Primary Pulmonary Adenoid Cystic Carcinoma: Report of a Case Diagnosed by Fine-Needle Aspiration Cytology

Suimin Qiu, Madhavan M. Nampoothiri, Paul Zaharopoulos, Roberto Logroño

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Adenoid cystic carcinoma of the lower respiratory tract is an uncommon tumor that can arise in the mainstem bronchus and often presents as an endobronchial mass lesion causing bronchial obstruction with post obstructive atelectasis and pneumonia. Exfoliative cytology is seldom useful in the diagnosis of primary bronchial adenoid cystic carcinoma, because these neoplasms usually have a submucosal location with often intact mucosa. Since most endobronchial adenoid cystic carcinomas are endoscopically visible, bronchoscope-guided fine-needle aspiration constitutes an excellent approach to establish a pathologic diagnosis. The fine-needle aspiration cytology of pulmonary adenoid cystic carcinoma has been rarely described. We report a case of primary adenoid cystic carcinoma of the lung having characteristic Cytologic features and correlate with computed tomography, bronchoscopic, and histological findings. Bronchoscope-guided aspiration cytology provided a conclusive diagnosis of adenoid cystic carcinoma, which was further corroborated by histology in the pneumonectomy specimen.

Original languageEnglish (US)
Pages (from-to)51-56
Number of pages6
JournalDiagnostic cytopathology
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2004

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Keywords

  • Adenoid cystic carcinoma
  • Cytology
  • Endobronchial
  • Fine-needle aspiration
  • Lung
  • Primary

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Histology

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