Hittmair A, Pernthaler H, Tötsch M, Schmid K W
Department of Pathology, University of Innsbruck, Austria.
Acta Cytol. 1991 Sep-Oct;35(5):546-8.
The preoperative fine needle aspiration (FNA) biopsy diagnosis of a microcystic adenoma of the pancreas is reported. Ultrasound examination and computed tomography showed a solid tumor in the pancreatic tail in a 68-year-old woman with abdominal discomfort. FNA biopsy of the lesion yielded a sample that contained only a few clusters of flattened ductal cells without criteria of malignancy. The presence of a considerable amount of watery fluid in the FNA sample was the main feature that suggested the diagnosis of a microcystic adenoma. This was confirmed by histologic study of the resected lesion. The differential diagnosis of microcystic adenoma is briefly discussed.
报告了1例胰腺微囊性腺瘤的术前细针穿刺抽吸(FNA)活检诊断。超声检查和计算机断层扫描显示,1名68岁有腹部不适的女性胰腺尾部有1个实性肿瘤。对该病变进行FNA活检获得的样本仅包含少数扁平导管细胞簇,无恶性标准。FNA样本中存在大量水样液体是提示微囊性腺瘤诊断的主要特征。切除病变的组织学研究证实了这一点。简要讨论了微囊性腺瘤的鉴别诊断。