Abstract: |
Synovial sarcoma (SS) is a high-grade sarcoma that can be diagnosed in cytology with certainty only when it presents with a biphasic pattern. Monophasic SS (MSS), however, is a diagnostic consideration when a uniform spindle cell population is present. The purpose of this study was to evaluate a series of cytologic cases of MSS and its cytologic presentation. Twenty-one FNAs of histologically confirmed MSS were reviewed. Specimens consisted of tissue fragments and single cells containing scant granular cytoplasm, medium-sized nuclei, and coarse chromatin. A monotonous spindle pattern with comma-shaped nuclei was present in 5 cases. Sixteen cases contained oval and spindled nuclei. Eight of these specimens contained round nuclei, and 5 of these cases showed prominent nucleoli and cohesive clusters, reminiscent of biphasic SS. We conclude that a spectrum of cytologic findings can be seen in MSS, including a secondary population of cells with morphology usually typical of biphasic SS. © 2004 Wiley-Liss. Inc. |
Keywords: |
immunohistochemistry; adult; controlled study; human tissue; aged; middle aged; retrospective studies; clinical feature; histopathology; cytology; microscopy, electron; diagnosis, differential; sarcoma; cancer cytodiagnosis; reverse transcriptase polymerase chain reaction; biopsy, fine-needle; cytoplasm; translocation, genetic; spindle cell; cell nucleus; synovial sarcoma; sarcoma, synovial; aspiration biopsy; cytopathology; soft tissue neoplasms; chromatin structure; nucleolus; aspiration cytology; fine-needle aspiration; humans; human; male; female; priority journal; article; monophasic
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