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圆柱瘤的细胞学表现:鉴别诊断与文献综述

Cytological Findings of Cylindroma: Differential Diagnosis and Literature Review.

作者信息

Wada Junpei, Nishida Haruto, Daa Tsutomu, Kashima Kenji, Kato Aiko, Urabe Shogo

机构信息

Pathology, Oita Prefectural Hospital, Oita, JPN.

Diagnostic Pathology, Faculty of Medicine, Oita University, Oita, JPN.

出版信息

Cureus. 2024 Nov 28;16(11):e74648. doi: 10.7759/cureus.74648. eCollection 2024 Nov.

Abstract

A cylindroma is a relatively rare tumor classified as a benign tumor with apocrine and eccrine differentiation, mainly occurring on the scalp. While there are some reports on the cytological findings of cylindromas, there are no reports concerning stamp preparation. Here, we report a case of a 60-year-old female who presented with a tumor on the right scalp. We obtained cytological specimens from non-fixed surgical samples using stamp, aspiration, and liquid-based cytology. Based on the histological findings, we compared the similarities and differences between stamp and aspiration preparations of a typical cylindroma. Findings of basement membrane-like materials and the degree of nuclear atypia aided cytological diagnosis. As distinguishing cylindromas from other tumors through cytology alone is clinically challenging, careful diagnosis using histopathology and cytology is recommended.

摘要

圆柱瘤是一种相对罕见的肿瘤,被归类为具有大汗腺和小汗腺分化的良性肿瘤,主要发生在头皮上。虽然有一些关于圆柱瘤细胞学表现的报道,但尚无关于印片制备的报道。在此,我们报告一例60岁女性,其右侧头皮出现肿瘤。我们使用印片、穿刺和液基细胞学方法从非固定手术样本中获取细胞学标本。基于组织学结果,我们比较了典型圆柱瘤印片和穿刺涂片之间的异同。基底膜样物质的发现和核异型程度有助于细胞学诊断。由于仅通过细胞学将圆柱瘤与其他肿瘤区分开来在临床上具有挑战性,建议使用组织病理学和细胞学进行仔细诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc3/11681379/2320c1f675fc/cureus-0016-00000074648-i01.jpg

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