 Dec;33(6):412-5. doi: 10.1002/dc.20363.
Lymphangiomas are uncommon in the posterior mediastinum. We report a case of a lymphangioma in this location that was diagnosed by computed tomographic-guided fine-needle aspiration biopsy. The cell block of the lesion closely simulated a normal structure immediately adjacent to the target and could have been misdiagnosed as "normal tissue." On-site evaluation of the aspirate by a cytopathologist promoted pathologist-radiologist communication that helped prevent the potential error and facilitated making the correct diagnosis in the case.
淋巴管瘤在后纵隔中并不常见。我们报告一例发生在此部位的淋巴管瘤，其通过计算机断层扫描引导下的细针穿刺活检得以确诊。病变的细胞块与紧邻目标的正常结构极为相似，可能会被误诊为“正常组织”。细胞病理学家对吸出物进行现场评估促进了病理学家与放射科医生之间的沟通，这有助于防止潜在的错误，并在该病例中促成了正确诊断。
