Fine needle aspiration cytology of chondroid syringoma [Citologija hondroidnog siringoma]

Škoro, Marija and Trutin Ostović, Karmen and Čikara, Igor and Müller, Danko and Novak, Nina Petra and Virag, Mišo (2010) Fine needle aspiration cytology of chondroid syringoma [Citologija hondroidnog siringoma]. Collegium Antropologicum, 34 (2). pp. 687-690. ISSN 0350-6134

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Abstract

Chondroid syringoma (CS) is a rare, benign, appendageal tumor with diagnostic feature of myxochondroid stroma supporting eccrine and apocrine epithelial structures. The usual presentation is a painless, slowly growing mass, typically located in the head and neck region. It usually affects middle-aged and older male patients. Because of its unremarkable clinical presentation it is often overlooked. It should be included in the differential diagnosis of cutaneous head and neck tumors, especially in middle-aged men. Optimal treatment of CS is total surgical excision. We present a 63 year-old man with a small nodule on the neck with 5 years of duration. The diagnosis was made initially on fine needle aspiration cytology that was performed by ultrasound guidance and confirmed subsequently by histology. FNA cytology may be very useful to determine diagnosis before excision.

Abstract in Croatian

Hondroidni siringom je rijedak, benigni tumor kožnih adneksa koji ima karakteristike miksohondroidne strome u koju su uklopljene ekrine i apokrine epitelne strukture. Najčešće se javlja u obliku bezbolnog, spororastućeg tumora, koji je tipično smješten na glavi i vratu. Obično pogađa muškarce srednje i starije dobi. Zbog svog nekarakterističnog izgleda često se previdi. Trebao bi se uzeti u obzir u diferencijalnoj dijagnozi kožnih tumora glave i vrata, naročito kod sredovječnih muškaraca. Terapija je totalna kirurška ekscizija. Prezentirali smo slučaj 63-godišnjeg muškarca sa malim tumorom na vratu koji je prisutan 5 godina. Dijagnoza je postavljena na osnovi citološke punkcije koja je rađena pod kontrolom ultrazvuka, a zatim potvrđena na histologiji. Citološka punkcija može biti vrlo korisna u postavljanju dijagnoze prije ekscizije.

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