Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma

A 51-year-old woman presented with severe dizziness. The brain magnetic resonance image revealed a 5.5 cm multiloculated mass with a thick rim in the left temporal lobe. Cytological examination of frozen diagnosis of the mass showed hypercellular sheets of round and rhabdoid cells in a hemorrhagic b...

Full description

Bibliographic Details
Main Authors: Myunghee Kang, Na Rae Kim, Dong Hae Chung, Gie-Taek Yie
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2019-05-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-2019-03-20.pdf
_version_ 1818476448356237312
author Myunghee Kang
Na Rae Kim
Dong Hae Chung
Gie-Taek Yie
author_facet Myunghee Kang
Na Rae Kim
Dong Hae Chung
Gie-Taek Yie
author_sort Myunghee Kang
collection DOAJ
description A 51-year-old woman presented with severe dizziness. The brain magnetic resonance image revealed a 5.5 cm multiloculated mass with a thick rim in the left temporal lobe. Cytological examination of frozen diagnosis of the mass showed hypercellular sheets of round and rhabdoid cells in a hemorrhagic background, and two mitotic figures were observed. Histologically, the excised dura-based mass consisted of predominantly round cells with small foci of rhabdoid tumor cells in a pseudoalveolar pattern in a hemorrhagic background, and the cells showed nuclear positivity for signal transducer and activator of transcription 6 as well as frequent mitosis. The mass was diagnosed as a grade 3 solitary fibrous tumor (SFT)/hemangiopericytoma (HPC). The cytological diagnosis of SFT/HPC is challenging because of the heterogeneous cytological findings, such as histological heterogeneity, and because there are no standardized cytological criteria for malignant SFT/HPC. Cytological findings, such as singly scattered small cells, hypercellularity, rare ropy collagen, and round and rhabdoid cells with pseudoalveolar pattern, may assist in the diagnosis of malignant SFT/HPC.
first_indexed 2024-12-10T09:25:51Z
format Article
id doaj.art-96e4556062c64032a5e4dfc5fdc7d6d4
institution Directory Open Access Journal
issn 2383-7837
2383-7845
language English
last_indexed 2024-12-10T09:25:51Z
publishDate 2019-05-01
publisher Korean Society of Pathologists & the Korean Society for Cytopathology
record_format Article
series Journal of Pathology and Translational Medicine
spelling doaj.art-96e4556062c64032a5e4dfc5fdc7d6d42022-12-22T01:54:33ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452019-05-0153319219710.4132/jptm.2019.03.2016830Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/HemangiopericytomaMyunghee KangNa Rae KimDong Hae ChungGie-Taek Yie0 Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaA 51-year-old woman presented with severe dizziness. The brain magnetic resonance image revealed a 5.5 cm multiloculated mass with a thick rim in the left temporal lobe. Cytological examination of frozen diagnosis of the mass showed hypercellular sheets of round and rhabdoid cells in a hemorrhagic background, and two mitotic figures were observed. Histologically, the excised dura-based mass consisted of predominantly round cells with small foci of rhabdoid tumor cells in a pseudoalveolar pattern in a hemorrhagic background, and the cells showed nuclear positivity for signal transducer and activator of transcription 6 as well as frequent mitosis. The mass was diagnosed as a grade 3 solitary fibrous tumor (SFT)/hemangiopericytoma (HPC). The cytological diagnosis of SFT/HPC is challenging because of the heterogeneous cytological findings, such as histological heterogeneity, and because there are no standardized cytological criteria for malignant SFT/HPC. Cytological findings, such as singly scattered small cells, hypercellularity, rare ropy collagen, and round and rhabdoid cells with pseudoalveolar pattern, may assist in the diagnosis of malignant SFT/HPC.http://www.jpatholtm.org/upload/pdf/jptm-2019-03-20.pdfSolitary fibrous tumorsHemangiopericytomaFrozenCytologyCentral nervous system
spellingShingle Myunghee Kang
Na Rae Kim
Dong Hae Chung
Gie-Taek Yie
Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
Journal of Pathology and Translational Medicine
Solitary fibrous tumors
Hemangiopericytoma
Frozen
Cytology
Central nervous system
title Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
title_full Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
title_fullStr Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
title_full_unstemmed Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
title_short Frozen Cytology of Meningeal Malignant Solitary Fibrous Tumor/Hemangiopericytoma
title_sort frozen cytology of meningeal malignant solitary fibrous tumor hemangiopericytoma
topic Solitary fibrous tumors
Hemangiopericytoma
Frozen
Cytology
Central nervous system
url http://www.jpatholtm.org/upload/pdf/jptm-2019-03-20.pdf
work_keys_str_mv AT myungheekang frozencytologyofmeningealmalignantsolitaryfibroustumorhemangiopericytoma
AT naraekim frozencytologyofmeningealmalignantsolitaryfibroustumorhemangiopericytoma
AT donghaechung frozencytologyofmeningealmalignantsolitaryfibroustumorhemangiopericytoma
AT gietaekyie frozencytologyofmeningealmalignantsolitaryfibroustumorhemangiopericytoma