[Primary isolated lymphoma of the liver: rapid cytological diagnosis by fine needle aspiration biopsy].
A case of primary hepatic lymphoma diagnosed with rapid staining of smears of material collected with echo-guided FNAB is described. The primary isolated lymphoma of the liver is a rare disease and forty reported cases since 1989 have been reviewed in the literature; many of which were first diagnosed at autopsy or shortly before death. Due to the rarity of the primary hepatic lymphoma, a large list of differential diagnosis has to be considered and they all fall into the category of malignant small cell tumors: moreover a definitive diagnosis may be sometimes impossible in a small needle biopsy. In the reported case the importance of a unique morphological feature (lymphoglandular bodies) is discussed in order to stress the easier diagnosis of lymphoproliferative disease allowed on cytological preparations vs. histological ones.
Blandamura
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Servizio di Citodiagnostica 2, Ospedale Civile, ULSS 21 Padova.
Boccato
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P
D000368:Aged; D001707:Biopsy, Needle; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000473:pathology; D008297:Male
Linfoma primitivo isolato del fegato: diagnosi citologica "rapida" mediante FNAB.