Diagnosis of metastatic carcinoid in mesenteric lymph node by fine needle aspiration cytology.
Indian J Pathol Microbiol
;
2008 Jul-Sep; 51(3): 424-6
Article
in English
| IMSEAR
| ID: sea-75076
ABSTRACT
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Humans
/
Male
/
Carcinoid Tumor
/
Abdominal Pain
/
Biopsy, Fine-Needle
/
Hydroxyindoleacetic Acid
/
Lymph Nodes
/
Mesentery
/
Middle Aged
Language:
English
Journal:
Indian J Pathol Microbiol
Year:
2008
Type:
Article
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