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Primary pulmonary adenoid cystic carcinoma: Report of a case diagnosed by fine‐needle aspiration cytology
Author(s) -
Qiu Suimin,
Nampoothiri Madhavan M.,
Zaharopoulos Paul,
Logroño Roberto
Publication year - 2004
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.10422
Subject(s) - adenoid cystic carcinoma , medicine , adenoid , pathology , carcinoma , atelectasis , cytology , lung , cylindroma , radiology
Adenoid cystic carcinoma of the lower respiratory tract is an uncommon tumor that can arise in the mainstem bronchus and often presents as an endobronchial mass lesion causing bronchial obstruction with post obstructive atelectasis and pneumonia. Exfoliative cytology is seldom useful in the diagnosis of primary bronchial adenoid cystic carcinoma, because these neoplasms usually have a submucosal location with often intact mucosa. Since most endobronchial adenoid cystic carcinomas are endoscopically visible, bronchoscope‐guided fine‐needle aspiration constitutes an excellent approach to establish a pathologic diagnosis. The fine‐needle aspiration cytology of primary pulmonary adenoid cystic carcinoma has been rarely described. We report a case of primary adenoid cystic carcinoma of the lung having characteristic cytologic features and correlate with computed tomography, bronchoscopic, and histological findings. Bronchoscope‐guided aspiration cytology provided a conclusive diagnosis of adenoid cystic carcinoma, which was further corroborated by histology in the pneumonectomy specimen. Diagn. Cytopathol. 2004;30:51–56. © 2004 Wiley‐Liss, Inc.