Fine Needle Aspiration Cytology of Metastatic Scalp Nodules

Saikia, Biman; Dey, Pranab; Saikia, Uma Nahar; Das, Ashim

doi:10.1159/000327861

Cited by 19 publications

(21 citation statements)

References 6 publications

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“…Most common 6 FNAC is a rapid, safe, cost-effective modality for determining the nature of a palpable scalp lesions and precludes invasive costly investigations. 7 The role of FNAC in the diagnosis of malignant scalp nodule was studied by Mondal et al, 8 who found majority of metastases from primaries in head and neck region, out of which 30% from thyroid carcinomas, and to lesser extent from abdominopelvic organs 7 Scalp metastasis usually seen within 3 months of occurrence of primary tumor. 9 A giant cell rich form of hemangiopericytomassolitary fibrous tumors (HPC-SFT) was described in 1995 by Dei Tos et al in a study of seven patient with a distinctive orbital neoplasm as 'giant cell angiofibroma' (GCA).…”

Section: Discussionmentioning

confidence: 99%

Giant Cell Angiofibroma Scalp: A Rare Neoplasm

Jain¹,

Qadri²,

Afroz³

et al. 2015

International Journal of Head and Neck Surgery

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Giant cell angiofibroma (GCA) is a rare benign pathologic entity that shows a predilection for the mesenchymal tissue of the orbit and head and neck region. It is a highly vascular, wellcircumscribed benign soft-tissue neoplasm that may simulate a malignant or aggressive process. GCA usually presents as a painful mass that grows slowly or remains stable in size over many years. The incidence of extraorbital GCA is very rare, with only two cases of GCA of scalp reported in the literature. The GCA is characterized by a patternless spindle cell proliferation containing pseudovascular spaces, floret-like multinucleated giant cells and a richly vascularized stroma showing hyalinization or myxoid change. CD34 immunoreactivity remains an important immunohistochemical finding of potential diagnostic value. Surgical excision is often curative. We report a case of a 42 years old male with the primary complaint of a painful solitary nodule arising on the occipital region of the scalp. Complete tumor removal through surgical resection was achieved, and diagnosis of Giant cell angiofibroma was rendered on the histopathological and immunohistochemical examination. The postoperative period was uneventful.

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Section: Discussionmentioning

confidence: 99%

Giant Cell Angiofibroma Scalp: A Rare Neoplasm

Jain¹,

Qadri²,

Afroz³

et al. 2015

International Journal of Head and Neck Surgery

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“…Similar findings have been reported by Brownstein and Hellwig, [12] who observed anterior chest wall and head and neck to be the most common site for metastasis in the skin. Saikia et al [13] have stated that the skin on the entire body, and especially the scalp, should be examined carefully when a primary internal malignancy or recurrence of one is suspected.…”

Section: Discussionmentioning

confidence: 99%

Fine needle aspiration biopsy of metastatic lesions with special reference to clinicopathological analysis of primary site in cases of epithelial tumors

Ahmad

Akhtar

Singh

et al. 2011

Ann Trop Med Public Health

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Aims and Objective:To ascertain the cytological diagnosis of metastatic lesions with special reference to clinicopathological analysis of primary site in cases of epithelial tumors. Materials and Methods: One hundred and seventy-one suspected metastatic lesions were aspirated with a 22-23-G needle and smears were fixed and stained. The cases in which the primary site was not evident at the time of initial presentation were subsequently subjected to thorough physical examination followed by radiological investigations for the search of the primary site. Histopathological examination was performed in 16 cases with inconclusive cytological impression. Results: Of the total 171 cases of metastatic lesions, 155 (90.6%) were diagnosed by fine needle aspiration biopsy and 16 (9.4%) were diagnosed by histopathology. Majority of the cases [81 (47.4%)] were observed in the fifth decade of life, followed by 76 cases (44.4%) in the sixth decade and 11 cases (6.4%) in the seventh decade of life. Lymph nodes were the most frequent site of metastasis [115 cases (67.3%)], with a majority in the cervical group. The oropharynx including the oral cavity and pharyngolarynx was observed to be the most common primary site in 55 cases (32.2%). Conclusion: An accurate pathologic assessment of the malignant tissues in conjunction with pertinent clinical data helps in the evaluation of metastatic cases.

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“…Similar findings have been reported by Brownstein and Hellwig,[12] who observed the anterior chest wall and head and neck to be the most common sites for metastasis in the skin. Saikia et al .,[13] have stated that the skin on the entire body, and especially, that on the scalp should be examined carefully when a primary internal malignancy or recurrence of one is suspected.…”

Section: Discussionmentioning

confidence: 99%

FNAB of metastatic lesions with special reference to clinicopathological analysis of primary site in cases of epithelial and non-epithelial tumors

Ahmad

Akhtar

Singh

et al. 2011

J Cytol

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Aims:To ascertain the cytological diagnosis of metastatic lesions with special reference to the clinicopathological analysis of the primary site in cases of epithelial and non-epithelial tumors.Materials and Methods:One hundred seventy-one suspected metastatic lesions were aspirated with a 22-23G needle and the smears were fixed and stained. The cases in which the primary site was not evident at the time of initial presentation were subsequently subjected to thorough physical examination followed by radiological investigations for the search of the primary site. Histopathological examination was performed in 16 cases with inconclusive cytological impression.Observations:Of the total cases of metastatic lesions, 155 cases (90.6%) were diagnosed by fine needle aspiration biopsy and 16 cases (9.4%) by histopathology. The majority of the cases, 81 (47.4%), were observed in the fifth decade of life, followed by 76 cases (44.4%) in the sixth decade and 11 cases (6.4%) in the seventh decade of life. Lymph nodes were the most frequent site of metastasis in 115 cases (67.3%), with the majority in the cervical group. The oropharynx, including the oral cavity and pharyngolarynx, was observed to be the most common primary site, 55 cases (32.2%).Conclusion:The most critical aspect of the evaluation of metastatic cases is the accurate pathologic assessment of the malignant tissues in conjunction with pertinent clinical data. Such close collaboration between the clinician and the pathologist may maximize the diagnostic potential in treatable primary tumors.

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Fine Needle Aspiration Cytology of Metastatic Scalp Nodules

Cited by 19 publications

References 6 publications

Giant Cell Angiofibroma Scalp: A Rare Neoplasm

Giant Cell Angiofibroma Scalp: A Rare Neoplasm

Fine needle aspiration biopsy of metastatic lesions with special reference to clinicopathological analysis of primary site in cases of epithelial tumors

FNAB of metastatic lesions with special reference to clinicopathological analysis of primary site in cases of epithelial and non-epithelial tumors

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