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