Mincione G P, Mincione F, Mennonna P
Istituto di anatomia e istologia patologica, Università di Firenze.
Pathologica. 1991 Mar-Apr;83(1084):191-6.
The fine needle aspiration cytology of a cystic suprasellar lesion, which caused bilateral hemianopia in a woman aged 63, resulted to be consistent with a craniopharyngioma and was confirmed by tissue diagnosis. The cytological pattern showed macrophages and debris with calcifications indicating the presence of a cyst. Furthermore squamous cells of basal type and ghost cells were identified. These findings together with the seat of the lesion allowed for the diagnosis of craniopharyngioma and for the differentiation from other cystic lesions of the same region. The case confirms the value of the fine needle aspiration cytology in the detection of craniopharyngioma and points out cytological peculiarities of this not rare neoplasm.
一名63岁女性因鞍上囊性病变导致双侧偏盲，其细针穿刺抽吸细胞学检查结果与颅咽管瘤相符，并经组织诊断证实。细胞学形态显示有巨噬细胞、碎片及钙化，提示囊肿存在。此外，还发现了基底型鳞状细胞和影细胞。这些发现结合病变部位，有助于诊断颅咽管瘤并与该区域其他囊性病变相鉴别。该病例证实了细针穿刺抽吸细胞学在颅咽管瘤检测中的价值，并指出了这种并不罕见的肿瘤的细胞学特点。
