KMID : 0357920100440020220
|
|
Korean Journal of Pathology 2010 Volume.44 No. 2 p.220 ~ p.224
|
|
Fine Needle Aspiration Biopsy of a Myxoid Leiomyosarcoma with Epithelioid Features and It Metastasized to the Abdominal Wall - A Case Report -
|
|
Maeng Lee-So
Chae Hiun-Suk Lee An-Hi Chung Yong-An Lee Kyo-Young
|
|
Abstract
|
|
|
We present the cytologic findings observed in a fine needle aspiration biopsy specimen of a rare myxoid variant of leiomyosarcoma with epithelioid features and the tumor had metastasized to the abdominal wall. The aspirate showed hypercellularity in a hemorrhagic background. Some large 3-dimensional aggregates of spindle cells were observed. Each cell had a solitary ovoid-to-elongated nucleus with finely granulated chromatin, one or two small distinct nucleoli and an irregular nuclear membrane. There were irregular fascicles of spindle cells with cigar-shaped, blunt-ended nuclei admixed with inflammatory cells. Epithelioid cells with a rather narrow, dense cytoplasmic rim and a well-defined cell border were embedded in a myxoid matrix in a cord-like and cluster arrangement. The matrix appeared as a pale green substance with sharply defined edges. There were very few mitoses. These cytologic features were the same as those of a uterine myxoid leiomyosarcoma that was surgically excised 7 years ago, and immunohistochemical staining revealed the smooth muscle origin of the tumor.
|
|
KEYWORD
|
|
Cytology, Biopsy, fine-needle, Uterus, Leiomyosarcoma, Neoplasm metastasis
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|