Electron microscopy of fine-needle aspiration biopsy from extragonadal germ cell tumors
โ Scribed by G. Dell'Antonio; G. L. Taccagni; M. R. Terreni; B. E. Leone; A. Cantaboni
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 705 KB
- Volume
- 8
- Category
- Article
- ISSN
- 8755-1039
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โฆ Synopsis
W e describe five cases of extragonadal germ cell tumor (EGCT) diagnosed by the electron microscope (EM) on cytological material. The clinical diagnosis was incorrect in all cases and EGCT was suspected in two cases: cytological diagnosis by light microscopy confirmed the presence of malignant tumor cells, but did not identify the cytotype/s correctly except in one case. Ultrasonography, laparoscopy, and autopsy (in case 3) excluded a primitive germ cell tumor (GCT). Histology confirmed the E M diagnosis in all cases.
EM, even of scanty or necrotic cytological material, is particularly useful for mediastinal and retroperitoneal masses. In case of
EGCT, E M can identify the different cytotypes and the drfferent ultrastructural subcellular cytotypes and demonstrates a close relation between seminomatous and nonseminomatous GCT,
๐ SIMILAR VOLUMES
Fine needle aspiration biopsy is an extremely useful procedure for the diagnosis of germ cell tumors. Most of the subtypes can be easily recognized and differentiated from other subtypes. For diffฤฑcult cases clinical pathologic correlation may be extremely helpful in establishing a precise diagnosis
A series of 31 fine-needle aspiration biopsies were studied ultrastructurally in order to evaluate the usefulness of electron microscopy in the diagnosis of aspiration biopsies. In seven cases, the electron microscopic findings were crucial to the diagnosis. In the remaining cases, electron microsco