Fine-needle aspiration of neurilemoma (schwannoma). A clinicocytopathologic study of 116 patients
(2006) In Diagnostic Cytopathology 34(6). p.403-412- Abstract
The preoperative fine-needle aspiration cytology (FNAC) diagnoses in 116 surgically excised neurilemomas were reviewed and compared with the corresponding histopathologic diagnoses made on surgical specimens and with clinical data. In addition, the utility of adjunctive techniques was analyzed and other spindle-cell lesions in the differential diagnoses were discussed. An unequivocal, benign diagnosis was rendered by FNAC in 80 cases, 67 of which were correctly labelled as neurilemoma in a review of the original cytology reports. There were 6 false-positive malignant diagnoses while 23 smears were considered insufficient and 7 inconclusive as to whether benign or malignant. On reevaluation, the diagnostic smears in most cases contained... (More)
The preoperative fine-needle aspiration cytology (FNAC) diagnoses in 116 surgically excised neurilemomas were reviewed and compared with the corresponding histopathologic diagnoses made on surgical specimens and with clinical data. In addition, the utility of adjunctive techniques was analyzed and other spindle-cell lesions in the differential diagnoses were discussed. An unequivocal, benign diagnosis was rendered by FNAC in 80 cases, 67 of which were correctly labelled as neurilemoma in a review of the original cytology reports. There were 6 false-positive malignant diagnoses while 23 smears were considered insufficient and 7 inconclusive as to whether benign or malignant. On reevaluation, the diagnostic smears in most cases contained spindle cells with wavy nuclei embedded in a fibrillar, occasionally collagenous, and/or myxoid matrix and Antoni A/Antoni B tissue fragments. A moderate to abundant admixture of round to oval cells was also frequent. Nuclear palisading was seen in 41 smears with distinctive Verocay bodies in 10. Markedly pleomorphic nuclei were seen in smears from 8 ancient and 6 conventional neurilemomas, and slight to moderate nuclear pleomorphism was observed in 38 additional cases. Thus most neurilemomas have distinct cytomorphologic features that allow correct diagnosis. The major problem in FNAC of neurilemoma is to obtain sufficient material. Furthermore aspirates showing predominantly Antoni A features, nuclear pleomorphism, and/or myxoid changes can easily be confused with other types of benign or malignant soft-tissue tumors.
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- author
- Domanski, Henryk A LU ; Åkerman, Måns LU ; Engellau, Jacob LU ; Gustafson, Pelle LU ; Mertens, Fredrik LU and Rydholm, Anders LU
- organization
- publishing date
- 2006-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Adult, Aged, Aged, 80 and over, Biomarkers, Tumor, Biopsy, Fine-Needle, Diagnosis, Differential, False Positive Reactions, Female, Humans, Male, Middle Aged, Neurilemmoma, S100 Proteins, Sarcoma, Sensitivity and Specificity, Soft Tissue Neoplasms, Comparative Study, Journal Article, Research Support, Non-U.S. Gov't
- in
- Diagnostic Cytopathology
- volume
- 34
- issue
- 6
- pages
- 10 pages
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- wos:000237752500003
- pmid:16680779
- scopus:33646818948
- pmid:16680779
- ISSN
- 8755-1039
- DOI
- 10.1002/dc.20449
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Clinical Genetics (013022003), Oncology, MV (013035000), Pathology, (Lund) (013030000), Department of Orthopaedics (Lund) (013028000)
- id
- fedca144-11ff-4a42-a712-8f870b5425b3 (old id 156935)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16680779&dopt=Abstract
- date added to LUP
- 2016-04-01 11:50:09
- date last changed
- 2022-03-05 07:08:43
@article{fedca144-11ff-4a42-a712-8f870b5425b3,
abstract = {{<p>The preoperative fine-needle aspiration cytology (FNAC) diagnoses in 116 surgically excised neurilemomas were reviewed and compared with the corresponding histopathologic diagnoses made on surgical specimens and with clinical data. In addition, the utility of adjunctive techniques was analyzed and other spindle-cell lesions in the differential diagnoses were discussed. An unequivocal, benign diagnosis was rendered by FNAC in 80 cases, 67 of which were correctly labelled as neurilemoma in a review of the original cytology reports. There were 6 false-positive malignant diagnoses while 23 smears were considered insufficient and 7 inconclusive as to whether benign or malignant. On reevaluation, the diagnostic smears in most cases contained spindle cells with wavy nuclei embedded in a fibrillar, occasionally collagenous, and/or myxoid matrix and Antoni A/Antoni B tissue fragments. A moderate to abundant admixture of round to oval cells was also frequent. Nuclear palisading was seen in 41 smears with distinctive Verocay bodies in 10. Markedly pleomorphic nuclei were seen in smears from 8 ancient and 6 conventional neurilemomas, and slight to moderate nuclear pleomorphism was observed in 38 additional cases. Thus most neurilemomas have distinct cytomorphologic features that allow correct diagnosis. The major problem in FNAC of neurilemoma is to obtain sufficient material. Furthermore aspirates showing predominantly Antoni A features, nuclear pleomorphism, and/or myxoid changes can easily be confused with other types of benign or malignant soft-tissue tumors.</p>}},
author = {{Domanski, Henryk A and Åkerman, Måns and Engellau, Jacob and Gustafson, Pelle and Mertens, Fredrik and Rydholm, Anders}},
issn = {{8755-1039}},
keywords = {{Adolescent; Adult; Aged; Aged, 80 and over; Biomarkers, Tumor; Biopsy, Fine-Needle; Diagnosis, Differential; False Positive Reactions; Female; Humans; Male; Middle Aged; Neurilemmoma; S100 Proteins; Sarcoma; Sensitivity and Specificity; Soft Tissue Neoplasms; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't}},
language = {{eng}},
number = {{6}},
pages = {{403--412}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Diagnostic Cytopathology}},
title = {{Fine-needle aspiration of neurilemoma (schwannoma). A clinicocytopathologic study of 116 patients}},
url = {{https://lup.lub.lu.se/search/files/2663946/625467.pdf}},
doi = {{10.1002/dc.20449}},
volume = {{34}},
year = {{2006}},
}