胸腔积液细胞学首次发现淋巴瘤:罕见的细胞学表现

Kafil Akhtar, Gowthami Nagendhran, Anjum Ara, Masheera Akhtar
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引用次数: 0

摘要

恶性血淋巴肿瘤作为胸腔积液细胞学的最初发现,是病理学家在淋巴细胞丰富的积液中可能遇到的罕见挑战之一。同时,在我们的工作环境中,渗出液细胞学检查是一种易于获得、价格低廉的诊断工具。细胞形态学特征为了解疾病的性质提供了重要依据,与免疫细胞化学一起可帮助确诊。这里我们介绍一例罕见病例,患者 17 岁,最初出现胸腔积液,经细胞学检查发现为淋巴瘤。我们制备了细胞块,并对 CD5 和 CD23 进行了免疫细胞化学检测。肿瘤细胞的 CD5 和 CD23 均呈阳性,确诊为小淋巴细胞淋巴瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lymphoma presenting as the first finding in pleural fluid cytology: A rare cytologic presentation
Malignant hemato-lymphoid neoplasms presenting as the initial finding in pleural effusion cytology is one of the rare challenges a pathologist may encounter in practice among lymphocyte-rich effusions. Meanwhile, effusion cytology is an easily available, inexpensive diagnostic tool in our setting. Cytomorphological features provide crucial insights into the nature of the disease, which along with immunocytochemistry may help in solidifying the diagnosis. Here we present a rare case of a 17-year-old patient, who initially presented with pleural effusion that turned out to be lymphoma on cytological examination. Cell blocks were prepared and immunocytochemistry was performed for CD5 and CD23. Tumor cells showed positivity for both CD5 and CD23, confirming the diagnosis of small lymphocytic lymphoma.
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