Varsa E W, Jordan S W
Department of Pathology, University of New Mexico School of Medicine, Albuquerque 87131.
Acta Cytol. 1990 Mar-Apr;34(2):275-7.
The fine needle aspiration (FNA) cytology of malignant eccrine spiradenoma arising in a large benign congenital eccrine spiradenoma is described. The malignant tumor was characterized by cohesive, pleomorphic cells with malignant nuclear features and numerous mitoses. FNA of the adjacent benign eccrine spiradenoma revealed prominent basement membrane deposition with an irregular tubular and nesting growth pattern and bland basaloid cells. To our knowledge, the FNA of malignant eccrine spiradenoma has not been previously described. In this case, FNA cytology was influential in directing patient management.
本文描述了起源于巨大良性先天性小汗腺螺旋腺瘤的恶性小汗腺螺旋腺瘤的细针穿刺（FNA）细胞学表现。恶性肿瘤的特征为细胞黏附性强、多形性，具有恶性核特征且有大量有丝分裂象。相邻良性小汗腺螺旋腺瘤的FNA显示有明显的基底膜沉积，呈不规则管状和巢状生长模式，以及形态温和的基底样细胞。据我们所知，此前尚未有关于恶性小汗腺螺旋腺瘤FNA的描述。在此病例中，FNA细胞学对指导患者的治疗管理具有重要意义。
