实用临床医药杂志2013,Vol.17Issue(13):166-168,3.DOI:10.7619/jcmp.201313060
肾母细胞瘤临床细胞病理学分析
Clinical cytopathological analysis of nephroblastoma
李琼林 1康劲松 2李建木 1许玉兰1
作者信息
- 1. 湖北省仙桃市第一人民医院儿科,湖北仙桃,433000
- 2. 华中科技大学同济医学院附属同济医院病理科,湖北武汉,430030
- 折叠
摘要
Abstract
Objective To analyze the clinical and cellular pathology characteristics of nephroblastoma (Wilms tumor) and increase the clinical understanding to this disease.Methods Two cases of Wilms tumor were retrospectively analyzed in terms of clinical symptoms,pathological characteristics and immunohistochemistry.The discussion was based on relevant literature that has been reviewed.Results Case 1,a 4-year-old boy,palpable soft left axilla and inguinal lymph nodes each with soya bean size.Cellular pathology:Fine needle aspiration specimen showed bloody grandular with homogeneous scarlet background,including many small round tumor cells and a few small spindle cells.Cellular pathology diagnosis:small cell tumor (considered Wilms tumor).Case 2,a 3-and-half-year-old female patient,untouched superficial lymph nodes; papable abdominal mass.cellular sample showed homogeneous fabric background with many diffuse small round cells and a few spindle cells,some cells showed rossette arrangement,which was diagnosed as undifferentiated malignant tumor (Wilms tumor suspected).Conclusion The application of pathology in diagnosis of neuroblastoma is still rare.More experience should be accumulated.It is important to differentiate neuroblastoma with Ewing sarcoma,rhabdomyosarcoma and non-Hodgkin's lymphoma.关键词
肾母细胞瘤/临床/细胞病理学Key words
nephroblastoma / clinical / cytopathology分类
医药卫生引用本文复制引用
李琼林,康劲松,李建木,许玉兰..肾母细胞瘤临床细胞病理学分析[J].实用临床医药杂志,2013,17(13):166-168,3.