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化疗后腹水样本中促结缔组织增生性小圆细胞肿瘤的异常形态。

Unusual morphology of desmoplastic small round cell tumor from an ascitic fluid in the postchemotherapy setting.

作者信息

González-Arango Ricardo, Castro-Villabón Diana, Barrera-Herrera Luis E, Palau Mauricio, Rodríguez-Urrego Paula A

机构信息

School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.

Department of Pathology, Hospital Universitario Fundación Santa Fe de Bogotá, Universidad de Los Andes, Bogotá, Colombia.

出版信息

J Cytol. 2015 Jan-Mar;32(1):46-9. doi: 10.4103/0970-9371.155237.

DOI:10.4103/0970-9371.155237
PMID:25948947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4408680/
Abstract

Desmoplastic small round cell tumor (DSRCT) is a malignant neoplasm that most often presents in male adolescents as an abdominal mass. Cytological features have been previously described, but only two reports noted post chemotherapy changes on effusions. We report a case of a 15-year-old male with DSRCT status postchemotherapy that presented with ascitis. Unusual morphology was seen: Numerous malignant large and single cells with prominent nucleoli and abundant cytoplasm in a background without the stroma, occasional mitosis, and the abundant apoptosis. Cell block immunocytochemistry was confirmatory. Awareness of the postchemotherapy changes in this tumor will allow us to diagnose recurrence.

摘要

促结缔组织增生性小圆细胞肿瘤(DSRCT)是一种恶性肿瘤,最常发生于男性青少年,表现为腹部肿块。其细胞学特征此前已有描述,但仅有两篇报道提及化疗后积液的变化。我们报告一例15岁男性DSRCT患者,化疗后出现腹水。观察到不寻常的形态:在无基质的背景中有大量具有明显核仁及丰富细胞质的恶性大细胞和单个细胞,偶见有丝分裂及大量凋亡。细胞块免疫细胞化学检查得以确诊。了解该肿瘤化疗后的变化将有助于我们诊断复发情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b27/4408680/c9273583fc67/JCytol-32-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b27/4408680/c9273583fc67/JCytol-32-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b27/4408680/c9273583fc67/JCytol-32-46-g001.jpg

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本文引用的文献

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Cytology of desmoplastic small round-cell tumor: comparison of pre- and post-chemotherapy fine-needle aspiration biopsies.促纤维组织增生性小圆细胞瘤的细胞学:化疗前后细针穿刺活检的比较
Cancer. 2007 Feb 25;111(1):41-6. doi: 10.1002/cncr.22421.
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Desmoplastic small round cell tumors: cytologic, histologic, and immunohistochemical features.促纤维增生性小圆细胞瘤:细胞学、组织学及免疫组化特征
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Cytology of desmoplastic small round cell tumor.促纤维增生性小圆细胞肿瘤的细胞学
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