후복막강 부신경절종의 세침흡인 세포학적 소견

Fine Needle Aspiration Cytology of Paraganglioma of the Retroperitoneum

  • 한지영 (연세대학교 의과대학 병리학교실) ;
  • 이광길 (연세대학교 의과대학 병리학교실)
  • Han, Jee-Young (Department of Pathology, Yonsei University College of Medicine) ;
  • Lee, Kwang-Gil (Department of Pathology, Yonsei University College of Medicine)
  • 발행 : 1992.06.30

초록

A case of paraganglioma of the retroperitoneum diagnosed by fine needle aspiration cytology is described. A 60-year-old man presented with abdominal discomfort for 4 months. The smear revealed cellular sheets with partly rosettoid appearance. Many piexiform capillaries were distributed between the cellular sheets or encircled the cellular nests forming zell-ballen pattern. The tumor cells were monotonous and oval to round. The cytoplasm was amphophillc, finely granular and poorly defined. The nuclei were round and had evenly dispersed chromatin and small nucleoli. Cells having large or spindle nuclei were some-times observed. The tissue sections showed typical findings of paragnglima. The cytological differential diagnoses included islet cell tumor of the pancreas and carcinold tumor. The clinical and histoloigic findings as well as cytologic findings were helpful to confirm the diagnosis.

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