Gouty tophus presenting as a soft-tissue mass diagnosed by fine-needle aspiration: a case report.

Abstract:

:We present a case in which a primary diagnosis of gout was made by fine-needle aspiration. The patient had a right distal ulnar mass, and the initial clinical and radiological diagnoses were that of giant cell tumor of tendon sheath. While tophi are the hallmark of gout, they rarely undergo aspiration because of the known clinical history. This case demonstrates that a tophus may mimic a soft-tissue neoplasm. Whenever an aspiration yields amorphous or granular material, the cytopathologist should be aware of and consider gouty tophus as a diagnostic possibility and perform compensated polarized microscopy on the specimen smears.

journal_name

Diagn Cytopathol

journal_title

Diagnostic cytopathology

authors

Liu K,Moffatt EJ,Hudson ER,Layfield LJ

doi

10.1002/(SICI)1097-0339(199609)15:3<246::AID-DC14>

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

246-9

issue

3

eissn

8755-1039

issn

1097-0339

pii

10.1002/(SICI)1097-0339(199609)15:3<246::AID-DC14>

journal_volume

15

pub_type

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