Diagnosis of metastatic carcinoid in mesenteric lymph node by fine needle aspiration cytology

作者：Naniwadekar Manjiri Ramchandra^*; Desai S R; Dombale V D; Kulkarni S R

来源：Indian Journal of Pathology and Microbiology, 2008, 51(3): 424-426.

• carcinoid
• fine needle aspiration cytology of lymph node
• metastatic tumors in lymph node
• neuroendocrine tumors

Although carcinoid tumor is a relatively common neoplasm in surgical pathology, fine needle aspiration cytology (FNAC) as a method of primary diagnosis has only been reported a few times. We report the case of a 55-year-old male patient who presented with colicky pain in the abdomen and a vague mass in the right lumbar region. Ultrasonographic study showed an enlarged mesenteric lymph node. Ultrasonography-guided FNAC revealed cellular smears with neuroendocrine cellular arrangement and morphology. The cytomorphologic characteristics of carcinoid tumors are distinctive enough for diagnosis. A diagnosis of metastatic carcinoid was given. 5-hydroxyindolacetic acid in 24-hour urine turned out to be high. Histopathology and immunohistochemistry studies also confirmed the diagnosis. Thus, FNAC can be a useful and safe tool in the diagnosis of carcinoid tumors.

• 出版日期2008-9
• 单位河北医科大学