Aspiration cytomorphology of fetal adenocarcinoma of the lung Journal Article


Authors: Geisinger, K. R.; Travis, W. D.; Perkins, L. A.; Zakowski, M. F.
Article Title: Aspiration cytomorphology of fetal adenocarcinoma of the lung
Abstract: Fetal adenocarcinoma (FA) of the lung is an exceedingly rare malignancy. Many patients with the well-differentiated form are relatively young and with the high-grade variant are older. We describe the cases of 4 women with FA examined by fine-needle aspiration biopsy. Aspirates were moderately cellular with malignant, mostly aggregated cells. Glands and acini were present. The columnar neoplastic epithelial cells had homogeneous round nuclei with fine chromatin, smooth membranes, and indistinct nucleoli. With the rapid Romanowsky stain, subnuclear vacuoles were evident in some tumor cells; at times, this was associated with a focal extracellular tigroid pattern. Morule formation was present in the 3 specimens. Immunochemically, all tumors manifested epithelial and neuroendocrine differentiation. Cytomorphologic attributes included the following: (1) distinct subnuclear vacuoles, sometimes with an associated tigroid picture; (2) small, uniform, round nuclei; (3) morules; and (4) neuroendocrine differentiation in glandular epithelial cells. © American Society for Clinical Pathology.
Keywords: immunohistochemistry; adolescent; adult; clinical article; human tissue; histopathology; radiotherapy, adjuvant; lymph nodes; adenocarcinoma; cell nucleus membrane; cytology; cell structure; lung neoplasms; aspiration; tumor markers, biological; cell differentiation; lung adenocarcinoma; chromatin; biopsy, fine-needle; lung; cell nucleus; fetus; aspiration biopsy; acinar cell; immunochemistry; nucleolus; cell vacuole; fetal; aspiration cytology; columnar epithelium; fetus disease
Journal Title: American Journal of Clinical Pathology
Volume: 134
Issue: 6
ISSN: 0002-9173
Publisher: Oxford University Press  
Date Published: 2010-12-01
Start Page: 894
End Page: 902
Language: English
DOI: 10.1309/ajcp4t5swatqlktq
PUBMED: 21088152
PROVIDER: scopus
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: AJCPA" - "Source: Scopus"
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  1. William D Travis
    743 Travis
  2. Maureen F Zakowski
    289 Zakowski