Pulmonary Adenocarcinoma with a Micropapillary Pattern Detected by Bronchial Washing: A Brief Case Report.
10.3338/kjc.2008.19.2.206
- Author:
Jae Hong PARK
1
;
Seung Yeon HA
;
Hyun Yee CHO
;
Dong Hae CHUNG
;
Na Rae KIM
;
Sanghui PARK
Author Information
1. Department of Pathology, Gachon University, Gil Hospital, Incheon, Korea. syha@gilhospital.com
- Publication Type:Case Report
- Keywords:
Lung;
Micropapillary;
Cytology
- MeSH:
Adenocarcinoma;
Adenocarcinoma, Bronchiolo-Alveolar;
Aged;
Chest Pain;
Cough;
Female;
Humans;
Lung
- From:Korean Journal of Cytopathology
2008;19(2):206-208
- CountryRepublic of Korea
- Language:English
-
Abstract:
Adenocarcinomas with micropapillary patterns are generally aggressive and show lymphotropism. Only a few reports on pulmonary adenocarcinoma with micropapillary patterns have described cytologic findings. A 70-year-old Korean woman was admitted to the hospital because of intermittent dry cough and chest pain. Cytology after bronchial washing showed neoplastic cells in small, angulated, cohesive clusters consisting of 3-20 cells without a fibrovascular core. The resected right middle lobe showed a tumor occupying almost the entire lobe. Histologically, about 90% of neoplastic cells proliferated with micropapillary morphology in the background of bronchioloalveolar carcinoma. Cytologic smears of a bronchial washing showing tumor cells in small, cohesive clusters without a fibrovascular core may indicate an adenocarcinoma with micropapillary pattern.