Roussel F, Delaville A, Campos H, Benozio M, Brasseur P
Department of Histology, Charles Nicolle Hospital, University Hospital Center, Rouen, France.
Acta Cytol. 1990 Jul-Aug;34(4):533-5.
The accidental finding of a pseudotumoral para-aortic mass in a 60-year-old woman led to the performance of a fine needle aspiration (FNA) biopsy under ultrasonographic guidance. The milky aspirate was centrifuged and processed as a cell block. The examination of sections confirmed the lymphatic origin of the sample, but also revealed some unexpected parasitic structures. While a complete identification could not be made on a few sections, the morphologic and epidemiologic evidence suggested Dirofilaria repens. The mass was surgically removed and identified as an adenolymphocele, which appears to be a new localization of dirofilariasis in humans. This case emphasizes the utility of FNA in diagnosing such unexpected findings without the use for exploratory surgery.
一名60岁女性偶然发现主动脉旁有一个假瘤样肿块，遂在超声引导下进行了细针穿刺抽吸（FNA）活检。将乳白色的抽吸物离心并制成细胞块。切片检查证实了样本的淋巴来源，但也发现了一些意外的寄生虫结构。虽然仅通过几张切片无法完全鉴定，但形态学和流行病学证据提示为匐行恶丝虫。该肿块经手术切除，病理诊断为腺淋巴管瘤，这似乎是人类丝虫病的一种新发病部位。该病例强调了FNA在诊断此类意外发现中的作用，避免了进行 exploratory surgery。 （注：原文中“exploratory surgery”未给出准确中文释义，推测为“探查性手术”）
