Joshua Maciejewski, Farnaz Hasteh, Charmi Patel, Maryam Pezhouh, Jingjing Hu
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引用次数: 0
Abstract
Fine-needle aspiration (FNA) or core needle biopsy via EBUS procedure is commonly used to assess suspicious lung nodules. Alveolar macrophages are commonly seen in these specimens. In cases when hypercellular specimens with large aggregates of alveolar macrophages are encountered, especially when they show epithelioid morphology, vacuolated cytoplasm, and significant cytological atypia, including marked anisonucleosis and intracytoplasmic inclusion, they can be mistakenly interpreted as “lesional cells” during rapid on-site evaluation (ROSE) and cease the EBUS procedure prematurely. It is important to keep in mind that epithelioid alveolar macrophages may mimic lung neuroendocrine tumor (NET), lung adenocarcinoma, or even metastatic process. Cytoplasmic pigmentation and immunohistochemistry analysis can be extremely useful to prevent a false diagnosis of malignancy.
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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