ABSTRACT
We report on a rare case of a 63-year-old male with malignant fibrous histiocytoma (MFH) metastatic to the right adrenal gland, first diagnosed with fine needle aspiration (FNA) biopsy. The cytological and immunocytochemical study indicated a malignant neoplasm of mesenchymal origin with characteristics of MFH. The patient was then operated on and the pathological and immunohistochemical findings confirmed the cytological diagnosis. FNA becomes more widely useful for the diagnosis of non-palpable masses. It is worth noting that the fluid-based thin-layer "Thin Prep" method provides the possibility to apply immunocytochemical stainings in FNA cytologic material, especially in cases where the material is inadequate.
ABSTRACT
Recurrent squamous cell carcinoma of the vulva advances locally, spreads via the regional lymphatics and hematogenous spread is late and unusual. This is a rare case of a patient with a solitary pulmonary tumor originating from squamous cell carcinoma of the vulva. According to the literature this form of pulmonary involvement has not previously been described in cases of vulvar carcinoma in the last 20 years.