{"title":"[Fine-needle cytology and core biopsy of nonpalpable breast lesions. When appropriate?].","authors":"Y Grumbach","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The respective roles of fine-needle cytology and core biopsy for the investigation of breast densities and microcalcifications are discussed. For microcalcifications, the type, number, and conditions of development should be taken into account, and the reliability of investigations are directly related to stereotactic visibility, i.e., to advances in digitization. Fine-needle biopsy has been almost completely discarded as a means for investigating microcalcifications but remains useful when performed under ultrasound or stereotactic guidance to investigate densities presumed to be nonmalignant. Doubtful densities are best investigated by core biopsy.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 4","pages":"219-21"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Frozen section examination in thyroid pathology. Technique and effective indications].","authors":"S Guyétant, J P Saint-André","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Frozen section examination for intraoperative diagnosis is often difficult in thyroid pathology. Fine-needle aspiration is widely used in the patients selection for surgery. Such a selection is accompanied by an increase in difficult frozen section cases, whose diagnosis is often differed to permanent sections. Thus, frozen section sensitivity is relatively low. In the era of cost containment, an increasing number of authors suggest that frozen section examination is unnecessary, and that surgical planning could rely on preoperative cytology only. Others consider fine-needle aspiration cytological evaluation and frozen section examination as complementary tools and recommend their association. The authors describe the technical aspects and difficulties of frozen section examination in thyroid pathology, and discuss its interest in surgical planning, in the light of preoperative cytology. Each team has to estimate local thyroid cytology development and accuracy, to define new indications for frozen section examination in thyroid pathology, according to local therapeutic choices. Such an approach could consistently reduce the number of intraoperative consultation for thyroid pathology, without prejudice for the patients.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 1-2","pages":"121-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Fine-needle biopsy under echographic control in nonpalpable breast lesions. Technical aspects].","authors":"J Klijanienko, P Vielh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fine-needle biopsy under ultrasound guidance is widely used in the diagnosis of subclinical breast lesions seen on mammograms. This minimally invasive procedure requires little time and is reliable for the diagnosis of lesions in a central or peripheral (axillary extension, upper part of the superomedial quadrant, mammary fold) location, or in small-sized breasts. The procedure is done in real time, allowing reliable verification of the specimen. The cytologic results are available almost immediately. Close collaboration between the radiologist and pathologist is essential.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 4","pages":"233-5"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Stereotactic and ultrasound guided fine-needle cytology in nonpalpable breast lesions].","authors":"P Vielh, J Klijanienko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Histologic findings from two consecutive series of fine-needle biopsies of nonpalpable breast lesions were compared. The first series included 243 tumors sampled stereotactically, and the second 198 tumors sampled under ultrasound guidance. The results, together with data from the literature, demonstrated that: 1) the diagnostic efficacy of stereotactic fine-needle cytology of lesions seen on mammograms only as microcalcifications is inadequate; 2) ultrasound-guided fine-needle cytology is an extremely reliable diagnostic tool for lesions that are not seen only as microcalcifications.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 4","pages":"237-40"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P Saint-Blancard, F Natali, J P Dufau, P L'Her, R Le Vagueresse
{"title":"[Endobronchial granular cell tumor. A report of two cases in the course of staging of ORL cancers].","authors":"P Saint-Blancard, F Natali, J P Dufau, P L'Her, R Le Vagueresse","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report two new observations of endobronchial granular cell tumor discovering by bronchoscopy, during the staging of head and neck cancers. This site remains exceptional; the histologic features are well known. The ultrastructural and especially the immunohistological criteria trend to indicate a neurogenic histogenesis. Although the course is benign in this site and no malignant forms have been reported, local relapses are possible. However, some benign cases may have disturbing endoscopic and histologic features.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 3","pages":"204-7"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Epithelial tumors with thymus differentiation of the thyroid gland and the neck].","authors":"P Hofman, V Battaglione","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Epithelial tumors with thymus-like differentiation occurring in the thyroid gland and the neck, delineate four entities with distinct histological features and different behaviour. The spindle epithelial tumors with thymus-like differentiation are potentially malignant tumors occurring in the thyroid gland of young patients. They are highly cellular with pattern of spindle cells and tubulopapillary formations and mucinous glands. Carcinomas showing thymus-like differentiation of the thyroid gland are histologically identical to some thymic carcinomas. The ectopic hamartomatous thymoma is strictly benign and occurs in the soft tissues of the lower neck. It is characterized by spindle and solid or cystic islands of epithelial cells associated with adipose cells. The ectopic cervical thymoma is usually benign and histologically similar to mediastinal thymomas. All these tumors are particularly rare and arise from ectopic thymus or remnants of branchial pouch. The differential diagnoses of these tumors can be difficult and include some other proliferations occurring in the neck.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"46 1-2","pages":"141-4"},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20667917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Chadli-Debbiche, E Philippe, J Ritter, J J Baldauf, L Badre, M F Bretz-Grenier, F Rivasi
{"title":"[Non-invasive lesions of the cervical glands. Apropos of a study of 431 conization specimens].","authors":"A Chadli-Debbiche, E Philippe, J Ritter, J J Baldauf, L Badre, M F Bretz-Grenier, F Rivasi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>431 cone biopsy specimens referred for CIN2 and CIN3 between 1984 and 1993 were reviewed with a peculiar attention paid to the possible associated endocervical glandular changes. The following features could be demonstrated: microglandular hyperplasia (17 cases), tubal metaplasia (15 cases), mesonephric hyperplasia (10 cases), in situ adenocarcinoma (7 cases), tunnel clusters (5 cases), and ectopic endometrium (4 cases). Cervical glandular atypia could not be found. A classification of the glandular lesions in uterine cervix has been proposed for an accurate diagnostic approach of lesions who could simulate carcinomatous changes.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"45 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20273244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Bouraoui, N Kchir, S Haouet, I Zammel, S Chatti, M Khaldi, M M Zitouna
{"title":"[Paraganglioma of the cauda equina. Apropos of a case with review of the literature].","authors":"S Bouraoui, N Kchir, S Haouet, I Zammel, S Chatti, M Khaldi, M M Zitouna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Paragangliomas are unusual neuroendocrine tumors. The most common anatomical site is within head and neck (90%). It has rarely been described in the region of the cauda equina. We report the case of a 49 years-old white woman who presented with a slow, progressive cauda equina syndrome over a 20-years period. Radiological examination showed erosion of the vertebral laminae of L4, L5 and S1 and disclosed an intra-dural mass lesion occupying the entire spinal canal between L4 and S1. The patient underwent sub-total excision and adjuvant radiation therapy. Histological examination concluded to a paraganglioma. This diagnosis was confirmed by immunohistochemical studies.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"45 1","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20273248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Diagnostic pitfalls in bronchopulmonary tumors].","authors":"F Thivolet-Béjui","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bronchopulmonary cytopathology is an already old diagnostic method for lung tumours. Its has been the subject of renewed interest following the development of techniques which complete brushing and aspiration by bronchial fibroscopy such as bronchoalveolar lavage, transthoracic pulmonary fine needle biopsy and transbronchial and transtracheal needle biopsy. Diagnostic difficulties depend on both the tumour type and the biopsy technique. Keratinizing squamous cell carcinoma is difficult to distinguish from dyskeratotic cells on aspiration cytology and inflammatory and granulomatous necrosis on transparietal lung biopsy. Non-keratinizing squamous cell carcinoma must not be confused with atypical metaplastic cells on bronchial brushing. Bronchioloalveolar carcinoma must be distinguished from reactivated bronchioloalveolar cells on bronchial aspiration; pulmonary adenocarcinoma must not be confused with atypical bronchiolar cell hyperplasia on transparietal lung biopsy. The naked nuclei of small cell carcinoma on bronchial brushing and transparietal lung biopsy differ from those of malignant small cell lymphoma and carcinoid. Bronchopulmonary cytopathology is able to diagnose the main types of bronchial and pulmonary tumours with a good sensitivity. The overall sensitivity of detection is excellent, ranging between 90 and 92% depending on the method. The false-positive rate is less than 0.5% for experienced cytopathologists.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"45 5","pages":"249-53"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20508788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Mahera, N Giamarelou, V Karabela-Bouropoulou, S Samoilis, D Anagnostopoulos
{"title":"Soft tissue angiomyolipoma. A case report.","authors":"H Mahera, N Giamarelou, V Karabela-Bouropoulou, S Samoilis, D Anagnostopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A unique case of angiomyolipoma developed in the deep soft tissues of the lower extremity of a 79 year old woman is presented. The initial tumor was misinterpreted as an ordinary lipoma and the recognition of the entity was accomplished only in the recurrent tumor and after the re-evaluation of the slides from the former tumor. The extensive fibroplasia and the bizarre appearance of many proliferating fibroblasts found in the recurrent tumor have been attributed to local host reaction and degenerative changes. However, these changes may create an alarming histologic pattern to the tumor, which need to be differentiated from a lipo- or leiomyosarcoma.</p>","PeriodicalId":75531,"journal":{"name":"Archives d'anatomie et de cytologie pathologiques","volume":"45 4","pages":"221-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20336567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}