Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells

A diagnostic interpretative and integrative methodology for small cell lymphomas was designed and implemented in order to consider a more accurate cytomorphologic differential diagnosis, which is further reduced by integrating differential clinical characteristics among each of the diseases defined...

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Main Author: Lourdes S. Faurés Vergara
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2012-07-01
Series:Acta Médica del Centro
Subjects:
Online Access:http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/743
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author Lourdes S. Faurés Vergara
author_facet Lourdes S. Faurés Vergara
author_sort Lourdes S. Faurés Vergara
collection DOAJ
description A diagnostic interpretative and integrative methodology for small cell lymphomas was designed and implemented in order to consider a more accurate cytomorphologic differential diagnosis, which is further reduced by integrating differential clinical characteristics among each of the diseases defined by the World Health Organization classification of lymphoid neoplasms included in the differential diagnosis. A total of 28 cases were selected. They were diagnosed by fine needle aspiration biopsy with initial diagnostic difficulty or when the methodology was applied, and clinically suspected cases of lymphomas having no known primary tumor. The following criteria were taken into account for the application of the methodology: the cytomorphological similarities and differences, the size and the predominant cell type (or both), and other reactive cell types present in the tumor cell microenvironment. Three cytomorphologic patterns of predominant small cell were identified: small to medium cells with numerous mitosis, with occasional large cell, and mixed. The neoplastic lymphoid illnesses to be considered are reduced in the differential diagnosis, and this methodology is feasible to be implemented in departments with limited technical resources available.
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spelling doaj.art-618431e13a994e3dafc6805e9278dda82022-12-22T04:33:56ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272012-07-01634551711Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cellsLourdes S. Faurés Vergara0Hospital General “Mártires del 9 de abril”, Sagua la Grande, Villa Clara, CubaA diagnostic interpretative and integrative methodology for small cell lymphomas was designed and implemented in order to consider a more accurate cytomorphologic differential diagnosis, which is further reduced by integrating differential clinical characteristics among each of the diseases defined by the World Health Organization classification of lymphoid neoplasms included in the differential diagnosis. A total of 28 cases were selected. They were diagnosed by fine needle aspiration biopsy with initial diagnostic difficulty or when the methodology was applied, and clinically suspected cases of lymphomas having no known primary tumor. The following criteria were taken into account for the application of the methodology: the cytomorphological similarities and differences, the size and the predominant cell type (or both), and other reactive cell types present in the tumor cell microenvironment. Three cytomorphologic patterns of predominant small cell were identified: small to medium cells with numerous mitosis, with occasional large cell, and mixed. The neoplastic lymphoid illnesses to be considered are reduced in the differential diagnosis, and this methodology is feasible to be implemented in departments with limited technical resources available.http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/743diagnóstico diferenciallinfomacarcinoma de células pequeñas
spellingShingle Lourdes S. Faurés Vergara
Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
Acta Médica del Centro
diagnóstico diferencial
linfoma
carcinoma de células pequeñas
title Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
title_full Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
title_fullStr Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
title_full_unstemmed Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
title_short Diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
title_sort diagnostic methodology to reduce the cytomorphologic differential diagnosis of lymphoid neoplasms of predominant small cells
topic diagnóstico diferencial
linfoma
carcinoma de células pequeñas
url http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/743
work_keys_str_mv AT lourdessfauresvergara diagnosticmethodologytoreducethecytomorphologicdifferentialdiagnosisoflymphoidneoplasmsofpredominantsmallcells