Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma

Background Although histological diagnosis of pilomatricoma is not difficult because of its unique histological features, cytological diagnosis through fine-needle aspiration cytology (FNAC) is often problematic due to misdiagnoses as malignancy. Methods We reviewed the cytological features of 14 ca...

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Main Authors: Kanghee Han, Hwa-Jeong Ha, Joon Seog Kong, Jae Kyung Myung, Sunhoo Park, Jung-Soon Kim, Myung-Soon Shin, Hye Sil Seol, Jae Soo Koh, Seung-Sook Lee
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2018-01-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-2017-10-18.pdf
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author Kanghee Han
Hwa-Jeong Ha
Joon Seog Kong
Jae Kyung Myung
Sunhoo Park
Jung-Soon Kim
Myung-Soon Shin
Hye Sil Seol
Jae Soo Koh
Seung-Sook Lee
author_facet Kanghee Han
Hwa-Jeong Ha
Joon Seog Kong
Jae Kyung Myung
Sunhoo Park
Jung-Soon Kim
Myung-Soon Shin
Hye Sil Seol
Jae Soo Koh
Seung-Sook Lee
author_sort Kanghee Han
collection DOAJ
description Background Although histological diagnosis of pilomatricoma is not difficult because of its unique histological features, cytological diagnosis through fine-needle aspiration cytology (FNAC) is often problematic due to misdiagnoses as malignancy. Methods We reviewed the cytological features of 14 cases of histologically-proven pilomatricoma from Korea Cancer Center Hospital, with a discussion on the diagnostic pitfalls of FNAC. Results Among 14 cases of pilomatricoma, 10 (71.4%) were correctly diagnosed through FNAC, and two (14.3%) were misdiagnosed as carcinoma. Cytologically, all cases had easily recognizable clusters of basaloid cells and foreign body-type multinucleated cells. Although ghost cells were also found in all cases, some were inconspicuous and hardly recognizable due to their small numbers. Conclusions An accurate diagnosis of pilomatricoma in FNAC is feasible with consideration of clinical information and close examination of ghost cells.
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spelling doaj.art-b166284711fc45c7b8bff92296f253c02022-12-21T18:55:28ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452018-01-01521455010.4132/jptm.2017.10.1816749Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of PilomatricomaKanghee HanHwa-Jeong HaJoon Seog KongJae Kyung Myung0Sunhoo ParkJung-Soon KimMyung-Soon ShinHye Sil SeolJae Soo KohSeung-Sook Lee1 Laboratory of Radiation Pathology, Korea Institute of Radiological and Medical Sciences (KIRAMS), Seoul, Korea Laboratory of Radiation Pathology, Korea Institute of Radiological and Medical Sciences (KIRAMS), Seoul, KoreaBackground Although histological diagnosis of pilomatricoma is not difficult because of its unique histological features, cytological diagnosis through fine-needle aspiration cytology (FNAC) is often problematic due to misdiagnoses as malignancy. Methods We reviewed the cytological features of 14 cases of histologically-proven pilomatricoma from Korea Cancer Center Hospital, with a discussion on the diagnostic pitfalls of FNAC. Results Among 14 cases of pilomatricoma, 10 (71.4%) were correctly diagnosed through FNAC, and two (14.3%) were misdiagnosed as carcinoma. Cytologically, all cases had easily recognizable clusters of basaloid cells and foreign body-type multinucleated cells. Although ghost cells were also found in all cases, some were inconspicuous and hardly recognizable due to their small numbers. Conclusions An accurate diagnosis of pilomatricoma in FNAC is feasible with consideration of clinical information and close examination of ghost cells.http://www.jpatholtm.org/upload/pdf/jptm-2017-10-18.pdfPilomatricomaFine-needle aspiration cytologyGhost cells
spellingShingle Kanghee Han
Hwa-Jeong Ha
Joon Seog Kong
Jae Kyung Myung
Sunhoo Park
Jung-Soon Kim
Myung-Soon Shin
Hye Sil Seol
Jae Soo Koh
Seung-Sook Lee
Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
Journal of Pathology and Translational Medicine
Pilomatricoma
Fine-needle aspiration cytology
Ghost cells
title Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
title_full Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
title_fullStr Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
title_full_unstemmed Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
title_short Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
title_sort importance of individual ghost cells in fine needle aspiration cytology diagnosis of pilomatricoma
topic Pilomatricoma
Fine-needle aspiration cytology
Ghost cells
url http://www.jpatholtm.org/upload/pdf/jptm-2017-10-18.pdf
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