RESUMO
We describe a rare and interesting case of a basaloid squamous cell carcinoma (BSC) of the uterine cervix with metastasis in the left iliac region diagnosed by fine needle aspiration (FNA). A 54-year-old woman underwent FNA because of a mass in the left iliac region. The material was processed by conventional liquid based cytology (ThinPrep), and by the cell-block technique and diagnosis was based on the cytomorphologic and immunochemical characteristics as well as the patient's history. The cytologic diagnosis concerned a poorly differentiated squamous cell carcinoma. After a laborious search, we found out that the patient had undergone a total hysterectomy almost 15 years before. The histological diagnosis then was an "infiltrative squamous cell carcinoma of basaloid type" of the uterine cervix. Our case is of particular interest because it is a rare type of neoplasm with an unusual site of metastasis after a long disease-free period.
Assuntos
Carcinoma de Células Escamosas/secundário , Neoplasias Pélvicas/secundário , Neoplasias do Colo do Útero/patologia , Biópsia por Agulha Fina , Carcinoma de Células Escamosas/terapia , Feminino , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Neoplasia de Células Basais/secundário , Neoplasia de Células Basais/terapia , Neoplasias Pélvicas/terapia , Neoplasias do Colo do Útero/terapiaRESUMO
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.