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表现为锁骨上肿胀的淀粉样变性的细胞学诊断

Cytological diagnosis of amyloidosis presenting as a supraclavicular swelling.

作者信息

Rakheja Garima, Handa Uma, Tahlan Anita, Lehl Sarabmeet S

机构信息

Department of Pathology, Government Medical College and Hospital, Chandigarh, India.

Department of Medicine, Government Medical College and Hospital, Chandigarh, India.

出版信息

Diagn Cytopathol. 2020 Mar;48(3):234-238. doi: 10.1002/dc.24346. Epub 2019 Nov 25.

DOI:10.1002/dc.24346
PMID:31763786
Abstract

Amyloidosis is a well-recognized entity, that can present as a systemic disease, or, uncommonly, as a localized mass. We report here, a rare presentation of amyloidosis presenting as a supraclavicular swelling, diagnosed on fine-needle aspiration cytology. Subsequent bone marrow examination led to the diagnosis of multiple myeloma. This case highlights the need to be aware of cytological characteristics of amyloidosis, which can have unusual presentation posing a diagnostic dilemma.

摘要

淀粉样变性是一种广为人知的病症,可表现为全身性疾病,或罕见地表现为局限性肿块。我们在此报告一例罕见的淀粉样变性病例,其表现为锁骨上肿胀,通过细针穿刺细胞学检查得以确诊。随后的骨髓检查确诊为多发性骨髓瘤。该病例强调了需要了解淀粉样变性的细胞学特征,因为其可能有不寻常的表现,从而造成诊断困境。

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