• Title/Summary/Keyword: Needle aspiration

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Thoracoscopic Needle Aspiration Biopsy for a Centrally Located Solitary Pulmonary Nodule

  • Sung, Ho Kyung;Kim, Hyun Koo;Choi, Young Ho
    • Journal of Chest Surgery
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    • v.46 no.4
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    • pp.316-318
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    • 2013
  • Thoracoscopic needle aspiration is a good alternative for a centrally-located solitary pulmonary nodule (SPN) suspected of being lung cancer without severe pleural adhesion. The authors report the technique of thoracoscopic needle aspiration biopsy in a SPN just in the medial aspect of the truncus anterior pulmonary artery and the right upper lobe bronchus.

Diagnostic Pitfalls in Breast Fine Needle Aspiration Cytology: False Positive and False Negative (유방 세침흡인 세포검사의 진단적 함정: 위양성과 위음성)

  • Park, Kyeong-Mee
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.112-118
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    • 2007
  • Fine needle aspiration cytology (FNAC) has become a highly preferred, minimally invasive diagnostic tool of choice in the diagnosis of a palpable breast mass owing to its sensitivity, specificity, cost-effectiveness, and expediency. Although breast needle biopsies have been widely employed recently due to the increased detection rate of non-palpable early lesions, the importance of the use of FNAC cannot be underestimated. It comprises part of the diagnostic triad for the breast along with a physical examination and mammography, which together contribute to an increasing diagnostic accuracy. The differential diagnosis of a benign and malignant lesion is of the utmost importance in the diagnosis of breast lesions, and therefore the understanding of the possible diagnostic pitfalls is of great importance.

Diagnostic Approach of Hepatic Mass using Ultrasound Guided Fine Needle Aspiration in a Dog (개에서 초음파를 이용한 간 종괴의 세침흡인술 증례)

  • 최호정;이기창;최민철;윤정희
    • Journal of Veterinary Clinics
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    • v.21 no.2
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    • pp.181-183
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    • 2004
  • Hepatic mass was aspirated under the guidance with ultrasound in 9-year old female maltese with signs of anorexia, hematochezia, vomiting, depression, and abdominal distension. Radiographic and abdominal ultrasonographic examinations were performed, which revealed enlarged tubular shaped uterine mass and solitary, small round hyperechoic hepatic mass dorsal to gall bladder as an incidental finding. Ultrasound-guided fine needle aspiration was completed, but histologic confirmation should be made for definitive diagnosis by tissue core or wedge biopsy.

Fine Needle Aspiration Cytology of Mucoepidermoid Carcinoma of the Lung -A case report- (폐에 발생한 점액표피양 암종 -1예 보고-)

  • Hong, Soon-Won;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.1 no.2
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    • pp.170-174
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    • 1990
  • The mucoepidermoid carcinoma is a rare tumor in the lung. A case of bronchial mucoepidermoid carcinoma diagnosed by fine needle aspiration cytology is presented. The smear showed many intermediate cells with occasional mucus-secreting cells. Malignant squamous cells were not present. The cellular arrangement of intermediate cells was overlapping and grouped in ball-like fashion. These cytologic features are unique for diagnosis of this tumor.

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Fine Needle Aspiration Cytology of Medullary Carcinoma of the Breast - A Case Report (유방의 수질암종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Chun, Yi-Kyeong;Ko, Ill-Hyang
    • The Korean Journal of Cytopathology
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    • v.5 no.1
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    • pp.57-60
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    • 1994
  • Medullary carcinoma (MC) of the breast is an uncommon histologic form of infiltrating ductal carcinoma and the cytologic features of MC are not well delineated. We recently experienced a case of fine needle aspiration cytology of MC of the breast. The characteristic cytopathologic features were cellular aspirate consisting of large, pleomorphic cells in background of many single to clusters of lymphocytes.

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Fine Needle Aspiration Cytology of Alveolar Soft Part Sarcoma - A Case Report - (포상연부육종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Han, Hye-Seung;Park, In-Seo;Han, Jee-Young;Kim, Joon-Mee;Kim, Young-Bae;Hwang, Tae-Sook;Chu, Young-Chae
    • The Korean Journal of Cytopathology
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    • v.11 no.2
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    • pp.115-119
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    • 2000
  • Alveolar soft part sarcoma is a rare soft tissue tumor. Few cases on fine needle aspiration cytology have been reported in the literature. We experienced a case of recurrent alveolar soft part sarcoma of the right thigh diagnosed by fine needle aspiration cytology in a 47-year-old man. Cytologic findings showed single cells and clusters associated with thin wailed vasculature in a distinct pseudo-alveolar pattern. The tumor cells exhibited round or ovoid abundant granular cytoplasm and large pleomorphic nuclei with prominent central nucleoli.

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Fine Needle Aspiration Cytology of Metastatic Wilms' Tumor in the Lung - Report of Two Cases - (폐로 전이한 Wilms 종양의 세침흡인 세포학적 소견 - 2예 보고 -)

  • Kim, Wan-Seop;Kim, Nam-Hoon;Koh, Young-Hyeh;Park, Moon-Hyang;Lee, Jung-Dal
    • The Korean Journal of Cytopathology
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    • v.7 no.2
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    • pp.218-224
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    • 1996
  • We describe two cases of metastatic Wilms' tumor in the lung with emphasis on the cytologic features of specimens obtained by needle aspiration. One of them was extrarenal Wilms' tumor. The findings were correlated with the histopathologic features of the primary lesion. Cellular components in the fine needle aspiration cytology (FNAC) slides included blastemal, epithelial, stromal and inflammatory cells with immature tubular differentiation and rosette formation. Recognition of these cellular components in FNAC smears help in establishing FNAC diagnosis of Wilms' tumor. The blastemal cells were represented by small to medium sized cells with scanty cytoplasm having ill-defined borders and round to slightly oval nuclei with evenly dispersed chromatin and small marginated nucleoli. They were seen in our two cases. The differential diagnosis includes neuroblastoma, malignant lymphoma, malignant rhabdoid tumor, clear cell sarcoma, Ewing's sarcoma and embryonal rhabdomyosarcoma. In conclusion, making a definite cytologic diagnosis of metastatic Wilms' tumor may be possible by light and electron microscopy and immunohistochemical staining. The above findings may contribute to the diagnosis of FNAC of metastatic Wilms' tumor.

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Nuclear Morphometry of Fibroadenoma and Carcinoma of Breast - Comparison between fine needle aspiration cytology and biopsy - (유방 섬유선종과 유방암종의 화상 계측에 관한 연구 - 세침 홉인 세포 검사와 조직 검사간의 비교를 중심으로 -)

  • Sohn, Jin-Hee;Choi, Young-Hee;Park, Young-Eui
    • The Korean Journal of Cytopathology
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    • v.9 no.2
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    • pp.161-168
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    • 1998
  • Primary breast lesions diagnosed by fine needle aspiration cytology, confirmed by histologic examination were analyzed by morphometry to evaluate the difference between benign and malignant lesions, and the methods obtaining the sample. four size factors and 5 form factors were evaluated in 22 fibroadenomas and 20 carcinomas by image analyzer(Zeiss Ibas 2000) using the H-E stained slides. Nuclear size was significantly larger in the carcinoma cells than fibroadenoma cells both in the cytology and biopsy specimens, but the form factors were not significantly different. Both fibroadencma and carcinoma cells were significantly larger in cytologic smear than histologic section. The cells in the cytology were more regular and round than those in histology, but not statistically significant. Fibroadenomas having cellular proliferation and atypism exhibited larger size and more irregular nuclei than non-proliferative fibroadenoma, but not statistically significant. Therefore nuclear morphometric analysis can be a helpful method to diagnose the questionable breast lesions and is a method appropriate for use as a quality control procedure in the fine needle aspiration cytology.

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Fine Needle Aspiration Cytology of Clear Cell Sarcoma - A Case Report - (투명세포육종의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Lim, Sung-Chul;Chung, You-Kyung;Kim, Dong-Chool;Lee, Yoon-Kyung;Shin, Eun-Taik
    • The Korean Journal of Cytopathology
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    • v.9 no.2
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    • pp.233-239
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    • 1998
  • Clear ceil sarcoma(CCS) is an uncommon soft tissue sarcoma that occurs in tendons and aponeuroses, usually of the lower extremities and is believed to be of neural crest origin that have a capability to produce melanin. These tumors commonly metastasize and have a very poor prognosis. The fine needle aspiration cytologic finding of CCS is not well documented. We recently experienced a case of CCS. The patient was a 54-year-old male with painful swelling of the right inguinal area. Fine needle aspiration cytology revealed polygonal or fusiform tumor cells with clear or granular cytoplasm and vesicular nuclei containing one or two nucleoli. Immunohistochemical staining for S-100 protein and HMB-45 revealed strong positivity and variable developing stages of premelanosomes were observed by electron microscopy in the excised specimen.

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Fine Needle Aspiration Cytology of Pulmonary Lesions in Wegener's Granulomatosis - A Case Report - (Wegener's Granulomatosis 폐병변의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Seo, Eun-Joo;Kwon, Hi-Jeong;Min, Ki-Ouk
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.85-88
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    • 1998
  • We described the findings of fine needle aspiration cytology of the lung from a patient with Wegener's granulomatosis. Early diagnosis and prompt treatment of the patients with Wegener's granulomatosis is essential for a better prognosis. However, the variety of clinical presentations and nonspecific radiologic infiltrates of Wegener's granulomatosis frequently make the diagnosis difficult. Although an open lung biopsy is required for a firm diagnosis, fine needle aspiration cytology & biopsy preparation can also provide an adequate tissue sample, when the findings of fine needle aspiration are considered with clinical manifestations and ANCA value in the serum. The cytologic smears showed scattered necrotic tissue fragments entrapping many neutrophils and occasional epithelioid cells. Multinucleated giant cells were infrequently observed. Ziehl-Neelsen stain for acid fast bacilli was negative. All the cytologic features recapitulated the histopathologic findings of purulent and necrotizing granulomatous inflammation seen in Wegener's granulomatosis.

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