Rounded atelectasis: diagnosis by fine-needle aspiration cytology.

Abstract:

:Rounded atelectasis, a rare, benign mass lesion, is most often seen in association with asbestos-related pleural changes. Often a presumptive diagnosis can be made on the basis of characteristic CT and chest radiographic findings. However, not infrequently radiographic imaging fails to differentiate rounded atelectasis from primary bronchogenic carcinoma, a disease which is seen with increased frequency in patients with asbestos exposure. We describe two cases where the diagnosis of rounded atelectasis was made by fine-needle aspiration (FNA) cytology. The cytologic features included abundant pulmonary parenchymal material with thickened alveolar walls containing pulmonary macrophages and connective tissue. It is important to realize that this is a useful positive finding indicating rounded atelectasis, rather than a negative finding suggesting the absence of neoplasm. Needles with a cutting action may be necessary to obtain sufficient material to make the diagnosis of rounded atelectasis.

journal_name

Diagn Cytopathol

journal_title

Diagnostic cytopathology

authors

Miller WT Jr,Gupta PK,Grippi MA,Miller WT

doi

10.1002/dc.2840080617

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

617-20

issue

6

eissn

8755-1039

issn

1097-0339

journal_volume

8

pub_type

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