Snitchler Andrea N, Silverman Jan F
Department of Pathology, Allegheny General Hospital, Pittsburgh, PA, USA.
Acta Cytol. 2011;55(5):478-80. doi: 10.1159/000328711. Epub 2011 Oct 8.
A 55-year-old male with end-stage renal disease on hemodialysis presented with neck pain of 1 year's duration. A computed tomography (CT) scan was performed as part of his workup, and a posterior cervical neck mass was detected. CT-guided fine needle aspiration was performed with an immediate cytologic interpretation of tumoral calcinosis. On air-dried Diff-Quik and alcohol-fixed Papanicolaou-stained smears, the specimen demonstrated coarse-to-fine calcific debris. A final diagnosis of tumoral calcinosis was rendered. A literature search revealed that this diagnosis is rarely made by touch imprint cytology of core needle biopsy and/or needle aspiration cytology, although it can be a relatively easy and straightforward diagnosis.
一名55岁接受血液透析的终末期肾病男性患者,出现颈部疼痛1年。作为其检查的一部分,进行了计算机断层扫描(CT),发现颈后部有肿物。进行了CT引导下细针穿刺抽吸,并立即对肿瘤性钙化进行了细胞学诊断。在空气干燥的Diff-Quik染色涂片和酒精固定的巴氏染色涂片上,标本显示出由粗到细的钙化碎片。最终诊断为肿瘤性钙化。文献检索显示,尽管肿瘤性钙化相对容易直接诊断,但通过粗针活检的触摸印片细胞学检查和/或针吸细胞学检查很少能做出此诊断。