EXTRAPULMONARY INFLAMMATORY MYOFIBROBLASTIC PSEUDOTUMOR - A POTENTIAL CYTOLOGIC TRAP IN CHILDHOOD

被引:9
作者
MACLEOD, CB [1 ]
WAKELY, PE [1 ]
FRABLE, WJ [1 ]
机构
[1] VIRGINIA COMMONWEALTH UNIV,MED COLL VIRGINIA,DEPT PATHOL,DIV SURG & CYTOPATHOL,RICHMOND,VA 23298
关键词
PEDIATRIC; ASPIRATION CYTOLOGY; INFLAMMATORY PSEUDOTUMOR; MYOFIBROBLAST; ABDOMINAL MASS;
D O I
10.1002/dc.2840070619
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
A previously healthy 20-mo-old infant presented with a right leg limp and was discovered to have a palpable intra-abdominal mass. Radiographic studies showed the mass arising from the right psoas muscle. Preoperative clinical diagnosis was probable sarcoma. Percutaneous fine-needle aspiration biopsy of the mass was interpreted as a sarcoma based on the abundant cellularity of spindled shaped mesenchymal cells. Exploratory laparotomy showed the mass to be unresectable. Histologic and ultrastructural examination of biopsy fragments, however, revealed an inflammatory myofibroblastic pseudotumor. Radiographic follow-up showed a gradual disappearance of the mass. The infant was clinically well at a clinic visit one year following surgery. This case serves to illustrate the aspiration cytology of an uncommon benign tumor-like proliferation that, when located in an unusual anatomic site, has the potential to mislead the cytopathologist into a malignant interpretation.
引用
收藏
页码:633 / 636
页数:4
相关论文
共 15 条
[1]  
Bahadori M, Liebow AA, Plasma cell granulomas of the lung, Cancer, 31, pp. 191-208, (1973)
[2]  
Dehner LP, Pediatric surgical pathology, (1987)
[3]  
Wu JP, Yunis EJ, Fetterman G, Jaeschke WF, Gilbert EF, Inflammatory pseudotumors of the abdomen: Plasma cell granulomas, J Clin Pathol, 26, pp. 943-948, (1973)
[4]  
Pisciotto PT, Gray GF, Miller DR, Abdominal plasma cell pseudotumor, J Pediatr, 93, pp. 628-630, (1978)
[5]  
Day DL, Sane S, Dehner LP, Inflammatory pseudotumor of the mesentery and small intestine, Pediatr Radiol, 16, pp. 210-215, (1986)
[6]  
Hertzer NR, Hawk WA, Hermann RE, Inflammatory lesions of the liver which simulate tumor: Report of two cases in children, Surgery, 69, pp. 839-846, (1971)
[7]  
Chou P, Gonzalez-Crussi F, Cole R, Reddy VB, Plasma cell granuloma of the heart, Cancer, 62, pp. 1409-1413, (1988)
[8]  
Lupovitch A, Chen R, Mishra S, Inflammatory pseudotumor of the liver. Report of the fine needle aspiration cytologic findings in a case initially misdiagnosed as malignant, Acta Cytol (Praha), 33, pp. 259-262, (1989)
[9]  
Orell S, Sterrett GF, Walters MN, Whitaker D, Manual and atlas of fine needle aspiration cytology, (1986)
[10]  
Thunnissen FBJM, Arends JW, Buchholtz RTF, ten Velde G, Fine needle aspiration cytology of inflammatory pseudotumor of the lung(plasma cell granuloma), Acta Cytol (Praha), 33, pp. 917-921, (1989)