Minimally invasive diagnosis of a pericardial mass by CT-guided fine-needle aspiration

Cinta Llibre, Xavier Saenz-Sardà, Victòria Vilalta, Laura Tria, Maria Llatjós, Aurelio Ariza, Antoni Bayes-Genis

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 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.
Original languageEnglish
Pages (from-to)275-279
JournalCardiovascular Pathology
Volume25
Issue number4
DOIs
Publication statusPublished - 1 Jul 2016

Keywords

  • Diagnosis/differential
  • Fine needle aspiration
  • Heart neoplasms
  • Hemangiosarcoma
  • Immunohistochemistry
  • Pericardium/pathology

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