首页> 外文期刊>Acta Cytologica: The Journal of Clinical Cytology and Cytopathology >Preoperative fine needle aspiration cytology diagnosis of microcystic adenoma of the pancreas: fact or fiction? A report of 2 cases.
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Preoperative fine needle aspiration cytology diagnosis of microcystic adenoma of the pancreas: fact or fiction? A report of 2 cases.

机译:胰腺微囊腺瘤的术前细针穿刺细胞学诊断:是事实还是虚构?附2例报告。

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BACKGROUND: Microcystic adenoma is an uncommon benign neoplasm involving the pancreas that usually affects older populations. These neoplasms often enlarge to significant sizes, causing symptoms of obstruction and discomfort. CASES: We report 2 cases of microcystic adenoma of the pancreas in which an accurate diagnosis could not be rendered on cytology material alone. Bench fine needle aspiration (FNA) biopsy performed on the resection specimen in one of the cases had a higher cellular yield because a different technique was used to prepare the slide. CONCLUSION: A preoperative diagnosis can be helpful in guiding the care of the patient, thereby increasing the importance of a diagnosis to distinguish between a benign vs. malignant process. These case reports demonstrate the difficulty of obtaining diagnostic cells in microcystic adenoma, highlight the use of FNA to increase cellular yield and emphasize the importance of correlating radiologic findings with aspiration of abundant watery fluid from cystic pancreatic masses to make a definitive diagnosis.
机译:背景:微囊性腺瘤是一种罕见的良性肿瘤,累及胰腺,通常会影响老年人口。这些肿瘤通常会增大到很大的尺寸,引起阻塞和不适的症状。病例:我们报告了2例胰腺微囊腺瘤,其中仅靠细胞学检查材料无法准确诊断。在一种情况下,对切除标本进行的台式细针穿刺活检具有较高的细胞产量,因为使用了不同的技术来制备载玻片。结论:术前诊断可有助于指导患者的护理,从而增加诊断对区分良性还是恶性过程的重要性。这些病例报告证明了在微囊性腺瘤中获得诊断细胞的困难,强调了使用FNA来提高细胞产量,并强调了将放射学发现与囊性胰腺肿块中大量水状液体的抽吸相关以进行明确诊断的重要性。

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