Amita K, Pournami S V, Rashmi R, Kusuma K N, Priyadarshini P
Pathology, Adichunchanagiri Institute of Medical Sciences, Adichunchanagiri University, BG Nagara, Mandya, IND.
Cureus. 2022 May 19;14(5):e25152. doi: 10.7759/cureus.25152. eCollection 2022 May.
Specific diagnosis of adnexal tumours at fine needle aspiration cytology (FNAC) is challenging. In a recurrent scalp tumour, a startling array of lesions ranging from benign to malignant tumours fall into differential diagnosis. Accurate preoperative diagnosis is essential for planning management and to improve clinical outcome. Herein, we report a rare case of recurrent cylindroma of the scalp in a 62-year-old male patient. Cytology smears showed tight clusters of round to oval basaloid cells, few clusters with peripheral palisading. Basement membrane material was seen surrounding the cell clusters. FNAC diagnosis of a benign adnexal tumour, possibly cylindroma, was made. The diagnosis was confirmed at histopathology. We emphasize the decisive role of FNAC in arriving at an accurate diagnosis of a recurrent scalp tumour.
在细针穿刺细胞学检查（FNAC）中，附件肿瘤的明确诊断具有挑战性。在一例复发性头皮肿瘤中，从良性到恶性肿瘤，一系列令人吃惊的病变都纳入了鉴别诊断范围。准确的术前诊断对于制定治疗方案和改善临床结果至关重要。在此，我们报告一例62岁男性患者复发性头皮圆柱瘤的罕见病例。细胞学涂片显示圆形至椭圆形基底样细胞紧密聚集，少数细胞团周边有栅栏状排列。可见细胞团周围有基底膜物质。FNAC诊断为良性附件肿瘤，可能为圆柱瘤。组织病理学检查证实了该诊断。我们强调FNAC在准确诊断复发性头皮肿瘤中起决定性作用。
