一名小提琴演奏者的颈部结节性硬结。一例细针穿刺细胞学检查结果的病例报告。
Nodular cervical induration in a violinist. Report of a case with fine needle aspiration cytologic findings.
作者信息
Carabias E, Dhimes P, de Agustín P, Gutierrez E
机构信息
Department of Pathology, University Hospital, 12 de Octubre, Madrid, Spain.
出版信息
Acta Cytol. 1996 Nov-Dec;40(6):1301-3. doi: 10.1159/000334025.
BACKGROUND
Nodular indurations due to repeat trauma have been previously described. These subcutaneous lesions have been reported as occupational disease in male cyclists ("accessory testicles").
CASE
The cytologic findings from a case of nodular cervical induration in a 47-year-old violinist are reported. It consisted of a well-delimited, nodular lesion in the left submandibular soft parts. Fine needle aspiration cytology (FNAC) smears showed few spindle cells with no atypia and scarce adipocytes in a collagen background.
CONCLUSION
FNAC findings are important in the differential diagnosis of cervical nodules. In this case, the subcutaneous nodule was a violinist's occupational disease, for which we propose the term "violinist's nodule."
背景
既往曾描述过因反复创伤导致的结节性硬结。这些皮下病变已被报道为男性自行车运动员的职业病（“副睾丸”）。
病例
报告了一名47岁小提琴家颈部结节性硬结病例的细胞学检查结果。病变位于左下颌下软组织，为边界清晰的结节性损害。细针穿刺抽吸细胞学（FNAC）涂片显示在胶原背景中有少量无异型性的梭形细胞和稀少的脂肪细胞。
结论
FNAC检查结果对颈部结节的鉴别诊断很重要。该病例中的皮下结节是小提琴家的职业病，我们建议将其命名为“小提琴家结节”。
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