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Feasibility of Fine-Needle Aspiration in the Diagnosis of Two Unusual Childhood Jaw Tumor Types: Prognoma and Cementifying Fibroma
- Source :
- Acta Cytologica. 57:107-112
- Publication Year :
- 2012
- Publisher :
- S. Karger AG, 2012.
-
Abstract
- Cytology features of childhood jaw tumors are infrequently reported in the literature. Fine-needle aspiration cytology (FNAC) has been used with good results in the differential diagnosis of bone lesions, being an excellent tool for the diagnosis of metastases and in the frontline approach to primary lesions. We report 3 cases of young children aged 3 years (case 1), 5 months (case 2), and 15 years (case 3) with jaw tumors diagnosed by FNAC. In the first two cases the diagnosis was prognoma, and in the third case cementifying fibroma. Despite the clinical and imaging similarity of the 3 cases – large maxillary/mandibular tumors – their characteristic cytological features allowed a confident diagnosis, excluding other differential alternatives. In both case 1 and case 2 a dual cell population of neuroepithelial and melanocytic cells was identified, consistent with a melanotic neuroectodermal tumor. In case 3 the presence of a bland spindle cell population as well as of several nodular dense eosinophilic, osteoid-like (cement) matrices, indicated a cementifying fibroma. All cases were resected and confirmed by histological examination. A review of the literature, including differential diagnosis, addresses the utility of FNAC in childhood jaw tumors.
- Subjects :
- Male
Neuroectodermal Tumor, Melanotic
Pathology
medicine.medical_specialty
Histology
Adolescent
Biopsy, Fine-Needle
Population
Cementifying Fibroma
Pathology and Forensic Medicine
Cytology
Eosinophilic
medicine
Humans
education
education.field_of_study
medicine.diagnostic_test
business.industry
Melanotic neuroectodermal tumor of infancy
Infant
General Medicine
medicine.disease
Jaw Neoplasms
Aspiration cytology
Fine-needle aspiration
Child, Preschool
Fibroma, Ossifying
Feasibility Studies
Female
Differential diagnosis
business
Subjects
Details
- ISSN :
- 19382650 and 00015547
- Volume :
- 57
- Database :
- OpenAIRE
- Journal :
- Acta Cytologica
- Accession number :
- edsair.doi.dedup.....5781e94e6bd3cea101e64c87cd3321ac