Choi Junjeong, Kim Hoguen, Kim Se Hoon
Department of Pathology, Yonsei University College of Medicine, Seongsanno 250 Seodaemun-Ku, Seoul, 120-752, Republic of Korea.
Diagn Cytopathol. 2012 Jul;40(7):592-6. doi: 10.1002/dc.21594. Epub 2010 Dec 31.
Atypical teratoid and rhabdoid tumor (AT/RT) is a rare tumor with fatal clinical consequences, usually affecting young children. A significant portion of patients present with dissemination to cerebrobspinal fluid (CSF). However, a limited number of studies are available regarding the cytomorphologic findings of AT/RT in CSF. We collected eight cases of CSF cytology of AT/RT and describe the cytomorphologic features of AT/RT in CSF. Typical rhabdoid cells are found in most cases and they are characterized by eccentric nuclei, abundant cytoplasm, and clustering of the tumor cells. The presence of these cells in CSF indicates disseminated diseases and aggressive therapeutic consideration for patient management is required.
非典型畸胎样和横纹肌样瘤(AT/RT)是一种罕见肿瘤,具有致命的临床后果,通常影响幼儿。相当一部分患者会出现脑脊液(CSF)播散。然而,关于CSF中AT/RT的细胞形态学表现的研究数量有限。我们收集了8例AT/RT的CSF细胞学病例,并描述了CSF中AT/RT的细胞形态学特征。大多数病例中可发现典型的横纹肌样细胞,其特征为核偏位、胞质丰富以及肿瘤细胞聚集。CSF中出现这些细胞提示疾病播散,需要对患者管理采取积极的治疗措施。