폐에 발생한 염증성 근섬유모세포종양의 세침흡인 세포소견 -1예 보고-

Fine Needle Aspiration Cytology of Inflammatory Myofibroblastic Tumor of Lung -A Case Report-

  • 박경신 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 이경지 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 이선미 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 이교영 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 심상인 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 강창석 (가톨릭대학교 의과대학 병원병리학교실) ;
  • 이연수 (가톨릭대학교 의과대학 병원병리학교실)
  • Park, Gyeong-Sin (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Kyung-Ji (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Sun-Mi (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Kyo-Young (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Shim, Sang-In (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Kang, Chang-Suk (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea) ;
  • Lee, Youn-Soo (Department of Hospital Pathology, College of Medicine, The Catholic University of Korea)
  • 발행 : 2006.03.31

초록

Inflammatory myofibroblastic tumor (IMT), normally referred to as inflammatory pseudotumor, is a fairly rare condition. Fine needle aspiration cytology (FNAC) of IMT has only rarely been reported. Here, we describe one such case of pulmonary inflammatory myofibroblastic tumor. A 30-year-old man presented with a 2.8cm-sized mass in his lung. Chest CT revealed a well defined, poorly enhancing mass. FNAC showed some fascicular or swirled clusters of spindle cells, admixed with occasional inflammatory cells and foamy histiocytes. The majority of the tumor cells evidenced bland, elongated nuclei, but infrequent pleomorphic nuclei. Some of the tumor cells evidenced nuclear grooves and intranuclear inclusions. Although the cytological differentiation of IMT from malignant lesions is not immensely problematic, due to the general paucity of cytological and nuclear atypia, a definite cytological diagnosis of IMT cannot be rendered simply by FNAC. Therefore, a diagnosis of IMT may be suggested via exclusive diagnosis.

키워드

참고문헌

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