Dalla Palma P, Barbazza R
Department of Histopathology, Trento City Hospital, Italy.
Diagn Cytopathol. 1990;6(6):421-6. doi: 10.1002/dc.2840060607.
This article presents a rare case of well-differentiated liposarcoma of the paratesticular area (spermatic cord) with a preoperative cytological diagnosis. A 0.6-mm fine-needle aspiration biopsy (FNAB) of a paratesticular lump showed many spindle and polygonal atypical cells with numerous cytoplasmic vacuoles. On the basis of a diagnosis of "malignant mesenchymal neoplasia consistent with liposarcoma," the patient underwent radical orchiectomy. A 8 x 7 x 8.5 cm, whitish mass was found, which was histologically classified as a "well-differentiated liposarcoma" (with lipoma-like, sclerosing, and myxoid areas), according to the classification of Enzinger and Weiss. A review of the literature is presented.
本文介绍了一例罕见的睾丸旁区域（精索）高分化脂肪肉瘤病例，并进行了术前细胞学诊断。对一个睾丸旁肿块进行0.6毫米细针穿刺活检（FNAB），发现许多梭形和多边形非典型细胞，伴有大量胞质空泡。基于“符合脂肪肉瘤的恶性间叶性肿瘤”的诊断，患者接受了根治性睾丸切除术。发现一个8×7×8.5厘米的白色肿块，根据恩津格和魏斯的分类，组织学上分类为“高分化脂肪肉瘤”（具有脂肪瘤样、硬化性和黏液样区域）。并对文献进行了综述。
