• Title/Summary/Keyword: pitfalls

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The Cytology of a Cellular Variant of Cerebellar Hemangioblastoma in Squash Preparation: Pitfalls in Diagnosis (소뇌의 세포충실성 혈관모세포종의 압착도말 세포소견)

  • Suh, Yeon-Lim;Oh, Young-Lyun
    • The Korean Journal of Cytopathology
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    • v.17 no.2
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    • pp.148-152
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    • 2006
  • Due to its nuclear pleomorphism, knowledge regarding the cytological findings of cerebellar hemangioblastoma can lead to misdiagnosis when using squash specimens, which in other circumstances serves as a useful adjunct in the diagnosis of brain tumors on frozen section. We recently experienced the cytological findings of a cellular variant of cerebellar hemangioblastoma in a 51-year-old man. Squash specimens revealed scattered single tumor cells, with pleomorphic nuclei and cytoplasmic vacuoles, on a hemorrhagic background. The cellular clusters were composed of spindle-shaped endothelial cellsin addition to densely clustered stromal cells. Intranuclear inclusions were frequently seen. The nuclear pleomorphism, bubbly cytoplasmic vacuoles and presence of intranuclear inclusions, seen in the squash specimen, may increase the difficulty of frozen section diagnosis of cerebellar hemangioblastoma. Awareness of the cytologicalfindings of hemangioblastoma is needed to avoid the pitfalls in the intraoperative diagnosis of cerebellar hemangioblastomas.

Diagnostic Pitfalls in Breast Fine Needle Aspiration Cytology: False Positive and False Negative (유방 세침흡인 세포검사의 진단적 함정: 위양성과 위음성)

  • Park, Kyeong-Mee
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.112-118
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    • 2007
  • Fine needle aspiration cytology (FNAC) has become a highly preferred, minimally invasive diagnostic tool of choice in the diagnosis of a palpable breast mass owing to its sensitivity, specificity, cost-effectiveness, and expediency. Although breast needle biopsies have been widely employed recently due to the increased detection rate of non-palpable early lesions, the importance of the use of FNAC cannot be underestimated. It comprises part of the diagnostic triad for the breast along with a physical examination and mammography, which together contribute to an increasing diagnostic accuracy. The differential diagnosis of a benign and malignant lesion is of the utmost importance in the diagnosis of breast lesions, and therefore the understanding of the possible diagnostic pitfalls is of great importance.

Cytological Diagnosis of Lung Cancer: The Diagnostic Accuracy and Pitfalls (폐암의 세포진단: 진단의 정확도와 함정)

  • Kim, Wan-Seop
    • The Korean Journal of Cytopathology
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    • v.19 no.1
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    • pp.1-8
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    • 2008
  • The role of respiratory cytology is to detect and classify pulmonary disease, with an emphasis of neoplastic disease, so that proper therapy can be instituted. As in many branches of cytology, the recognition of malignancy in the cells obtained from the respiratory tract is more straightforward than identifying the type of tumor cell. It is important to accurately determine the true cytopathological cell type in cases of primary lung cancer and to know the accuracy of the diagnosis achieved by the cytological procedures. The well differentiated tumors have characteristic cytoplasmic and nuclear abnormalities that enable physicians to firmly categorize these lesions, as in squamous cell or adenocarcinoma, but some moderately and most poorly differentiated tumors show few distinctive features. This article reviews the malignant and reactive pulmonary cytologic findings and we also report on some of their pitfalls and the cytologic criteria.

MIXED-USE PROJECT DEVELOPMENT PROCESS: FEATURES, PITFALLS AND COMPARISONS WITH SINGLE-USE PROJECTS

  • Charles Y.J. Cheah;Kok Sang Tan
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.335-340
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    • 2005
  • In many urban cities, mixed-use development is becoming increasingly essential for the creation of an attractive and sustainable environment that promotes economic vitality, social equity and environmental quality. Due to the differences in scale, scope and intent, certain aspects within the project delivery process of mixed-use are not the same as "conventional" single-use projects. The objective of this paper is to highlight these aspects. Two cases in Southeast Asia serve to illustrate the uniqueness and challenges of mixed-use. In conclusion, the differences between mixed-use and single-use are evident in terms of the diversity of team members, the necessity of multiple market analyses, and a multi-layer (versus single-source) financing structure. Finally, issues concerning ownership tangles, land assembly, planning and application procedures, investment criteria of institutions have been identified as major pitfalls.

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