从细胞学家角度看叶状肿瘤与纤维腺瘤的鉴别
Distinction of phyllodes tumor from fibroadenoma: Cytologists' perspective.
作者信息
Bandyopadhyay Ranjana, Nag Dipanwita, Mondal Santosh Kumar, Mukhopadhyay Subhalakshmi, Roy Sumit, Sinha Swapan Kumar
机构信息
Department of Pathology, Medical College, Kolkata, India.
出版信息
J Cytol. 2010 Apr;27(2):59-62. doi: 10.4103/0970-9371.70739.
BACKGROUND
Fibroadenomas and phyllodes tumors may have similar cytological appearances. However, a detailed study of cytomorphology of stromal elements may be helpful in differentiation.
AIM
To evaluate the cytological features of phyllodes tumor in our study with special reference to features that can help distinguishing it from fibroadenoma.
MATERIALS AND METHODS
The archival materials of our hospital were searched from January 2006 to January 2009 for histopathologically-diagnosed cases of phyllodes tumor. The cases in which previous cytopathology smears were available were included in the study. The cytomorphology of 10 such cases were compared with 25 cytologically-diagnosed and histopathologically-confirmed cases of fibroadenoma.
RESULTS
The size, cellularity of stromal fragments, and the proportion of spindle cells in the background are important features in such differentiation.
背景
纤维腺瘤和叶状肿瘤可能具有相似的细胞学表现。然而，对间质成分的细胞形态进行详细研究可能有助于鉴别。
目的
在我们的研究中评估叶状肿瘤的细胞学特征，特别关注有助于将其与纤维腺瘤区分开来的特征。
材料与方法
检索我院2006年1月至2009年1月存档材料中组织病理学诊断为叶状肿瘤的病例。本研究纳入有既往细胞病理学涂片的病例。将10例此类病例的细胞形态与25例经细胞学诊断和组织病理学证实的纤维腺瘤病例进行比较。
结果
在这种鉴别中，间质碎片的大小、细胞密度以及背景中梭形细胞的比例是重要特征。
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