Journal of Cytology
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Year : 1995  |  Volume : 12  |  Issue : 1  |  Page : 64-68

Fine needle aspiration cytology of malignant cystosarcoma phyllodes a case report with special reference to pitfall at cytology

1 Pathology Laboratory, Military Hospital, Belgaum, India
2 Department of Pathology, J.N. Medical College, Belgaum, India

Correspondence Address:
Bhaskar Mukerjee
Command Pathology Laboratory, (Eastern Command) Alipore Road, Calcutta 700 027
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Source of Support: None, Conflict of Interest: None

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Malignant cystosarcoma phyllodes is an uncommon tumour of the breast. It comprises malignant sarcomatous stroma and benign epithelial component, lining cysts or cleft-like spaces within the stroma. It is distinguished from benign cystosrcoma phyllodes by stromal atypia, mitotic figures, large tumour size and infiltrating margins and from fibroadenoma, in having greater stromal cellularity. FNAC diagnosis of malignant cystosarcoma can be made if both stromal cells and benign epithelium are aspirated. However, in the absence of stromal cells, a diagnosis of fibroadenoma is likely to be made. A correct cytological diagnosis is possible, if repeat aspirations and/or four quadrant aspiration biopsy is performed. In all cases however, histology of excised tumour provides for accurate indentification established on well defined criteria.

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