Pérez-Guillermo M, Thor A, Löwhagen T
Department of Cytology, Karolinska Hospital, Stockholm, Sweden.
Acta Cytol. 1989 Jan-Feb;33(1):6-10.
Adenomatoid tumors are the most common tumors of male paratesticular tissues (epididymis, tunica or spermatic cord) and have also been described in females (uterus, fallopian tube, ovary and paraovarian tissues); fine needle aspiration (FNA) of masses in these locations is increasingly utilized as an alternative to surgical exploration in order to establish a tissue diagnosis. This paper describes the FNA cytodiagnosis of seven cases of paratesticular adenomatoid tumors. The main cytologic criteria included epithelioid sheets and multilayered clusters of monotonous cells with round or ovoid, eccentric nuclei containing small, central nucleoli. Paranuclear clearing with a pink coloration (Giemsa stain) or a clear vacuolelike area (Papanicolaou stain) and abundant cellularity with a background of naked nuclei and stromal fragments were noted. The clinical presentation and clinicohistologic follow-up of these seven cases is also described in detail. A discussion of the differential diagnosis and the expected FNA findings is provided.
腺瘤样瘤是男性睾丸旁组织（附睾、白膜或精索）最常见的肿瘤，在女性（子宫、输卵管、卵巢和卵巢旁组织）中也有报道；这些部位肿物的细针穿刺抽吸术（FNA）越来越多地被用作手术探查的替代方法，以确立组织诊断。本文描述了7例睾丸旁腺瘤样瘤的FNA细胞诊断。主要细胞学标准包括上皮样细胞片层和多层单调细胞团，细胞呈圆形或卵圆形，核偏位，含有小的中央核仁。可见核旁清亮区呈粉红色（吉姆萨染色）或清亮的空泡样区域（巴氏染色），细胞丰富，背景为裸核和间质碎片。还详细描述了这7例病例的临床表现及临床组织学随访情况。提供了鉴别诊断及预期FNA结果的讨论。
