Seminal Vesicle Epithelium as a Potential Pitfall in the Cytodiagnosis of Presacral Masses
| Autor: | V.M. Castellano Megías, A Pérez Barrios, C. Ibarrola de Andrés, N. Alberti Masgrau, F. Lozano Ojeda, P. De Agustin |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Pathology
medicine.medical_specialty Histology medicine.diagnostic_test business.industry Abdominoperineal resection Rectum General Medicine medicine.disease Pathology and Forensic Medicine medicine.anatomical_structure Fine-needle aspiration Prostate Biopsy Carcinoma Presacral space Rectal Adenocarcinoma Medicine business |
| Zdroj: | Acta Cytologica. 44:399-402 |
| ISSN: | 1938-2650 0001-5547 |
| DOI: | 10.1159/000328486 |
| Popis: | BACKGROUND Whenever abdominoperineal resection is performed because of a rectal adenocarcinoma, the prostate and seminal vesicles may be displaced backward to the presacral space, giving rise to a false radiologic image of a presacral tumor. Due to cytologic atypia associated with the epithelium of seminal vesicles, there is a real possibility, in fine needle aspiration biopsy (FNAB), of erroneously giving a malignant diagnosis. CASES Two men, aged 53 and 57 years, presented with presacral masses three months and six years, respectively, after abdominoperineal resection for rectal adenocarcinoma. In both cases, FNAB smears showed some groups and single cells with large and irregular nuclei. These cells suggested a recurrence of carcinoma. The presence of cytoplasmic coarse pigment and a background with spermatozoa and blobs of inspissated secretory product were sufficient to determine that these presacral masses represented the seminal vesicles. CONCLUSION Awareness that seminal vesicles may give rise to a radiologic impression of presacral tumor after abdominoperineal resection of the rectum will avoid unnecessary FNAB and a cytologic false positive diagnosis of colorectal adenocarcinoma. |
| Databáze: | OpenAIRE |
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