Fine needle aspiration cytology of adrenocortical oncocytic neoplasm: a case report.

作者: Elaine Cham , William Watkin , Robert Goldschmidt , Lin Liu

DOI: 10.1159/000325190

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摘要: Background Adrenocortical oncocytic neoplasms (AONs) are rare tumors that typically show marked nuclear pleomorphism and eosinophilic cytoplasm highly cellular on fine needle aspiration (FNA) smears. These features, worrisome in conventional adrenocortical tumors, not necessarily signs of malignancy AONs. Case A 64-year-old woman presented with 3 months abdominal pressure. Computed tomography showed a 10-cm, solid, left adrenal mass 21-cm complex cystic the pelvis. FNA hypercellular smears dyscohesive cells having pleomorphic nuclei abundant, granular cytoplasm. The lesion was initially interpreted as malignant. Resection demonstrated an AON without definite malignant features. pelvic revealed bilateral ovarian fibromas. Seventeen postoperative follow-up were uneventful. Conclusion On FNA, from can be cytologically atypical, which pitfalls for diagnosis. Our case is first reported To our knowledge, there no association between 2 lesions. We review criteria to classify benign vs. AONs discuss literature this topic.

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