A series of fine-needle aspiration biopsies (FNAB) from 76 children with round cell malignant tumors was studied by both light and electron microscopy. In 14 cases the material submitted for electron microscopy was inadequate, whereas in the remaining 62 biopsies a definitive diagnosis could be made. These included 29 malignant lymphomas, 8 neuroblastomas, 12 Ewing's sarcomas, 3 metastatic retinoblastomas, 3 Wilms' tumors, 3 rhabdomyosarcomas, and 4 unclassified tumors. The results from this study indicate that FNAB studied by light and electron microscopy can be effective in diagnosing small cell tumors in children.
A series of fine-needle aspiration biopsies performed in 635 children were reviewed. The diagnoses rendered in these patients included malignant lymphoma in 139 (21.9%); Hodgkin's disease, 25 (3.9%); neuroblastoma, 58 (9.1%); Wilms' Tumor, 37 (5.8%); Ewing's sarcoma, 32 (5.0%); rhabdomyosarcoma, 25 (3.9%); retinoblastoma, 22 (3.5%); leukemia infiltrate, 33 (5.2%); and miscellaneous tumors, 52 (8.2%). In 171 patients (26.9%), the biopsy was nondiagnostic. The cytomorphological characteristics of these lesions are briefly described and illustrated. Salient morphological features are further correlated with histological and ultrastructural appearances. Immunocytochemical patterns of these tumors are also discussed briefly.
Abstract Cytomorphologic features in a series of fine‐needle aspiration biopsies from eight patients with seminoma or dysgerminoma were reviewed, and the findings were further correlated with histopathologic and ultrastructural appearances. Three cell types were encountered. Type I was least differentiated and least frequent. Type II was most frequent and had well‐developed cytoplasm rich in organelles. Type III was similar to type II but also contained abundant cytoplasmic glycogen. In cytology smears, type III cells contained large punched‐out cytoplasmic vacuoles corresponding to the areas of glycogen deposition. The background contained a variable mixture of inflammatory cells including lymphocytes, plasma cells, epithelioid cells, and epithelioid granulomas. The significance of these findings in the diagnosis of seminoma or dysgerminoma and the distinction from other germ‐cell and non‐germ‐cell tumors is briefly discussed.
A series of 14 fine-needle aspiration biopsies (FNAB) from histologically proven cases of histiocytosis-x (Hx) were reviewed. The smears revealed a variable mixture of Langerhans cells, eosinophils, macrophages, polymorphonuclear cells, and giant cells. Based on the predominant cells present, the cases were further categorized as Langerhans cell predominant (nine cases), eosinophil predominant (two cases), and macrophage predominant (three cases). Langerhans cells were usually polygonal without significant evidence of phagocytosis and frequently contained indented nuclei. In three cases, several Langerhans cells showed prominent dendritic processes. Electron microscopy in 10 cases revealed Langerhans cells with varying degrees of morphologic differentiation. All cases studied revealed Birbeck granules. These findings indicate that FNAB may be an effective technique for diagnosing Hx.
Abstract Fine‐needle aspiration biopsies from three patients with neuroblastoma were studied by light microscopy, and the morphologic findings were correlated with those from transmission and scanning electron microscopy. Light microscopic examination of the aspiration smears from all three cases revealed small and large round cells with variable numbers of intertwining cytoplasmic processes. Transmission electron microscopy confirmed the light microscopic finding of cytoplasmic processes; in addition, it revealed the presence of other diagnostic morphologic features, including neurosecretory granules, microtubules, and synaptic cell junctions. Scanning electron microscopy demonstrated that the tumors were composed of a mixture of undifferentiated round cells and more differentiated cells with long cytoplasmic processes. The morphologic spectrum of these processes and their interrelationships with one another and with other cells could be studied in detail. These findings indicate that scanning electron microscopy may be used effectively in the morphologic evaluation and pathologic diagnosis of neuroblastoma.
Background: For clinicians to determine the possibility for neonate brain damage and guide therapeutic decisions to avoid long-term complications, as cerebral palsy involving umbilical artery cord PH, base deficit, and lactic acid, the majority of biomarkers that are utilized for assessing fetal wellbeing, neonatal metabolic acidosis, and its associated complications in newborns are inaccurate and non-specific. On the other hand, the PHeucap demonstrates that it is the best biomarker and predictor for newborn metabolic acidosis and the obstacles that are associated with it. Aim: To evaluate the value of neonatal cord eucapnic PH in prediction of neonatal intensive care unit (NICU) admission in newborn subjected to perinatal asphyxia. Patients and methods: This prospective cohort investigation has been performed conducted on 40 newborns delivered at Benha university in Neonatal intensive care unit (NICU), from 1 March 2023 till 1 March 2024 who subjected to perinatal asphyxia and cord blood pH and eucapnic pH were measured and correlated with parameters of morbidity and mortality. Results: ROC analysis (Receiver operation Curve) showed that eucapnic PH had best prediction for NICU admission with sensitivity (90.91%) and specificity (58.62%) at cut-off point(7.03), while umbilical artery (UA)cord PH had sensitivity (63.64%) and specificity (55.85%)at cut-off point(6.85). a significant positive correlation has been detected between UA cord and pH euc-n and between pH euc-n and UAco2 with(r=0.369, P=0.019). (r=0.789, P