细针穿刺抽吸活检诊断复发性和转移性恶性黑色素瘤。
FNA diagnosis of malignant melanoma-recurrent and metastatic disease.
作者信息
Alam Kiran, Jain Anshu, Aziz Meher, Misra Aroonima
机构信息
Department of Pathology, J N Medical College, Aligarh, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2012 Nov 14;2012:bcr2012006887. doi: 10.1136/bcr-2012-006887.
We present a case of a 60-year-old woman with multiple right axillary swellings. Patient had a history of lump with pigmentation over back for which she was operated upon. There was also a nodule over resected scar on back. A final diagnosis of malignant melanoma (recurrent and metastatic to axillary lymph nodes) was rendered with the help of fine-needle aspiration cytology (FNAC). Malignant melanomas are the most lethal of cancers of the skin and are notorious for the great variability of cytological presentation. We discuss the role of FNAC in early diagnosis and prognostication of recurrent and metastatic disease.
我们报告一例60岁女性，其右侧腋窝出现多处肿物。患者背部曾有伴有色素沉着的肿块并接受了手术治疗。背部切除瘢痕处也有一个结节。借助细针穿刺细胞学检查（FNAC）最终诊断为恶性黑色素瘤（复发并转移至腋窝淋巴结）。恶性黑色素瘤是皮肤癌中致死率最高的，其细胞学表现差异极大，因而声名狼藉。我们讨论了FNAC在复发性和转移性疾病的早期诊断及预后判断中的作用。
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