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两例骨软骨黏液样纤维瘤的细针穿刺细胞学检查及文献复习

Fine needle aspiration cytology in two cases of chondromyxoid fibroma of bone and review of literature.

作者信息

Sreedharanunni Sreejesh, Gupta Nalini, Rajwanshi Arvind, Bansal Sandeep, Vaiphei Kim

机构信息

Department of Cytology and Gynaecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Diagn Cytopathol. 2013 Oct;41(10):904-8. doi: 10.1002/dc.22855. Epub 2012 Apr 17.

Abstract

We report the cytological features of two cases of chondromyxoid fibroma (CMF) confirmed by histopathology examination. First case was a 40-year-old male who presented with a foot swelling, and the second case was a 16-year-old male with a lesion at the angle of jaw. A fine needle aspiration cytology (FNAC) was performed in both the cases. In first case, a correct diagnosis of CMF could be offered on FNAC. In the second case, though the cytology diagnosis was a sarcoma considering the cytological, radiological and clinical features, the histopathological examination confirmed the same to be a CMF. The cases are being discussed to highlight the usefulness of FNAC to diagnose these uncommon benign bone lesions and the potential pitfalls in the cytological diagnosis of chondroid lesions.

摘要

我们报告了两例经组织病理学检查确诊的软骨黏液样纤维瘤(CMF)的细胞学特征。第一例是一名40岁男性,表现为足部肿胀,第二例是一名16岁男性下颌角处有病变。两例均进行了细针穿刺细胞学检查(FNAC)。第一例中,FNAC可对CMF做出正确诊断。第二例中,尽管根据细胞学、放射学和临床特征,细胞学诊断为肉瘤,但组织病理学检查证实为CMF。对这些病例进行讨论,以强调FNAC在诊断这些罕见的良性骨病变中的作用以及软骨样病变细胞学诊断中的潜在陷阱。

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