Minimally invasive diagnosis of a pericardial mass by CT-guided fine-needle aspiration

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• 作者：Cinta Llibre^a ; Xavier Saenz-Sardà ; ^b ; Victò ; ria Vilalta^a ; Laura Tria^b ; Maria Llatjó ; s^b ; Aurelio Ariza^b ; Antoni Bayes-Genis^a ; ¹ ; ^{abayesgenis@gmail.com" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Heart neoplasms ; Hemangiosarcoma ; Pericardium/pathology ; Fine needle aspiration ; Immunohistochemistry ; Diagnosis/differential
• 刊名：Cardiovascular Pathology
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：25
• 期：4
• 页码：275-279
• 全文大小：777 K

文摘

The preferred management of a cardiac mass remains controversial, but it often includes open-chest surgical excision to obtain an adequate tissue sample for histological workup. We herein report a less invasive approach in which an accurate and timely cytological diagnosis of pericardial angiosarcoma was reached by studying a CT-guided fine-needle aspiration cell block. The cell block showed proliferation of atypical cells with occasional mitotic figures, vasoformative features, and immunoreactivity to WT1, vimentin, CD31, CD34, ERG, and Ki67. Recourse to fine-needle aspiration and cell block study is a valuable diagnostic approach to be considered when a cardiac mass is percutaneously accessible.