Cytologic features of villous adenoma of the ampullary region
Villous adenoma of the ampulla of Vater is a rare but distinct pathologic entity. We studied seven brush cytology specimens from four patients with this unusual lesion all of whom had surgical pathologic confirmation and clinical follow‐up. The distinguishing cytologic appearance includes the presen...
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Veröffentlicht in: | Diagnostic cytopathology 1996-03, Vol.14 (2), p.145-149 |
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description | Villous adenoma of the ampulla of Vater is a rare but distinct pathologic entity. We studied seven brush cytology specimens from four patients with this unusual lesion all of whom had surgical pathologic confirmation and clinical follow‐up. The distinguishing cytologic appearance includes the presence of slender, elongate columnar cells arranged singly or in small sheets and clusters. Long, thin, basally oriented nuclei occupy about one third of the cell and have fine, granular chromatin with one or more nucleoli. Although brushings of villous adenoma of the ampullary region may reveal a relatively benign but distinctive morphologic pattern, the aggressive nature of these lesions has been well documented, including those in our patients. Diagn Cytopathol 1996;14:145–149. © 1996 Wiley‐Liss, Inc. |
doi_str_mv | 10.1002/(SICI)1097-0339(199603)14:2<145::AID-DC8>3.0.CO;2-I |
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We studied seven brush cytology specimens from four patients with this unusual lesion all of whom had surgical pathologic confirmation and clinical follow‐up. The distinguishing cytologic appearance includes the presence of slender, elongate columnar cells arranged singly or in small sheets and clusters. Long, thin, basally oriented nuclei occupy about one third of the cell and have fine, granular chromatin with one or more nucleoli. Although brushings of villous adenoma of the ampullary region may reveal a relatively benign but distinctive morphologic pattern, the aggressive nature of these lesions has been well documented, including those in our patients. 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Cytopathol</addtitle><description>Villous adenoma of the ampulla of Vater is a rare but distinct pathologic entity. We studied seven brush cytology specimens from four patients with this unusual lesion all of whom had surgical pathologic confirmation and clinical follow‐up. The distinguishing cytologic appearance includes the presence of slender, elongate columnar cells arranged singly or in small sheets and clusters. Long, thin, basally oriented nuclei occupy about one third of the cell and have fine, granular chromatin with one or more nucleoli. Although brushings of villous adenoma of the ampullary region may reveal a relatively benign but distinctive morphologic pattern, the aggressive nature of these lesions has been well documented, including those in our patients. Diagn Cytopathol 1996;14:145–149. © 1996 Wiley‐Liss, Inc.</description><subject>Adenoma, Villous - diagnosis</subject><subject>Adenoma, Villous - pathology</subject><subject>Adult</subject><subject>ampulla of Vater</subject><subject>Ampulla of Vater - pathology</subject><subject>benign papillary tumors</subject><subject>biliary system</subject><subject>Biological and medical sciences</subject><subject>Cytodiagnosis</subject><subject>Female</subject><subject>Gallbladder Neoplasms - diagnosis</subject><subject>Gallbladder Neoplasms - pathology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><subject>villous adenomas</subject><issn>8755-1039</issn><issn>1097-0339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1v0zAUhiMEGt3gJyDlAqHtIuX4I7HdAdKUshFpWhkDcXlkp_YIJE2Jk0H_PY5S9WYX3NjyOY9ev3qi6JzAnADQt6d3RV6cEVAiAcbUKVEqA3ZG-IK-IzxdLC6KZbLM5Qc2h3m-OqdJ8SSaHfin0UyKNE0IMPU8Ovb-JwAoSrKj6EiqjBNBZtH7fNe3dXtflbGzuh866-PWxQ9VXbeDj_XabtpGj6P-h411sx3qWne7uLP3Vbt5ET1zuvb25f4-ib5dfvyaf0quV1dFfnGdlFwpmRAOVq6NK4WizhllhdFgTUaBl0aunZXGUGoyyKgRnBJGLVeu1EY4pySX7CR6M-Vuu_b3YH2PTeVLG6psbKiJQhIgKYcA3k1g2bXed9bhtquaUBgJ4CgVcZSKoyQcJeEkFQlHGo4UMUjFIBUZAuarMC1C6qv994Np7PqQubcY9q_3e-1LXbtOb8rKHzAGnKQZC9iXCftT1Xb3qNl_ij3uNT5DaDKFVr63fw-huvuFmWAixe83V0huPy8vb1OGN-wfhCOsQg</recordid><startdate>199603</startdate><enddate>199603</enddate><creator>Veronezi-Gurwell, Adelaide</creator><creator>Wittchow, Richard J.</creator><creator>Bottles, Kent</creator><creator>Cohen, Michael B.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</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>7X8</scope></search><sort><creationdate>199603</creationdate><title>Cytologic features of villous adenoma of the ampullary region</title><author>Veronezi-Gurwell, Adelaide ; Wittchow, Richard J. ; Bottles, Kent ; Cohen, Michael B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4998-140e8dbfc792ffb9e7ba0eb6204cb8dfe8bb22b6062b742132e49fcab7ff98483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adenoma, Villous - diagnosis</topic><topic>Adenoma, Villous - pathology</topic><topic>Adult</topic><topic>ampulla of Vater</topic><topic>Ampulla of Vater - pathology</topic><topic>benign papillary tumors</topic><topic>biliary system</topic><topic>Biological and medical sciences</topic><topic>Cytodiagnosis</topic><topic>Female</topic><topic>Gallbladder Neoplasms - diagnosis</topic><topic>Gallbladder Neoplasms - pathology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><topic>villous adenomas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Veronezi-Gurwell, Adelaide</creatorcontrib><creatorcontrib>Wittchow, Richard J.</creatorcontrib><creatorcontrib>Bottles, Kent</creatorcontrib><creatorcontrib>Cohen, Michael B.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diagnostic cytopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Veronezi-Gurwell, Adelaide</au><au>Wittchow, Richard J.</au><au>Bottles, Kent</au><au>Cohen, Michael B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytologic features of villous adenoma of the ampullary region</atitle><jtitle>Diagnostic cytopathology</jtitle><addtitle>Diagn. Cytopathol</addtitle><date>1996-03</date><risdate>1996</risdate><volume>14</volume><issue>2</issue><spage>145</spage><epage>149</epage><pages>145-149</pages><issn>8755-1039</issn><eissn>1097-0339</eissn><coden>DICYE7</coden><abstract>Villous adenoma of the ampulla of Vater is a rare but distinct pathologic entity. We studied seven brush cytology specimens from four patients with this unusual lesion all of whom had surgical pathologic confirmation and clinical follow‐up. The distinguishing cytologic appearance includes the presence of slender, elongate columnar cells arranged singly or in small sheets and clusters. Long, thin, basally oriented nuclei occupy about one third of the cell and have fine, granular chromatin with one or more nucleoli. Although brushings of villous adenoma of the ampullary region may reveal a relatively benign but distinctive morphologic pattern, the aggressive nature of these lesions has been well documented, including those in our patients. 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subjects | Adenoma, Villous - diagnosis Adenoma, Villous - pathology Adult ampulla of Vater Ampulla of Vater - pathology benign papillary tumors biliary system Biological and medical sciences Cytodiagnosis Female Gallbladder Neoplasms - diagnosis Gallbladder Neoplasms - pathology Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors villous adenomas |
title | Cytologic features of villous adenoma of the ampullary region |
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