Hornstein A, Batts K P, Linz L J, Chang C D, Galvanek E G, Bardawil R G
Department of Cytopathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Acta Cytol. 1996 May-Jun;40(3):576-80. doi: 10.1159/000333919.
Ciliated hepatic foregut cysts, albeit rare, are important to consider in liver aspirates obtained for evaluation of possible neoplastic disease.
In three cases, liver fine needle aspirates showed features consistent with ciliated hepatic foregut cysts. Two of these aspirates were obtained to evaluate possible metastatic disease prior to resection of primary tumors, one of the lung and one of the bladder. A third case had radiologic findings suggestive of a cystic neoplasm. The fine needle aspirate material from these cases revealed clusters of tall, columnar cells with basally oriented nuclei and prominent apical terminal plates with cilia. These features are consistent with ciliated hepatic foregut cysts.
This entity, although originally described in the late 19th century, to our knowledge has not been reported to occur in fine needle aspirate material and should be included in the differential diagnosis of cystic lesions of the liver.
纤毛肝前肠囊肿虽罕见，但在为评估可能的肿瘤性疾病而获取的肝脏抽吸物中，是需要考虑的重要情况。
在三例病例中，肝脏细针抽吸物显示出与纤毛肝前肠囊肿一致的特征。其中两例抽吸物是在切除原发性肿瘤（一例为肺癌，一例为膀胱癌）之前获取的，用于评估可能的转移性疾病。第三例病例有影像学表现提示为囊性肿瘤。这些病例的细针抽吸物材料显示出高柱状细胞簇，细胞核位于基部，顶端有明显的终板和纤毛。这些特征与纤毛肝前肠囊肿一致。
该实体尽管在19世纪末首次被描述，但据我们所知，尚未见在细针抽吸物材料中出现的报道，应纳入肝脏囊性病变的鉴别诊断中。
