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

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Clinical Cytology - Posters<br />

FINE NEEDLE ASPIRATION CYTOLOGY OF METASTATIC MERKEL CELL CARCINOMA<br />

Trutin Ostović K1 , Hariš V2 , Miletić Z1 , Lambaša S3 , Lajtman Z4 , Štoos-Veić T1 1Dubrava University Hospital, Department of clinical cytology and cytometry, Zagreb,<br />

Croatia<br />

2 Dubrava University Hospital, Department of hematology, Zagreb, Croatia<br />

3Dubrava University Hospital, Department of clinical and experimental pathology, Zagreb,<br />

Croatia<br />

4Merkur University Hospital, Department of otorhinolaryngology and cervicofacial surgery,<br />

Zagreb, Croatia<br />

Aim: To present a case of metastatic Merkel cell carcinoma (MCC) diagnosed by fine<br />

needle aspiration cytology (FNAC), flow cytometric DNA analysis, pathohistology and<br />

electron microscopy. Case report: FNAC was performed of the nodule on left arm and<br />

neck 21 months since the primary MCC was diagnosed in 76-year-old female patient.<br />

We used a 23-gauge needle and a 20-ml syringe. One part of aspirate was used for<br />

cytological smears stained by Papenheim and Papanicolaou and the rest was used for<br />

DNA analysis by flow cytometry. The cytological features included increased cellularity,<br />

discohesive groups of malignant cells with large oval to irregular nuclei with moulding<br />

effect, inconspicuous micronucleoli and scanty cytoplasm. The tumour contained diploid<br />

peak with DNA index of 1.1and elevated S-phase fraction (21%). The cytological diagnosis<br />

of metastatic MCC was confirmed by histological one and by electron microscopy presented<br />

the pathognomonic features for MCC: dense-core neurosecretory granules with<br />

diameter of 100-250 nm surrounded by whorls of intermediate filaments. Conclusion:<br />

The MCC provides an enormous challenge for the morphologist because of a wide range<br />

of differential diagnosis. This case appears to be the first report of DNA analysis of a<br />

MCC from the aspirate.<br />

ktrutin@kbd.hr<br />

145<br />

4 th <strong>Croatian</strong> <strong>Congress</strong> of Clinical Cytology / 1 st <strong>Croatian</strong> Symposium of Analytical Cytology / 2 nd <strong>Croatian</strong> Symposium of Cytotechnology

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