Gupta Nalini, Gupta Pankaj, Sharma Upender, Vashishta Rakesh Kumar, Rajwanshi Arvind
Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Diagn Cytopathol. 2010 Jan;38(1):56-8. doi: 10.1002/dc.21138.
Diagnosis of a high-grade sarcoma on fine needle aspiration cytology (FNAC) may not pose any difficulty; however, further sub-typing is sometimes difficult. The clinical data, investigations, and finer points on cytomorphology may help for proper categorization of the tumor, however, we encountered a case of orbital sarcoma in an Human Immunodeficiency Virus (HIV) positive patient, in which further sub-typing was difficult even on histopathology and immunohistochemistry was helpful. The diagnostic difficulties on FNA cytology smears as well as histopathology are highlighted.
通过细针穿刺细胞学检查（FNAC）诊断高级别肉瘤可能并不困难；然而，进一步的亚型分类有时会很困难。临床资料、检查以及细胞形态学的细微之处可能有助于对肿瘤进行正确分类，然而，我们遇到了一例人类免疫缺陷病毒（HIV）阳性患者的眼眶肉瘤病例，即使在组织病理学检查时进一步的亚型分类也很困难，而免疫组织化学检查则有所帮助。本文强调了细针穿刺细胞学涂片以及组织病理学检查中的诊断难点。
