1
|
Samiee F, Mohammadi R, Shirian S, Alijani MR, Aledavood A, Negahban S, Ghaemi A, Daneshbod K, Daneshbod Y. Spectrum of lymphoma subtypes based on the latest World Health Organization classification in southern Iran from 2000 to 2011. Future Oncol 2021; 17:4733-4744. [PMID: 34756105 DOI: 10.2217/fon-2020-0534] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Background: Lymphoma, both Hodgkin and non-Hodgkin, is one of the most common malignancies, with a distinct subtype distribution throughout the world. Methods: A total of 453 lymphoma cases, identified retrospectively from January 2000 to October 2011, were studied to identify the subtype distribution of lymphoma in our center, located in southern Iran, according to the latest WHO classification. Results: The most common sites of involvement of all lymphomas were extranodal (59.16%). The highest frequency of extranodal sites in all lymphoid neoplasms were associated with diffuse large B-cell lymphoma (22.95%) and classical Hodgkin lymphoma (10.15%). Of 453 cases, 23 (5.32%) were T and natural killer cell neoplasms, of which the most common subtypes were T-cell large granular lymphocytic leukemia and anaplastic large cell lymphoma. Conclusion: This study indicated that the subtype distribution of lymphoma (except for the higher prevalence of diffuse large B-cell lymphoma, chronic lymphocytic leukemia/small lymphocytic lymphoma and lower rate of follicular lymphoma) in this part of Iran is similar to that in the Middle Eastern countries. Mature B-cell neoplasms are less frequent compared with both western and far east Asian countries.
Collapse
Affiliation(s)
- Fatemeh Samiee
- Department of Pathology, Qazvin Metabolic Disease Research Center, Qazvin University of Medical Sciences, Qazvin, Iran, Bahonar St, Qazvin, Iran
| | - Reza Mohammadi
- Department of Medical Genetics, Shiraz Infertility Treatment Center, Shiraz, Iran, Zand St, Shiraz 7134777108, Iran
| | - Sadegh Shirian
- Department of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, Iran, Rahbar St, Shahrekord 8818634141, Iran.,Shiraz Molecular Pathology Research Center, Dr Daneshbod Pathology Laboratory, Shiraz, Iran, Eastern Ordibehesht, Zand St, Shiraz 7134777118, Iran.,Shefa Neuroscience Research Center, Khatam Alanbia Hospital, Tehran, Iran
| | - Mohammad-Reza Alijani
- Department of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, Iran, Rahbar St, Shahrekord 8818634141, Iran
| | - Azita Aledavood
- Shiraz Molecular Pathology Research Center, Dr Daneshbod Pathology Laboratory, Shiraz, Iran, Eastern Ordibehesht, Zand St, Shiraz 7134777118, Iran
| | - Shahrzad Negahban
- Shiraz Molecular Pathology Research Center, Dr Daneshbod Pathology Laboratory, Shiraz, Iran, Eastern Ordibehesht, Zand St, Shiraz 7134777118, Iran
| | - Amir Ghaemi
- Department of Virology, Pasteur Institute of Iran, Farvardin St, Tehran 1316943551, Iran
| | - Khosrow Daneshbod
- Shiraz Molecular Pathology Research Center, Dr Daneshbod Pathology Laboratory, Shiraz, Iran, Eastern Ordibehesht, Zand St, Shiraz 7134777118, Iran
| | - Yahya Daneshbod
- Shiraz Molecular Pathology Research Center, Dr Daneshbod Pathology Laboratory, Shiraz, Iran, Eastern Ordibehesht, Zand St, Shiraz 7134777118, Iran.,Department of Pathology & Laboratory Medicine, Loma Linda University Medical Center, Loma Linda, CA 92354, USA
| |
Collapse
|
2
|
Shirian S, Maghbool M, Aledavood A, Negahban S, Khademi B, Daneshbod Y. Adenoid Cystic Carcinoma of the Larynx Presenting as a Thyroid Mass and Brief Literature Review. Acta Cytol 2017; 61:237-241. [PMID: 28490006 DOI: 10.1159/000464271] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Accepted: 02/07/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Adenoid cystic carcinoma (ACC) of the larynx and trachea is very rare. CASE A 45-year-old man with ACC of the larynx presenting as a thyroid mass is reported in this study. Physical examination revealed a large solid thyroid nodule in the left lobe without any lymphadenopathy. A technetium thyroid scan showed multinodular goiter with cold nodules in the left lobe, isthmus, and functioning nodules in the right lobe. A large thyroid mass originating from the left side of the larynx, mostly the left vocal cord and the infraglottic part, was seen using enhanced magnetic resonance imaging after rupture of the thyroid cartilage on the left side. Ultrasound-guided fine needle aspiration smears and cell blocks of the thyroid nodule showed highly cellular smears composed of large tissue fragments, three-dimensional clusters, and sheets of neoplastic cells with slightly enlarged round and hyperchromatic nuclei. Immunohistochemical study showed that the cell block expressed C-kit and CK 7 on the cribriform growth pattern of the tumoral cells. However, protein expression of thyroglobulin and thyroid transcription factor-1 was not detectable. CONCLUSION To approach a thyroid nodule, direct invasion or metastatic tumors of other organs must be borne in mind.
Collapse
Affiliation(s)
- Sadegh Shirian
- Department of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, Iran
| | | | | | | | | | | |
Collapse
|
3
|
Negahban S, Shirian S, Khademi B, Oryan A, Sadoughifar R, Mohammad MP, Aledavood A, Daneshbod K, Daneshbod Y. The Value of Ultrasound-Guided Fine-Needle Aspiration Cytology by Cytopathologists in the Diagnosis of Major Salivary Gland Tumors. Journal of Diagnostic Medical Sonography 2016. [DOI: 10.1177/8756479316634320] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Because of the typical sonographic appearances of many salivary gland masses, as well as the normal appearance and anatomy of the glands, differentiation of salivary glands tumors based only on clinical and imaging criteria is difficult. We compared the utility, safety, specificity, and accuracy of ultrasound-guided fine needle aspiration cytology (UG-FNAC) in the detection of nonpalpable tumors in the major salivary glands. A retrospective review was done of a 5-year experience of 102 consecutive patients undergoing UG-FNAC. Clinical opinion, FNA results, and final pathologic findings were examined. Histological evaluation showed 29 malignant tumors and 54 benign lesions (neoplasms and nonneoplastic lesions). The cytologic findings were nondiagnostic in 19 cases (18.6%), true negative in 50 (49%), true positive in 20 (19.6%), false negative in 9 (8.8%), and false-positive in 4 (3.9%) cases for detecting malignant tumors. Six of 20 (30%) malignant tumors (true positive) and 41 of 50 (82%) benign lesions (true negative) were classified accurately. The accuracy, sensitivity, and specificity were 84.3%, 68.9%, and 92.6%, respectively. Ultrasound guided FNAC was found to be highly specific for malignancy and its sensitivity for malignancy was good. It is a reliable and accurate diagnostic technique with minimal complications and easy to perform with high specificity 92.5% (95% CI: 82.09%-97.90%). It should be the preferred primary approach for initial investigation in diagnosing salivary gland tumors.
Collapse
Affiliation(s)
- Shahrzad Negahban
- Shiraz Molecular Pathology Research Center, Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Sadegh Shirian
- Department of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, Iran
- Shefa Neuroscience Research Center, Khatam-Al-Anbia Hospital, Tehran, Iran
- Brain and Spinal Cord Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Bijan Khademi
- Head and Neck Cancer, Endoscopic Sinus Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ahmad Oryan
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz Iran
| | - Roshanak Sadoughifar
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz Iran
| | | | - Azita Aledavood
- Shiraz Molecular Pathology Research Center, Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Khosrow Daneshbod
- Shiraz Molecular Pathology Research Center, Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Yayha Daneshbod
- Shiraz Molecular Pathology Research Center, Daneshbod Pathology Laboratory, Shiraz, Iran
| |
Collapse
|
4
|
Khademi B, Negahban S, Aledavood A, Bagheri M, Daneshbod K, Mirfazaelian H, Daneshbod Y. An unusual thyroid mass. Am J Med 2015; 128:e29-30. [PMID: 26007669 DOI: 10.1016/j.amjmed.2015.04.030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2015] [Revised: 04/27/2015] [Accepted: 04/28/2015] [Indexed: 11/24/2022]
Affiliation(s)
- Bijan Khademi
- Department of Head and Neck Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahrzad Negahban
- Department of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Azita Aledavood
- Department of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Mandana Bagheri
- Department of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Khosrow Daneshbod
- Department of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Hadi Mirfazaelian
- Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Yahya Daneshbod
- Department of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran.
| |
Collapse
|
5
|
Khanlari M, Daneshbod Y, Shaterzadeh Yazdi H, Shirian S, Negahban S, Aledavood A, Oryan A, Khademi B, Daneshbod K, Field A. Labelling errors in fine needle aspiration cytology. Cytopathology 2015; 27:297-9. [PMID: 26307937 DOI: 10.1111/cyt.12264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M Khanlari
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Y Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - H Shaterzadeh Yazdi
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - S Shirian
- Department of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, Iran.,Shefa Neuroscience Research Centre, Khatam Alanbia Hospital, Tehran, Iran
| | - S Negahban
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - A Aledavood
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - A Oryan
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - B Khademi
- Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
| | - K Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - A Field
- Hospital and University of Notre Dame Medical School, Sydney, N.S.W, Australia
| |
Collapse
|
6
|
Khanlari M, Daneshbod Y, Shaterzadeh Yazdi H, Shirian S, Negahban S, Aledavood A, Oryan A, Khademi B, Daneshbod K, Field A. Discrepancy of target sites between clinician and cytopathological reports in head neck fine needle aspiration: Did I miss the target or did the clinician mistake the organ site? Cancer Med 2015; 4:1374-80. [PMID: 26108921 PMCID: PMC4567022 DOI: 10.1002/cam4.489] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2015] [Revised: 03/30/2015] [Accepted: 05/28/2015] [Indexed: 12/17/2022] Open
Abstract
The diagnostic accuracy of fine needle aspiration cytology (FNAC) of head and neck lesions is relatively high, but cytologic interpretation might be confusing if the sample is lacking typical cytologic features according to labeled site by physician. These errors may have an impact on pathology search engines, healthcare costs or even adverse outcomes. The cytology archive database of multiple institutions in southern Iran and Australia covering the period 2001–2011, were searched using keywords: salivary gland, head, neck, FNAC, and cytology. All the extracted reports were reviewed. The reports which showed discordance between the clinician's impression of the organ involved and subsequent fine needle biopsy request, and the eventual cytological diagnosis were selected. The cytological diagnosis was confirmed by histology or cell block, with assistance from imaging, clinical outcome, physical examination, molecular studies, or microbiological culture. The total number of 10,200 head and neck superficial FNAC were included in the study, from which 48 cases showed discordance between the clinicians request and the actual site of pathology. Apart from the histopathology, the imaging, clinical history, physical examination, immunohistochemical study, microbiologic culture and molecular testing helped to finalize the target organ of pathology in 23, 6, 7, 8, 2, and 1 cases respectively. The commonest discrepancies were for FNAC of “salivary gland” [total: 20 with actual final pathology in: bone (7), soft tissue (5), lymph node (3), odontogenic (3) and skin (2)], “lymph node” [total: 12 with final pathology in: soft tissue (3), skin (3), bone (1) and brain (1)], “soft tissue” [total: 11 with final pathology in: bone (5), skin (2), salivary gland (1), and ocular region (1)] and “skin” [total: 5 with final pathology in: lymph node (2), bone (1), soft tissue (1) and salivary gland (1)]. The primary physician requesting FNAC of head and neck lesions are incorrect in their clinical impression of the actual site in nearly 0.5 percent of cases, due to the overlapping clinical and imaging findings or possibly due to inadequate history taking or physical examination.
Collapse
Affiliation(s)
- Mahsa Khanlari
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Yahya Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | | | - Sadegh Shirian
- Department of Pathology, Shahrekord University, School of Veterinary Medicine, Shahrekord, Iran.,Shefa Neuroscience Research Center, Khatam-Al-Anbia Hospital, Tehran, Iran.,Brain and Spinal Cord Injury Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahrzad Negahban
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Azita Aledavood
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Ahmad Oryan
- Department of Pathology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - Bijan Khademi
- Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Khosrow Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Andrew Field
- Hospital and University of Notre Dame Medical School Sydney, Fremantle, Australia
| |
Collapse
|
7
|
Mirfazaelian H, Mosalei A, Negahban S, Aledavood A, Daneshbod Y. A lump in the umbilicus. Cleve Clin J Med 2015; 82:270. [PMID: 25973870 DOI: 10.3949/ccjm.82a.13164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Hadi Mirfazaelian
- Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran. E-mail:
| | - Ahmad Mosalei
- Department of Radiation Oncology, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Azita Aledavood
- Department of Pathology, Dr. Daneshbod Laboratory, Shiraz, Iran
| | - Yahya Daneshbod
- Department of Pathology, Dr. Daneshbod Laboratory, Shiraz, Iran
| |
Collapse
|
8
|
Mirfazaelian H, Shariat M, Bedayat GR, Negahban S, Daneshbod Y. Uterine malakoplakia diagnosed in a cervical Pap smear. Cytopathology 2015; 27:133-4. [PMID: 25900733 DOI: 10.1111/cyt.12249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- H Mirfazaelian
- Department of Emergency Medicine, Pre-Hospital Reseach Center, Tehran University of Medical Sciences, Tehran, Iran
| | - M Shariat
- Department of Cytopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - G R Bedayat
- Department of Cytopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - S Negahban
- Department of Cytopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Y Daneshbod
- Department of Cytopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| |
Collapse
|
9
|
Affiliation(s)
- Nasrollah Ahmadi
- Department of Pathobiology; School of Veterinary Medicine; Shiraz University; Shiraz Iran
| | - Shahrzad Negahban
- Department of Pathology; Dr. Daneshbod Pathology Laboratory; Shiraz Iran
| | - Azita Aledavood
- Department of Pathology; Dr. Daneshbod Pathology Laboratory; Shiraz Iran
| | - Khosrow Daneshbod
- Department of Pathology; Dr. Daneshbod Pathology Laboratory; Shiraz Iran
| | - Yahya Daneshbod
- Department of Pathology; Dr. Daneshbod Pathology Laboratory; Shiraz Iran
| |
Collapse
|
10
|
|
11
|
Mirfazaelian H, Hourfar F, Negahban S, Ansari M, Daneshbod Y. A man with two syndromes. Intern Emerg Med 2014; 9:693-4. [PMID: 24574005 DOI: 10.1007/s11739-014-1061-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 02/13/2014] [Indexed: 10/25/2022]
Affiliation(s)
- Hadi Mirfazaelian
- Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran,
| | | | | | | | | |
Collapse
|
12
|
Mirfazaelian H, Sotoude H, Negahban S, Aledavood A, Daneshbod Y. A woman with hypertrichosis. Br J Hosp Med (Lond) 2014; 75:293. [PMID: 25040278 DOI: 10.12968/hmed.2014.75.5.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
13
|
Daneshbod Y, Nowshadi PA, Negahban S, Aledavood A, Ramzi M, Fanaie S, Bedayat G, Medeiros LJ. Solitary plasmacytoma of the index finger. J Clin Pathol 2014; 67:828-31. [PMID: 24964361 DOI: 10.1136/jclinpath-2014-202413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Solitary osseous plasmacytoma rarely involves the distal extremities. We report a case and provide a brief review of the relevant literature. CASE PRESENTATION We report a 64-year-old man who presented with swelling, mild pain and a deformed right index finger. The workup led to the diagnosis of solitary osseous plasmacytoma and the patient eventually required amputation of his finger. With clinical follow-up, the disease spread to regional lymph nodes and subsequently the patient developed systemic involvement and received chemotherapy. CONCLUSIONS Solitary osseous plasmacytoma should be considered in the differential diagnosis of distal extremity neoplasms.
Collapse
|
14
|
Taghavi SA, Sha`bani S, Khademalhoseini M, Shabanipour N, Mehramiri A, Negahban S, Yahyazadeh S, Eshraghian A. Short term outcome of patients with hematochezia and normal initial colonoscopic findings: do they really need further screening? Iran Red Crescent Med J 2011; 13:895-8. [PMID: 22737436 PMCID: PMC3371901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2011] [Accepted: 08/10/2011] [Indexed: 11/04/2022]
Abstract
BACKGROUND In a significant number of the patients with hematochezia, colonoscopy turns out to be normal and therefore is unable to determine the cause of bleeding. This study investigates outcomes and possible necessity for further work up in cases of hematochezia with normal colonoscopy. METHODS Ninety-seven patients with normal colonoscopy were followed for at least one year from the time of colonoscopy by regular visits and phone calls. Mortality and recurrent bleeding were recorded as primary end points. Those with recurrent or continued hematochezia were invited for a new visit and further work up. RESULTS Among the ninety seven patients, nine cases (9.3%) were lost at follow ups, 10 experienced rebleeding (10.3 %), and the remaining 78 (80.4 %) were apparently healthy and had no further complaints. There were two mortalities during the follow up, one due to gastric cancer and the other due to cerebrovascular accident. CONCLUSION It is unusual for the cases of hematochezia with a normal initial colonoscopy to have recurrent bleeding as a result of a significant missed lesion in the colon.
Collapse
Affiliation(s)
- S A Taghavi
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - S Sha`bani
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M Khademalhoseini
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - N Shabanipour
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - A Mehramiri
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - S Negahban
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - S Yahyazadeh
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran
| | - A Eshraghian
- Gastroenterology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran,Correspondence: Ahad Eshraghian, MD, Department of Internal Medicine, Gastroenterohepatology Research Center, Nemazee Hospital, Shiraz University of Medical Science, Shiraz, Iran. Tel.: +98-711-6125610, Fax: +98-711-6276212, E-mail:
| |
Collapse
|
15
|
Daneshbod Y, Talei A, Negahban S, Soleimanpour H, Aledavoud A, Bagheri N, Khanlari M, Daneshbod K. Problem of foreign body in GI tract. ScientificWorldJournal 2011; 11:2147-9. [PMID: 22125463 PMCID: PMC3217610 DOI: 10.1100/2011/761796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2011] [Accepted: 09/13/2011] [Indexed: 12/04/2022] Open
Abstract
Most foreign bodies pass through the gastrointestinal tract uneventful. We report of a case of inadvertently ingested foreign body, which by endoscopy simulated a polyp and on biopsy reported as cancer, so the patient underwent an unnecessary major operation. This report emphasizes the importance of resemblance of foreign bodies with gastrointestinal neoplasm, and endoscopists, surgeons and pathologists should consider this entity in their daily practice.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Department of Surgical Pathology, Dr Daneshled, Pathology Laboratory, Shiraz 71437, Iran.
| | | | | | | | | | | | | | | |
Collapse
|
16
|
Daneshbod Y, Oryan A, Davarmanesh M, Shirian S, Negahban S, Aledavood A, Davarpanah MA, Soleimanpoor H, Daneshbod K. Clinical, histopathologic, and cytologic diagnosis of mucosal leishmaniasis and literature review. Arch Pathol Lab Med 2011; 135:478-82. [PMID: 21466365 DOI: 10.5858/2010-0069-oa.1] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
CONTEXT Mucosal leishmaniasis (ML) is a rare disease in the world, even in endemic areas such as Iran. Clinical, histologic, or cytologic assessment may help in the diagnosis of ML. OBJECTIVE To describe clinical, histologic, and cytologic findings in ML. DESIGN Review of our files showed 11 patients diagnosed with ML, of whom 7 patients had oral lesions, 1 of whom was a known patient with oral leishmaniasis with recurrence of oral lesions; 2 had laryngeal lesions; and 3 had nasal lesions. One case of laryngeal leishmaniasis was a recurrence of prior oral lesions. Cytologic smears were prepared by scraping the lesions with a scalpel or cytobrush. Histology on the biopsies was done for 7 patients. In 2 patients with nasal lesions, exfoliative cytology was made by washing the nasal cavity. Smears were both air dried and fixed in alcohol and stained. RESULTS Cytologic findings showed free Leishman-Donovan bodies, intrahistiocytic Leishman-Donovan bodies, atypical organisms, granuloma, acute and chronic inflammatory cells, histiocytes, multinucleated giant cells, mast cells, binucleated histiocytes (Reed-Sternberg-like cells), and plasma cells. In 6 of the patients, biopsy was inconclusive and in subsequent cytology the organism was detected. In 3 cases, findings from clinical and cytologic examinations were suggestive for leishmaniasis; however, with response to treatment, the diagnosis was confirmed. In 5 patients a malignant tumor was suspected because of clinical or histologic findings, but cytology helped to diagnose leishmaniasis. CONCLUSIONS Clinically or histologically, ML can be mistaken for benign and malignant lesions. Scraping or exfoliative cytology is an easy, reliable, and cost-effective method for diagnosing ML. Thus, clinical, histologic, and cytologic features together may help in ML diagnosis.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Department of Cytopathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran.
| | | | | | | | | | | | | | | | | |
Collapse
|
17
|
Negahban S, Nagel I, Soleimanpour H, Aledavood A, Bagheri N, Paydar M, Daneshbod K, Hasselblatt M, Gesk S, Siebert R, Daneshbod Y. Prenatal Presentation of a Metastasizing Rhabdoid Tumor With Homozygous Deletion of the SMARCB1 Gene. J Clin Oncol 2010; 28:e688-91. [DOI: 10.1200/jco.2010.29.9735] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Shahrzad Negahban
- Institute of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Inga Nagel
- Institute of Human Genetics, Christian-Albrechts-University Kiel and University Hospital Schleswig-Holstein, Kiel, Germany
| | | | - Azita Aledavood
- Institute of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Neda Bagheri
- Institute of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Mehdi Paydar
- Institute of Obstetrics and Fetal Medicine, Shiraz, Iran
| | - Khosrow Daneshbod
- Institute of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Martin Hasselblatt
- Institute of Neuropathology, University Hospital Münster, Münster, Germany
| | - Stefan Gesk
- Institute of Human Genetics, Christian-Albrechts-University Kiel and University Hospital Schleswig-Holstein, Kiel, Germany
| | - Reiner Siebert
- Institute of Human Genetics, Christian-Albrechts-University Kiel and University Hospital Schleswig-Holstein, Kiel, Germany
| | - Yahya Daneshbod
- Institute of Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran
| |
Collapse
|
18
|
Abstract
BACKGROUND Nonsalivary adenocarcinomas are the most interesting tumors found in the sinonasal area. They are rare tumors arising from surface epithelium. The clear cell type of this tumor is even more rare. We present cytologic findings of clear cell sinonasal adenocarcinoma and related pitfalls. CASE A 52-year-old woman presented with a left-cheek facial mass of 3-4 years' duration, with progressive enlargement, nasal discharge and discoloration of the lateral side of her left eye. Computed tomography was performed, revealing an expansile mass involving the nasal cavity, left maxillary sinus, ethmoid sinus with extension to sphenoid sinus, left side of oral cavity and left orbit. Fine needle aspiration performed through the upper buccogingival canine fossa showed clusters of epithelial cells with clear cytoplasm, round nuclei, inconspicuous nucleoli and slight pleomorphism. Some normal ciliated columnar epithelial cells are identified in the vicinity of neoplastic cells. The mass was reported to be a clear cell neoplasm, and excision of the whole mass was performed. CONCLUSION Cytologic findings of this rare tumor overlap with those of salivary gland-type tumors with clear cell change and should be added to the list of head and neck tumors with clear cell change.
Collapse
Affiliation(s)
- Shahrzad Negahban
- Department of Pathology and Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran.
| | | | | | | | | |
Collapse
|
19
|
Negahban S, Daneshbod Y, Khademi B, Seif I. Papillary cystic acinic cell carcinoma with many psammoma bodies, so-called psammoma body-rich papillary cystic acinic cell carcinoma: report of a case with fine needle aspiration findings. Acta Cytol 2009; 53:440-4. [PMID: 19697733 DOI: 10.1159/000325349] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Psammoma bodies are infrequent in salivary gland aspirates. We present a case of papillary cystic acinic cell carcinoma with many psammoma bodies and discuss the diagnostic pitfalls with other salivary gland tumors. A 24-year-old woman presented with a 5-month history of a gradually enlarging, painless lump in the left side of the face. Physical examination demonstrated a 2 x 2-cm, nontender, rubbery mass inferior to the auricle in the left parotid area. Sonography showed a 2-cm, cystic mass in the left parotid. Fine needle aspiration was performed and showed mainly papillary clusters and isolated cells with vacuolated cytoplasm and a round nucleus with an inconspicuous nucleolus resembling foamy histiocytes and many psammoma bodies, some of which were surrounded by cells resembling cannonballs. A preliminary diagnosis of papillary cystic salivary gland neoplasm was made and supeficial parotidectomy performed. A diagnosis of papillary cystic acinic cell carcinoma with many psammoma bodies was made. Aspiration cytology of papillary cystic acinic cell carcinoma with many psammoma bodies can be confused with more common tumors, such as cystic mixed tumor and adenoid cystic carcinoma with cannonballs, low grade mucoepidermoid carcinoma or cystic papillary carcinoma of the thyroid.
Collapse
Affiliation(s)
- Shahrzad Negahban
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz School of Medicine, Shiraz, Iran.
| | | | | | | |
Collapse
|
20
|
|
21
|
Daneshbod Y, Daneshbod K, Negahban S, Aledavud A, Taghavi A, Saberi-Firuzi M, Fattahi MR, Salahi H. Intraoperative touch imprint diagnosis of Strongyloides stercoralis infection mimicking a malignant tumor. Acta Cytol 2008; 52:387-9. [PMID: 18540315 DOI: 10.1159/000325532] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
|
22
|
Daneshbod Y, Daneshbod K, Rasekhi AR, Mosayebi Z, Negahban S, Hodjati SR, Bedayat GR, Ganjei-Azar P. Cytologic differentiation of struma ovarii from other ovarian neoplasms. Acta Cytol 2008; 52:72-6. [PMID: 18323278 DOI: 10.1159/000325437] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To present the cytologic findings of struma ovarii and value of cytology and immunocytochemistry (ICC) using thyroglobulin (TGB) and thyroid transcription factor-1 (TTF-1) in evaluation of this unusual ovarian neoplasm, together with the diagnostic pitfalls. STUDY DESIGN Intraoperative cytologic findings of 7 patients with struma ovarii are reviewed. Cytologic material of both cystic and solid components was collected intraoperatively. ICC staining was done, and cell block preparation performed on selected cases. RESULTS The cases were divided in to 3 groups: group 1--diagnosis of struma ovarii was made by cytology and confirmed by ICC (1 case); group 2--diagnosis was suggestive on cytology or cell block and confirmed by ICC staining (4 cases); group 3--on cytologic diagnosis indistinguishable from other cystic ovarian neoplasms (2 cases). Cytologic findings were typically colloid with mosaic pattern, follicles, follicular cells only, sheets of follicular cells, both colloid and follicular cells, proteinaceous background or degenerated epithelial cells indistinguishable from other cystic ovarian neoplasms. CONCLUSION Cytologic findings of struma ovarii are distinct enough to be suggested intraoperatively, and ICC for TGB or TTF-1 is a valuable tool for preoperative fine needle aspiration biopsy and intraoperative diagnosis of this benign ovarian neoplasm.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Cytopathology and Hematopathology Department, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran.
| | | | | | | | | | | | | | | |
Collapse
|
23
|
Abstract
OBJECTIVE To describe new cytologic clues to diagnose localized leishmania lymphadenitis (LLL). STUDY DESIGN The study examined cytologic smears of 170 cases of LLL referred to our department from November 1989 to October 2004. A total of 120 cases were confirmed by detecting Leishman-Donovan (LD) bodies in at least 1 of the cytologic smears and 50 cases, which were histologically confirmed. For comparison we studied cytologic smears of 20 cases of tuberculous lymphadenitis, 20 cases of toxoplasma lymphadenitis and 20 cases of granulomatous lymphadenitis of unspecified causes. RESULTS Cases were divided into 4 major groups. Cytologic findings in these groups were studied to find highly suggestive clues. Cytologic findings present in most of these groups, but absent or very rare in other granulomatous lymphadenitis, were LD kinetoplasts, plasma cells with different shapes of inclusions and lymphogranular bodies. Rare findings not reported previously were: intraneutrophilic LD bodies, hematoxylin body-like inclusions, fibroblasts, cytoplasmic blebbing and floating parasitophorous vacuoles. CONCLUSION Despite previous reports emphasizing detecting LD bodies in diagnosing LLL, we present cytologic clues highly suggestive of this self-limited disease when LD bodies cannot be detected or are very few on the smears.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Department of Cytopathology and Hematopathology, Dr. Daneshbod Pathology Laboratory, Shiraz School of Medicine, Shiraz, Iran.
| | | | | | | | | |
Collapse
|
24
|
Daneshbod Y, Negahban S, Khademi B, Daneshbod K. Epithelial myoepithelial carcinoma of the parotid gland with malignant ductal and myoepithelial components arising in a pleomorphic adenoma: a case report with cytologic, histologic and immunohistochemical correlation. Acta Cytol 2007; 51:807-13. [PMID: 17910353 DOI: 10.1159/000325847] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND To describe the cytologic, histologic and immunohistochemical findings of a case of epithelial myoepithelial carcinoma (EMC) arising from a pleomorphic adenoma (PA) of the parotid with both malignant epithelial and myoepithelial components. CASE A 29-year-old female presented with a 1.5 x 1.5-cm, palpable mass of the left parotid of 7-8 months' duration with recent enlargement and pain. Fine needle aspiration biopsy (FNAB) revealed biphasic epithelial (small cell) and myoepithelial (large/clear cell) clusters arranged in a pseudopapillary and trabecular pattern with abundant hyaline material with many naked nuclei, together with areas typical of pleomorphic adenoma (PA) was noted. The cytology was reported as salivary gland neoplasm, "suggestive of adenoid cystic carcinoma, less likely pleomorphic adenoma." The mass was excised and histologically reported as "pleomorphic adenoma, with focal invasion of one resected margin." Four months later the tumor recurred, and FNAB showed almost the same cytologic features as did the previous aspirate. Due to early recurrence, previous histologic sections were reviewed, and typical areas of a biphasic pattern of EMC with atypicality and mitosis of both components was found. The final diagnosis was EMC ex PA. CONCLUSION Although previous reports mention the difficulties in diagnosing EMC and differentiation from the more common salivary gland neoplasms such as PA, we like to emphasize the cytologic confusion that results when the tumors coexist.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz Medical School, Shiraz, Iran.
| | | | | | | |
Collapse
|
25
|
Negahban S, Daneshbod Y, Atefi S, Daneshbod K, Sadjjadi SM, Hosseini SV, Bedayat GR, Abidi H. Dirofilaria repens diagnosed by the presence of microfilariae in fine needle aspirates: a case report. Acta Cytol 2007; 51:567-70. [PMID: 17718123 DOI: 10.1159/000325796] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Dirofilariasis due to Dirofilaria repens with viable microfilariae outside the worm have not been reported before. CASE A 40-year-old truck driver from rural Shiraz, Iran, had a firm mass, 2.5 x 2.5 cm, at the dorsolateral aspect of the right forearm. Fine needle aspiration (FNA) was performed on 2 occasions. Several microfilariae with blunt heads, pointed posterior ends and empty caudal spaces resembling microfilariae of Wuchereria bancrofti but longer were seen. Since Iran is a nonendemic area for lymphatic filariae and the patient had a history of contact with a dog, with the impression of dirofilariasis, the mass was excised, and the presence of adult worms in tissue sections confirmed the diagnosis. CONCLUSION This case ofsubcutaneous dirofilariasis was diagnosed by detecting microfilariae in FNA smears and was confirmed on histopathology.
Collapse
Affiliation(s)
- Shahrzad Negahban
- Department of Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | | | | | | | | | | | | | | |
Collapse
|
26
|
Negahban S, Daneshbod Y, Shishegar M. Clear cell carcinoma arising from pleomorphic adenoma of a minor salivary gland: Report of a case with fine needle aspiration, histologic and immunohistochemical findings. Acta Cytol 2006; 50:687-90. [PMID: 17152285 DOI: 10.1159/000326043] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Malignant changes in pleomorphic adenoma (PA) of the salivary gland (carcinoma ex pleomorphic adenoma) are not common. Clear cell carcinoma is a rare form of salivary gland tumor and involves mostly minor salivary glands, especially those of the palate. Only 3 cases of clear cell carcinoma arising in PA have been reported, 2 in submandibular glands and 1 in a minor salivary gland of the palate. CASE A 53-year-old man presented with an enlarged mass on the left side of the palate. He had a history of palate mass about 30 years earlier; it was excised and reported as PA. Since then the tumor had recurred twice in the same place; it had been excised and was diagnosed as PA again. A few years later the mass showed rapid growth over a few months. Fine needle aspiration of the mass showed epithelial clusters with bland nuclear features and myxohyaline material typical of PA. Also noted were large and small papillary, trabecular and well-circumscribed clusters of neoplastic cells with a moderate amount offoamy, vacuolated cytoplasm with distinct borders. Glandlike and acinar structures with hyaline globule material resembling cannonballs were also noted. The cytology was suspicious for malignancy. Incisional biopsy was reported as PA. Due to the suspicion of malignancy, the whole mass was excised up to the floor of the orbit. The final diagnosis was clear cell carcinoma expleomorphic adenoma. CONCLUSION Due to nonspecific cytologic findings in clear cell carcinoma and a mixture of elements of PA in this case, we did not consider clear cell carcinoma as the malignant component.
Collapse
MESH Headings
- Adenocarcinoma, Clear Cell/chemistry
- Adenocarcinoma, Clear Cell/pathology
- Adenocarcinoma, Clear Cell/surgery
- Adenoma, Pleomorphic/chemistry
- Adenoma, Pleomorphic/pathology
- Adenoma, Pleomorphic/surgery
- Biomarkers, Tumor/analysis
- Biopsy, Fine-Needle
- Humans
- Immunohistochemistry
- Male
- Middle Aged
- Neoplasms, Second Primary/chemistry
- Neoplasms, Second Primary/pathology
- Neoplasms, Second Primary/surgery
- Periodic Acid-Schiff Reaction
- Salivary Gland Neoplasms/chemistry
- Salivary Gland Neoplasms/pathology
- Salivary Gland Neoplasms/surgery
- Salivary Glands, Minor/chemistry
- Salivary Glands, Minor/pathology
- Salivary Glands, Minor/surgery
Collapse
Affiliation(s)
- Shahrzad Negahban
- Department of Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran.
| | | | | |
Collapse
|
27
|
Daneshbod Y, Omidvari S, Daneshbod K, Negahban S, Dehghani M. Diffuse large B cell lymphoma of thyroid as a masquerader of anaplastic carcinoma of thyroid, diagnosed by FNA: a case report. Cytojournal 2006; 3:23. [PMID: 17052355 PMCID: PMC1630693 DOI: 10.1186/1742-6413-3-23] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2006] [Accepted: 10/19/2006] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Both thyroid lymphoma and anaplastic carcinoma of thyroid present with rapidly growing mass in eldery patients. Anaplastic carcinoma has high mortality rate and combination of surgery, radiation therapy and multidrug chemotherapy are the best chance for cure. Prognosis of thyroid lymphoma is excellent and chemotherapy for widespred lymphoms and radiotherapy with or without adjuvant chemotherapy for tumors localized to the gland, are the treatment of choice. CASE REPORT This article reports a 70 year old man presenting with diffuse neck swelling and hoarseness of few weeks duration. Fine needle aspiration was done and reported as anaplastic carcinoma of thyroid which thyroidectomy was planned. The slides were sent for second opinion. After review, with initial diagnosis of anaplastic carcinoma versus lymphoma, immunocytochemical study was performed. Smears were positive for B cell markers and negative for cytokeratin, so with the impression of diffuse large B cell lymphoma, the patient received two courses of chemotherapy by which the tumor disappeared during two weaks. CONCLUSION Despite previous reports, stating easy diagnosis of high-grade thyroid lymphoma on the grounds of cytomorphological features we like to emphasize, overlapping cytologic features of the curable high grade thyroid lymphoma form noncurable anaplastic thyroid carcinoma and usefulness of immunocytochemistry to differentiate these two disease.
Collapse
Affiliation(s)
- Yahya Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Hematopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Shapour Omidvari
- Department of Radiation-Oncology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Khosrow Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Shahrzad Negahban
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Mehdi Dehghani
- Department of Hematology-Oncology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
28
|
Khademi B, Daneshbod Y, Negahban S, Daneshbod K, Kaviani M, Mohammadianpanah M, Ashraf MJ. Biphasic parapharyngeal synovial sarcoma: a cytologic and immunocytologic report of a case. Cytojournal 2006; 3:20. [PMID: 16907985 PMCID: PMC1562442 DOI: 10.1186/1742-6413-3-20] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2006] [Accepted: 08/14/2006] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Synovial sarcoma is a rare soft tissue sarcoma in the head and neck region and parapharyngeal space. There is no previous cytologic report of synovial sarcoma of parapharynx. The cytologic and immunocytochemical findings of a parapharyngeal biphasic synovial sarcoma together with diagnostic pitfalls are described. CASE REPORT A 21-year-old girl presented with a 6-month history of progressive right arm pain, neck mass and upper aerodigestive tract obstruction. On physical examination there was a large painless mass arising from the right-sided parapharyngeal space causing airway obstruction. Initial magnetic resonance imaging (MRI) revealed a large tumor in the right-sided parapharyngeal space. Fine needle aspiration through cervical region was performed and was reported as benign spindle cell tumor. Smears were cellular and composed mostly of tight and loose clusters of spindle cells. Epitheloid cells could also be identified intermingled with them. She underwent near total resection of the tumor. Pathologic report disclosed the diagnosis of synovial sarcoma. She then received postoperative adjuvant external radiotherapy. CONCLUSION Due to rarity of this tumor in this region and nonspecific cytologic features, we could not differentiate this tumor from the other more common spindle cell neoplasms. Considering synovial sarcoma in this region and immunocytochemistry can be helpful in rendering a correct initial diagnosis of this tumor.
Collapse
Affiliation(s)
- Bijan Khademi
- Department of Head and Neck Surgery, Khalili Hospital, Shiraz Medical School, Shiraz, Iran
| | - Yahya Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Hematopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Shahrzad Negahban
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Surgical Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Khosrow Daneshbod
- Department of Cytopathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
- Department of Surgical Pathology, Dr. Daneshbod Pathology Laboratory, Shiraz, Iran
| | - Massud Kaviani
- Department of Head and Neck Surgery, Khalili Hospital, Shiraz Medical School, Shiraz, Iran
| | - Mohammad Mohammadianpanah
- Department of Radiation-Oncology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad J Ashraf
- Department of Pathology, Khalili Hospital, Shiraz Medical School, Shiraz, Iran
| |
Collapse
|