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Discussion Case #7  
 
n

nFNAC Impression

  • Malignant Round Cell Tumor-vascular n

  • nNot a lymphoma n
  • nNot a carcinoma n
  • nNo other differentiating features, like strap cells, rosettes or neuropil n
  • nHere- go for all the help you can get as Rx decisions are made on the cytology report: cell block, IHC, clinical workup etc
 
     
   
     
 
Paediatric Work-up
  • nAnticipate the need for IHC, EM
  • nMake extra smears
  • nFix in chilled methanol
  • nMake cell block
  • nPanel of IHC
  • nMic2
  • nChromogranin/Synaptophysis
  • nDesmin/Myglobin
  • nLCA
  • nS 100
 
    Neuropil  
   
   
     
      
   
  Diagnosis

Metastatic Neuroblastoma