A case of lung FNA with atypical squamous cells

IF 1 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY
Timothy Leif Helland MD, Vanda F. Torous MD
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引用次数: 0

Abstract

Fine-needle aspiration (FNA) is a commonly employed method for initial diagnosis and work-up of pulmonary nodules. Utilization of rapid on-site evaluation (ROSE) has the added benefit of allowing for triaging of material as appropriate for ancillary studies including microbiology testing. While many pulmonary lesions are easily categorized by cytologic evaluation, more difficult cases exist. In particular, pulmonary lesions demonstrating atypical squamoid cells can cause diagnostic challenge given the morphologic overlap between benign and malignant pulmonary lesions showing atypical squamoid cells. We herein review these common and uncommon squamoid lesions, which may enter within the differential when encountering atypical squamoid cells in pulmonary FNA specimens with emphasis on morphologic pitfalls and approaches to appropriate categorization.

一例伴有非典型鳞状细胞的肺部 FNA。
细针穿刺术(FNA)是初步诊断和检查肺部结节的常用方法。使用现场快速评估(ROSE)还有一个好处,就是可以根据情况对材料进行分流,以便进行包括微生物学检测在内的辅助检查。虽然许多肺部病变很容易通过细胞学评估进行分类,但也有一些比较棘手的病例。尤其是显示非典型鳞状细胞的肺部病变,由于显示非典型鳞状细胞的肺部良性病变和恶性病变在形态上存在重叠,因此会给诊断带来挑战。我们在此回顾这些常见和不常见的鳞状细胞病变,当在肺部 FNA 标本中遇到非典型鳞状细胞时,这些病变可能会被列入鉴别范围,重点是形态学陷阱和适当分类的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Diagnostic Cytopathology
Diagnostic Cytopathology 医学-病理学
CiteScore
2.60
自引率
7.70%
发文量
163
审稿时长
3-6 weeks
期刊介绍: Diagnostic Cytopathology is intended to provide a forum for the exchange of information in the field of cytopathology, with special emphasis on the practical, clinical aspects of the discipline. The editors invite original scientific articles, as well as special review articles, feature articles, and letters to the editor, from laboratory professionals engaged in the practice of cytopathology. Manuscripts are accepted for publication on the basis of scientific merit, practical significance, and suitability for publication in a journal dedicated to this discipline. Original articles can be considered only with the understanding that they have never been published before and that they have not been submitted for simultaneous review to another publication.
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