Open AccessMetastatic myxoid liposarcoma of lung and mediastinum diagnosed by fine needle aspiration
Author(s) -
Renuka Venkata Inuganti,
Saila G Bala,
Krishna Y Bharathi
Publication year - 2011
Publication title -
journal of cytology/journal of cytology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.267
H-Index - 19
eISSN - 0974-5165
pISSN - 0970-9371
DOI - 10.4103/0970-9371.76948
Subject(s) - medicine , myxoid liposarcoma , mediastinum , chest radiograph , fine needle aspiration , lung , histopathology , radiology , thorax (insect anatomy) , pathology , radiography , biopsy , sarcoma , liposarcoma , anatomy
Myxoid liposarcomas metastatic to lungs and mediastinum are infrequent lung neoplasms. The tumor has an aggressive course and needs to be recognized cytologically. A 60-year-old male smoker presented with gradually progressive left-sided chest pain, cough, and expectoration for the past one month. Chest radiograph and computed tomography of thorax revealed a lung mass in left apical region extending into the posterior mediastinum, which was subjected to ultrasound-guided fine needle aspiration (FNA). Smears showed a cellular tumor with ovoid to spindle shaped tumor cells in a myxoid background having a rich vascular network. The possibility of a myxoid liposarcoma metastatic to lung and mediastinum was suggested and confirmed by histopathology. A previous history of excision of a tumor in the thigh one and half years ago was present. The importance of recognizing the cytological picture by FNA is discussed.