TY - JOUR
T1 - Minimally invasive diagnosis of a pericardial mass by CT-guided fine-needle aspiration
AU - Llibre, Cinta
AU - Saenz-Sardà, Xavier
AU - Vilalta, Victòria
AU - Tria, Laura
AU - Llatjós, Maria
AU - Ariza, Aurelio
AU - Bayes-Genis, Antoni
PY - 2016/7/1
Y1 - 2016/7/1
N2 - © 2016 Elsevier Inc. All rights reserved. The preferred management of a cardiac mass remains controversial, but it often includes open-chest surgical excision to obtain an adequate tissue sample for histological workup. We herein report a less invasive approach in which an accurate and timely cytological diagnosis of pericardial angiosarcoma was reached by studying a CT-guided fine-needle aspiration cell block. The cell block showed proliferation of atypical cells with occasional mitotic figures, vasoformative features, and immunoreactivity to WT1, vimentin, CD31, CD34, ERG, and Ki67. Recourse to fine-needle aspiration and cell block study is a valuable diagnostic approach to be considered when a cardiac mass is percutaneously accessible.
AB - © 2016 Elsevier Inc. All rights reserved. The preferred management of a cardiac mass remains controversial, but it often includes open-chest surgical excision to obtain an adequate tissue sample for histological workup. We herein report a less invasive approach in which an accurate and timely cytological diagnosis of pericardial angiosarcoma was reached by studying a CT-guided fine-needle aspiration cell block. The cell block showed proliferation of atypical cells with occasional mitotic figures, vasoformative features, and immunoreactivity to WT1, vimentin, CD31, CD34, ERG, and Ki67. Recourse to fine-needle aspiration and cell block study is a valuable diagnostic approach to be considered when a cardiac mass is percutaneously accessible.
KW - Diagnosis/differential
KW - Fine needle aspiration
KW - Heart neoplasms
KW - Hemangiosarcoma
KW - Immunohistochemistry
KW - Pericardium/pathology
U2 - 10.1016/j.carpath.2016.03.005
DO - 10.1016/j.carpath.2016.03.005
M3 - Article
SN - 1054-8807
VL - 25
SP - 275
EP - 279
JO - Cardiovascular Pathology
JF - Cardiovascular Pathology
IS - 4
ER -