Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report
Aspirates of liver abscess are frequently encountered in routine practice and are often of a low index of suspicion. However, necrotic liver metastasis clinically and radiologically mimics liver abscesses, and malignant cells can be obscured in an inflammation‐rich background on cytology. It is impo...
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Veröffentlicht in: | Cytopathology (Oxford) 2024-01, Vol.35 (1), p.163-166 |
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description | Aspirates of liver abscess are frequently encountered in routine practice and are often of a low index of suspicion. However, necrotic liver metastasis clinically and radiologically mimics liver abscesses, and malignant cells can be obscured in an inflammation‐rich background on cytology. It is important to recognise malignant neoplasms in this scenario, in particular uncommon conditions such as metastatic mucosal melanoma.
Atypical cells among a background with rich inflammatory cells and necrotic material. Although the clinical impression was that of a liver abscess, liver biopsy and review of medical history revealed a diagnosis of metastatic rectal mucosal melanoma, illustrating the importance of considering malignancy despite low clinical suspicion.
Necrotic liver metastasis clinically and radiologically mimics liver abscesses. It is important to be aware of possible malignant cells obscured in an inflammation‐rich background on cytology. |
doi_str_mv | 10.1111/cyt.13269 |
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Atypical cells among a background with rich inflammatory cells and necrotic material. Although the clinical impression was that of a liver abscess, liver biopsy and review of medical history revealed a diagnosis of metastatic rectal mucosal melanoma, illustrating the importance of considering malignancy despite low clinical suspicion.
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Atypical cells among a background with rich inflammatory cells and necrotic material. Although the clinical impression was that of a liver abscess, liver biopsy and review of medical history revealed a diagnosis of metastatic rectal mucosal melanoma, illustrating the importance of considering malignancy despite low clinical suspicion.
Necrotic liver metastasis clinically and radiologically mimics liver abscesses. It is important to be aware of possible malignant cells obscured in an inflammation‐rich background on cytology.</description><subject>Abscesses</subject><subject>aspiration cytology</subject><subject>Cytodiagnosis</subject><subject>Cytology</subject><subject>Hepatocytes</subject><subject>Humans</subject><subject>Liver</subject><subject>liver abscess</subject><subject>Liver Abscess - diagnosis</subject><subject>Liver Abscess - pathology</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver Neoplasms - pathology</subject><subject>Melanoma</subject><subject>Melanoma - pathology</subject><subject>Metastases</subject><subject>metastasis</subject><subject>Mucosa</subject><subject>Neoplasms, Second Primary - pathology</subject><issn>0956-5507</issn><issn>1365-2303</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kL9OwzAQhy0EoqUw8ALIEhNDWsdXO_FYVfyTKrGUgSlyLk6VKomLnYC68RA8IU-CSwsbt_x00nffST9CLmM2jsNMcNuNY-BSHZFhDFJEHBgckyFTQkZCsGRAzrxfMxZzxeGUDCCZAptKGJJ85jeV011lWxo0trarLbUlras346jOPRrvad-iDXvVrmhjOu27cIDUGex0TZserd-lqXVrG_318TmjqL0JwMa67pyclLr25uKQI_J8d7ucP0SLp_vH-WwRIQihIskgTjgWmMaJRo5TmTCYMpkWeYpFWjI0uRQMIU1BSMnKJOcMk1ygKgAUgxG53ns3zr72xnfZ2vauDS8zniolBCjggbrZU-is986U2cZVjXbbLGbZrs0s1JD9tBnYq4OxzxtT_JG_9QVgsgfeq9ps_zdl85flXvkN0-uADQ</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Ng, Joanna K. M.</creator><creator>Leung, Howard H. W.</creator><creator>Li, Joshua J. X.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><orcidid>https://orcid.org/0000-0003-2425-0314</orcidid></search><sort><creationdate>202401</creationdate><title>Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report</title><author>Ng, Joanna K. M. ; Leung, Howard H. W. ; Li, Joshua J. X.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3559-603172cdc817ac2c467034068db8cd8f0ceb650c38835660f7b20c7b5c9d33903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abscesses</topic><topic>aspiration cytology</topic><topic>Cytodiagnosis</topic><topic>Cytology</topic><topic>Hepatocytes</topic><topic>Humans</topic><topic>Liver</topic><topic>liver abscess</topic><topic>Liver Abscess - diagnosis</topic><topic>Liver Abscess - pathology</topic><topic>Liver Neoplasms - diagnosis</topic><topic>Liver Neoplasms - pathology</topic><topic>Melanoma</topic><topic>Melanoma - pathology</topic><topic>Metastases</topic><topic>metastasis</topic><topic>Mucosa</topic><topic>Neoplasms, Second Primary - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, Joanna K. M.</creatorcontrib><creatorcontrib>Leung, Howard H. W.</creatorcontrib><creatorcontrib>Li, Joshua J. X.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><jtitle>Cytopathology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, Joanna K. M.</au><au>Leung, Howard H. W.</au><au>Li, Joshua J. X.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report</atitle><jtitle>Cytopathology (Oxford)</jtitle><addtitle>Cytopathology</addtitle><date>2024-01</date><risdate>2024</risdate><volume>35</volume><issue>1</issue><spage>163</spage><epage>166</epage><pages>163-166</pages><issn>0956-5507</issn><eissn>1365-2303</eissn><abstract>Aspirates of liver abscess are frequently encountered in routine practice and are often of a low index of suspicion. However, necrotic liver metastasis clinically and radiologically mimics liver abscesses, and malignant cells can be obscured in an inflammation‐rich background on cytology. It is important to recognise malignant neoplasms in this scenario, in particular uncommon conditions such as metastatic mucosal melanoma.
Atypical cells among a background with rich inflammatory cells and necrotic material. Although the clinical impression was that of a liver abscess, liver biopsy and review of medical history revealed a diagnosis of metastatic rectal mucosal melanoma, illustrating the importance of considering malignancy despite low clinical suspicion.
Necrotic liver metastasis clinically and radiologically mimics liver abscesses. It is important to be aware of possible malignant cells obscured in an inflammation‐rich background on cytology.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37430463</pmid><doi>10.1111/cyt.13269</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-2425-0314</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Abscesses aspiration cytology Cytodiagnosis Cytology Hepatocytes Humans Liver liver abscess Liver Abscess - diagnosis Liver Abscess - pathology Liver Neoplasms - diagnosis Liver Neoplasms - pathology Melanoma Melanoma - pathology Metastases metastasis Mucosa Neoplasms, Second Primary - pathology |
title | Aspiration cytology of liver abscess uncovering metastatic rectal mucosal melanoma—A case report |
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