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FNA of chest wall nodule

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楼主 发表于 2008-12-06 01:18|举报|关注(0)
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This is a FNA I did it yesterday. The patient is 70-year-old man and has a malignant tumor diagnosed in 2001. Now has a 1.5cm left chest wall subcutaneous nodule. What's your diagnosis? What's his previous malignancy?

This should be a easy one.

  • FNA of chest wall nodule图1
    图1
  • FNA of chest wall nodule图2
    图2
  • FNA of chest wall nodule图3
    图3
  • FNA of chest wall nodule图4
    图4
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×参考诊断
chondrosarcoma (软骨肉瘤)

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1 楼    发表于2008-12-10 06:42:00举报|引用
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 Most people got this one right. The patient has a history of chondrosarcoma (软骨肉瘤) and now, this is recurrent/metastatic chondrosarcoma. Just want to bring your guys attention on the diff-quick stain, which really highlights the matrix of matrix producing tumors, in this case, the rich myxoid chondroid matrix. the only time I saw a tumor other than chondrosarcoma with this much chondroid matrix was a chondroid chordoma, which is very rare. FNA of chondrosarcoma is usually easy, you see one, you will remember.
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