Mondal A, Misra D K
Department of Cytopathology, SVS Marwari Hospital, Calcutta.
J Indian Med Assoc. 1996 Apr;94(4):135-7, 142.
Fine needle aspiration cytology (FNAC) plays immense diagnostic role in Ewing's sarcoma of bone. As clinically and sometimes radiologically Ewing's sarcoma mimics osteomyelitis of bone, FNAC is of great help to distinguish these 2 lesions and can avoid unnecessary incisional biopsies in most of the cases. At present limb salvage therapy is replaced by chemotherapy and radiotherapy. Moreover most of the patients present with gross soft tissue involvement where exact categorisation of malignant bone tumour is not possible by radiological means. FNAC is of great benefit to the clinicians and the patients as it provides a quick and accurate report and surgical interventions can be avoided in most of the cases. This paper highlights the cytological appearance of Ewing's sarcoma of bone in 71 cases. A conclusive diagnosis can be made with the help of special stains and cell block study. The diagnostic accuracy was 100% without any complication.
细针穿刺细胞学检查(FNAC)在骨尤文肉瘤的诊断中发挥着巨大作用。由于在临床及有时在放射学上,尤文肉瘤可模仿骨骨髓炎,FNAC对区分这两种病变有很大帮助,并且在大多数情况下可避免不必要的切开活检。目前,保肢治疗已被化疗和放疗所取代。此外,大多数患者存在明显的软组织受累情况,通过放射学手段无法准确分类恶性骨肿瘤。FNAC对临床医生和患者非常有益,因为它能提供快速准确的报告,并且在大多数情况下可避免手术干预。本文重点介绍了71例骨尤文肉瘤的细胞学表现。借助特殊染色和细胞块研究可做出确定性诊断。诊断准确率为100%,且无任何并发症。