4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

4. Hrvatski kongres kliniËke citologije / 1. Hrvatski simpozij analitiËke citologije / 2. Hrvatski simpozij citotehnologije
116
Klinička citologija - Posteri
CYTOLOGIC CHARACTERISTICS OF ADENOID CYSTIC CARCINOMA OF THE CERVIX
UTERI - CASE REPORT
Barišić A1 , Mahovlić V1 , Ovanin-Rakić A1 , Škopljanac-Mačina L1 , Rajhvajn S1 ,
Jurič D1 , Babić D2 1Department of Gynecologic Cytology, Department of Obstetrics and Gynecology,
Zagreb University Hospital Center, Zagreb, Croatia
2Department of Clinical Pathology, Zagreb University Hospital Center, Zagreb, Croatia
Adenoid cystic carcinoma is a rare malignancy, usually found in the salivary glands,
although this unusual tumor can be found at other sites of the body. In particular, regarding
adenoid cystic carcinoma of the cervix (ACCC) most frequently reports are given
for postmenopausal women. In this respect, our work is one among very few in the literature
that considers a cytologic picture of this uncommon cervix carcinoma. The case
of 74 year old patient with postmenopausal bleeding is described. Both Pap smear and
air dried smear of the uterine cervix were analysed. The cytologic findings revealed very
few small clusters of abnormal glandular cells, as well as some amorphous eosinophilic
globule-like material, with granulomatous and necrotic background. The latter includes
a lot of histiocytes, multinucleated giant cells, large aggregates of epitheloid cells and
lymphocytes. Histology revealed the diagnosis of ACCC. We emphasize the importance
of careful screening of Pap smear that might be crucial in the case of suspicious clinical
findings in postmenopausal women, when the possibility of ACCC has to be considered.
ana.barac@zg.t-com.hr
DIAGNOSIS OF VISCERAL LEISHMANIASIS BY FINE NEEDLE ASPIRATION CYTOLOGY
OF AN ISOLATED CERVICAL LYMPH NODE: CASE REPORT
Beljan R1 , Šundov D1 , Lukšić B2 , Šoljić V3 , Piljić Burazer M1 1Institute of Pathology, Forensic Medicine and Cytology, Split University Hospital, Split, Croatia
2Department of Infectious Diseases, Split University Hospital, Split, Croatia
3Department of Pathology, Cytology and Forensic Medicine Mostar, University Hospital
Mostar, Bosnia and Herzegovina
A 61-year-old woman presented with an isolated, painless, slightly enlarged right laterocervical
lymph node without any other signs and symptoms of disease. Laboratory test
including haematological and biochemical parameters were normal. A cervical ultrasonography
demonstrated one lymph node (10mm) on the right laterocervical side and
one small reactive lymph node on the left laterocervical side. The fine needle aspiration
(FNA) smears revealed a polymorphic population of cells composed of lymphocytes,
histiocytes, epitheloid cells, plasma cell, tingible body macrophages and macrophages
infiltrated with Leishmania amastigotes. Treatment was initiated with Stiboglukonat Na
(Pentostam) and led to a full recovery.
rbeljan @krizine.kbsplit.hr