대한세포병리학회지 (The Korean Journal of Cytopathology)
- 제10권1호
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- Pages.61-66
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- 1999
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- 1017-0391(pISSN)
흉수의 혈관육종의 세포학적 소견 - 1예 보고 -
Cytologic Features of an Angiosarcoma in Pleural Fluid - A Case Report -
- 주영채 (인하대학교 의과대학 병리학교실) ;
- 박인서 (인하대학교 의과대학 병리학교실) ;
- 김윤주 (인하대학교 의과대학 병리학교실) ;
- 한혜승 (인하대학교 의과대학 병리학교실) ;
- 한지영 (인하대학교 의과대학 병리학교실)
- Chu, Young-Chae (Department of Pathology, College of Medicine, Inha University) ;
- Park, In-Seo (Department of Pathology, College of Medicine, Inha University) ;
- Kim, Yoon-Ju (Department of Pathology, College of Medicine, Inha University) ;
- Han, Hye-Seung (Department of Pathology, College of Medicine, Inha University) ;
- Han, Jee-Young (Department of Pathology, College of Medicine, Inha University)
- Published : 1999.06.30
Abstract
Angiosarcomas are rare tumors, seen most commonly in the skin and soft tissue of head and neck legion. But it has been described in numerous body sites including thyroid, breast, liver, spleen, bone, etc.. Their biological behaviors depend on the microscopic grade, site of origin, and multifocality. We report the unique cytological features of an angiosarcoma in pleural fluid. A 61-year-old woman presented with a 6 month history of dyspnea on exertion and chest pain. Chest computerized tomography(CT) revealed multiple subpleural small nodules in the right lung and widespread all space consolidation and pleural effusion in the left lung. CT of liver revealed multiple small low attenuated lesion. The smears obtained from pleural fluid showed hypocellularity with a hemorrhagic background. The tumor cells were highly pleomorphic oval or spindle in shape and presented singly, in loose groups, in knitted syncytial aggregates, and in acinar pattern. Their nuclei had vesicular chromatin with delineated, thick nuclear membranes and occasionally a large eosinophilic, prominent nucleolus. The cytoplasm was plump, thin or protected in spindly fashion. Almost ail tumor cells showed variable sized intracytoplasmic vacuoles and their nuclei were sometimes crescentic by a huge vacuole. Occasional binucleated tumor cells and mitotic figures were present. Cellular debris and streaky materials were identified. Needle biopsy specimen from the pleura revealed anastomosing slit-like spaces lined by pleomorphic tumor cells. The tumor cells showed a strong reactivity for CD31 and vimentin and focal weak reactivity for factor VIII-related antigen.