Abdominal mass FNA

Re: Abdominal mass FNA

Richard Fox — Sat, 16 Apr 2011 13:32:08 GMT

I think I remember that one - looked nasty

Re: Abdominal mass FNA

Andre Escudeiro-Vieites — Fri, 15 Apr 2011 21:08:58 GMT

Doing reasonably well after surgery. Eating ok, etc

Unfortunately HIGH GRADE LYMPHOMA! on histopathology resulst

Re: Abdominal mass FNA

Andre Escudeiro-Vieites — Mon, 11 Apr 2011 20:20:01 GMT

Colonectomy today. It looked pretty much like a tumour,consistent with what I saw on ultrasound, with the local mesenteric LNs noticeably enlarged. No other lesions found in the abdomen. Will let you know when the histopathology results are back.

Re: Abdominal mass FNA

Richard Fox — Mon, 11 Apr 2011 07:34:39 GMT

All look like enterocytes to me :) but the presence of neutrophils in the absence of blood would likely be significant but it doesn't tell you where they are. i.e. lumenal, surface due to ulceration or mural due to enteritis. I would think the bacteria, being mixed, are likely lumenal but maybe involved in the lesion? FNA of intestines usually poor yield esp if you hit the lumen.

Re: Abdominal mass FNA

Andre Escudeiro-Vieites — Sat, 09 Apr 2011 16:30:17 GMT

Exploratory coeliotomy booked. I wanted to do it today but it will be Monday.I will keep you posted!

Re: Abdominal mass FNA

Stephen Courtney — Fri, 08 Apr 2011 22:37:01 GMT

The top slide, I think, shows normal villus epithelial cells in the center, surrounded by amorphous debris

the middle slide seems mainly monocytes with vacuoles, and the same amorphous debris

The bottom one i'm less sure, suggestive of some monocytes, some necrosed cells, and plenty of amorphous debris.

Hard to comment on bacteria from these photographs.

I would agree at this point there is no overt sign of neoplasia, but it cannot be ruled out and an exploratory is the way to go for a definitive answer.