Journal of Cytology
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Year : 2011  |  Volume : 28  |  Issue : 1  |  Page : 33-35

Metastatic myxoid liposarcoma of lung and mediastinum diagnosed by fine needle aspiration

Department of Pathology, Guntur Medical College, Guntur, Andhra Pradesh - 522 004, India

Correspondence Address:
Renuka V Inuganti
Department of Pathology, Guntur Medical College, Guntur, Andhra Pradesh- 522 004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9371.76948

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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.

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