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Indian J Pathol Microbiol ; 2008 Jul-Sep; 51(3): 424-6
Article Dans Anglais | IMSEAR | ID: sea-75076

Résumé

Although carcinoid tumor is a relatively common neoplasm in surgical pathology, fine needle aspiration cytology (FNAC) as a method of primary diagnosis has only been reported a few times. We report the case of a 55-year-old male patient who presented with colicky pain in the abdomen and a vague mass in the right lumbar region. Ultrasonographic study showed an enlarged mesenteric lymph node. Ultrasonography-guided FNAC revealed cellular smears with neuroendocrine cellular arrangement and morphology. The cytomorphologic characteristics of carcinoid tumors are distinctive enough for diagnosis. A diagnosis of metastatic carcinoid was given. 5-hydroxyindolacetic acid in 24-hour urine turned out to be high. Histopathology and immunohistochemistry studies also confirmed the diagnosis. Thus, FNAC can be a useful and safe tool in the diagnosis of carcinoid tumors.


Sujets)
Douleur abdominale/étiologie , Cytoponction , Tumeur carcinoïde/diagnostic , Humains , Acide 5-hydroxy-indole-3-acétique/urine , Noeuds lymphatiques/anatomopathologie , Mâle , Mésentère/anatomopathologie , Adulte d'âge moyen
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