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
Hauptverfasser: Veronezi-Gurwell, Adelaide, Wittchow, Richard J., Bottles, Kent, Cohen, Michael B.
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container_end_page 149
container_issue 2
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container_title Diagnostic cytopathology
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creator Veronezi-Gurwell, Adelaide
Wittchow, Richard J.
Bottles, Kent
Cohen, Michael B.
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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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. 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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. 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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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