Khatib Yasmeen, Khade Archana L, Shah Vinaya B, Khare Manisha S
Associate Professor, Department of Pathology, HBT Medical College and Dr. R. N. Cooper Hospital , Juhu, Mumbai, Maharashtra, India .
Assistant Professor, Department of Pathology, HBT Medical College and Dr. R. N. Cooper Hospital , Juhu, Mumbai, Maharashtra, India .
J Clin Diagn Res. 2017 Feb;11(2):ED10-ED11. doi: 10.7860/JCDR/2017/23292.9264. Epub 2017 Feb 1.
Spindle Cell Lipoma (SCL) is an uncommon benign tumour of adipose tissue that is usually superficially located in the neck, back and shoulder region. Although it has characteristic histological features it can pose a diagnostic dilemma on cytology. It presents with a mixture of spindle cells, adipocytes, collagen fibres and a myxoid matrix in varying proportions sometimes with mild pleomorphism. Hence, it can be mistaken for other spindle cell, adipose and myxoid tumours which can be benign or malignant. We present a case of SCL of the back in a 47-year-old male, who presented with a slow growing lesion. Fine Needle Aspiration Cytology (FNAC) showed the characteristic cytological features described above and a diagnosis could be given after clinical correlation. We report this case as the cytology of this uncommon tumour has been described in relatively few cases and a correct pre-operative diagnosis will aid in proper management of this tumour.
梭形细胞脂肪瘤（SCL）是一种罕见的脂肪组织良性肿瘤，通常位于颈部、背部和肩部的浅表部位。尽管它具有特征性的组织学特征，但在细胞学检查中可能会造成诊断难题。它表现为梭形细胞、脂肪细胞、胶原纤维和黏液样基质的混合，比例各不相同，有时伴有轻度异型性。因此，它可能被误诊为其他梭形细胞、脂肪和黏液样肿瘤，这些肿瘤可能是良性的，也可能是恶性的。我们报告一例47岁男性背部的SCL病例，该患者表现为生长缓慢的病变。细针穿刺抽吸细胞学检查（FNAC）显示了上述特征性细胞学特征，经临床关联后得以确诊。我们报告此病例是因为关于这种罕见肿瘤的细胞学描述相对较少，正确的术前诊断将有助于对该肿瘤进行妥善管理。
