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Prawidłowa śledziona, grudka miazgi czerwonej Aspirates from normal spleen typically have a densely bloody background. Small aggregates of splenic red pulp/ stroma are useful to confirm aspiration of splenic parenchyma. Nucleated cells are predominated by small mature lymphocytes, with low numbers of plasma cells or intermediate‐sized lymphocytes. Low numbers of hematopoietic cells may be seen. |
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Hiperplazja guzkowa Nodular hyperplastic lesions are characterized by increased numbers of stromal aggregates of splenic red pulp, and a mixed population of lymphocytes, with variably increased numbers of hematopoietic precursors The mixed lymphocytes/plasma cells and hematopoietic precursors can be seen. |
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Hematopoeza pozaśledzionowa Erythroid precursors tend to predominate, with lesser numbers of granulocytic and megakaryocytic precursors, though ratios may differ based on peripheral demand. Erythroid precursors predominate, with rare granulocyte precursors (arrow) |
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Hemangiosarcoma Note the spindle cells forming cord (HSA) exfoliate variably well as pleomorphic spindle cells seen individually or in aggregates/ sheets that may form cords. The spindle cells are plump, with a moderate volume of medium‐blue cytoplasm that forms tapering ends, and occasionally long tendrils. Erythrophagia by neoplastic cells is reported, but not specific to HSA. Nuclei are ovoid, with finely stippled chromatin, and multiple prominent basophilic nucleoli. Multinucleation and mitotic figures are common. Anisocytosis/anisokaryosis are marked. |
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Myelolipomas contain hematopoietic precursors, similar to cases of extramedullary hematopoiesis, but can be differentiated due to concurrent presence of abundant variably sized clear lipid vacuoles .Note the abundant lipid and the megakaryocyte (lower left). |
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Myelolipomas contain hematopoietic precursors, similar to cases of extramedullary hematopoiesis, but can be differentiated due to concurrent presence of abundant variably sized clear lipid vacuoles .Note the abundant lipid and the megakaryocyte (lower left). |
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Large‐cell lymphoma appears similarly to other organs, characterized by an expanded population of large, immature lymphocytes with nuclei having diameters about twofold to threefold that of red blood cells, and with finely stippled chromatin. These cells should ideally be seen in large numbers in the spleen to help differentiate from a hyperplastic germinal center, or florid lymphoid hyperplasia. |
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Marginal zone lymphoma (MZL) of the spleen is characterized by sheets of large lymphocytes with round nuclei approximately two red blood cells in diameter, and a characteristic single, centrally located, prominent nucleolus. A moderate volume of pale‐blue cytoplasm encircles the cells. Note: Large sheets of such cells should be present to raise any suspicion of neoplasia, as marginal zone hyperplasia is common in reactive lymphoid follicles secondary to antigenic stimulation. |
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Hemangiosarcoma Note the spindle cells forming cord (HSA) exfoliate variably well as pleomorphic spindle cells seen individually or in aggregates/ sheets that may form cords. The spindle cells are plump, with a moderate volume of medium‐blue cytoplasm that forms tapering ends, and occasionally long tendrils. Erythrophagia by neoplastic cells is reported, but not specific to HSA. Nuclei are ovoid, with finely stippled chromatin, and multiple prominent basophilic nucleoli. Multinucleation and mitotic figures are common. Anisocytosis/anisokaryosis are marked. |
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Hepatosplenic Lymphoma Note the perinuclear, azurophilic cytoplasmic granules Neoplastic lymphocytes have nuclei approximately two to three red blood cells in diameter, that frequently have irregular membrane boundaries and finely stippled, immature chromatin. They have a small volume of medium‐blue cytoplasm that frequently contains a perinuclear packet of faint azurophilic granules (Figure 4.35). Neoplastic cells may be erythrophagocytic. Extramedullary hematopoiesis and reactive histiocytes (often erythrophagocytic) typically are present in abundance. |
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Acute leukemia granulocytic are characterized by large numbers of neoplastic cells, with nuclei about twofold to threefold the size of a red blood cell, that have finely stippled, immature chromatin and mostly prominent nucleoli. Mitotic rates generally are high. The cells have a variable volume of cytoplasm, which may contain pink granules if the cells are of granulocytic origin |
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Acute leukemia erythroid are characterized by large numbers of neoplastic cells, with nuclei about twofold to threefold the size of a red blood cell, that have finely stippled, immature chromatin and mostly prominent nucleoli. Mitotic rates generally are high. The cells have a variable volume of cytoplasm, be deep‐blue in erythroid leukemias |
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Small‐cell lymphoma and chronic lymphocytic leukemia are cytologically similar, characterized by sheets of a monomorphic population of small lymphocytes. When compared to normal small mature lymphocytes, these cells have slightly larger nuclei (diameter ~1.25‐fold the size of a red blood cell), and more open, less‐clumped chromatin, often with prominent nucleoli |
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Multiple myeloma is characterized by large sheets and aggregates of well‐differentiated plasma cells. The cells have a moderate volume of pale‐blue cytoplasm, and often have a characteristic, perinuclear clear zone Golgi zone). The nuclei are round, eccentrically placed, and have clumped chromatin |
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Histiocytic sarcoma is characterized by individualized cells with many criteria of malignancy, including marked anisocytosis and anisokaryosis, with karyomegaly a common finding. Multinucleation, nuclear fragmentation and hyperchromasia also are common . The cytoplasm usually is vacuolated. |
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HHS is characterized by well‐differentiated histiocytes/ macrophages, seen mostly in aggregates but also individually. They have a moderate to abundant volume of medium‐blue cytoplasm that may contain clear vacuoles, and cells often are erythrophagocytic . Anisocytosis/anisokaryosis are mild to moderate. Note: it is important to rule out causes of reactive histiocytosis. |
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Visceral mast cell neoplasia is characterized by large sheets of mast cells . These cells have a moderate volume of cytoplasm that contains a variable number of metachromatic granules. Nuclei are centrally located and have granular chromatin with prominent nucleoli. |
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Śledziona Amyloid kot is seen as smooth to fibrillar, magenta extracellular material, mostly associated with stromal aggregates of red pulp Note the bright purple fibrillar material between cells. |
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Przerzut śledziona raka wątrobowo komórkowego u kota |
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Przerzut śledziona fibrosarcoma |
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Thymoma. cohesive sheet of thymic epithelial cells (left) is accompanied by a mixed population of lymphocytes. Mostly resident thymic small mature lymphocytes, admixed with lesser numbers of intermediate or large lymphocytes. The neoplastic cells exfoliate as sheets of polygonal cells with moderate to abundant pale‐blue cytoplasm and ovoid nuclei with reticular chromatin and variably prominent nucleoli. Anisocytosis/ anisokaryosis are mild, and N/C ratios are low. The neoplastic epithelial cells do not always exfoliate, which can make cytologic diagnosis of thymoma difficult. Mast cells may be scattered individually across samples. |
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Thymic carcinoma The cells have a decreased volume of vacuolated cytoplasm. Note the mitotic figure, Cells are cohesive, and have a moderate volume of cytoplasm, which may contain fine clear vacuoles. Nuclei are ovoid with finely granular chromatin, and increased numbers of mitotic figures often are seen. |
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Chłoniak Note the irregular nuclear membrane boundaries. Lymphoma of the thymus and mediastinal lymph nodes is a high‐grade disease, characterized by cells with nuclei 1.5–3 red blood cells in diameter. Nuclei often have irregular membrane boundaries, and mitotic figures are common (Figure 4.49). The cells have a small volume of pale‐blue cytoplasm. Lesser numbers of residual small mature lymphocytes may be present |
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Septic exudate (bacterial septic peritonitis). Note the degenerative neutrophils and intracellular bacterial rods. |
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Sterile neutrophilic exudate from a dog with pancreatitis, 100× objective. Note the clear lipid vacuoles within the cytoplasm. |
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Eosinophilic exudate, cat, |
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High‐protein exudate, Note the thick, proteinaceous and scalloped background with low numbers of red blood cells. Np. FIP |
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Bile peritonitis, Note the aggregates of green/ yellow bile. |
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White bile peritonitis. Note the large aggregates of smooth, pale‐blue mucinous material. |
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Chylous effusion, Note the abundant, variably sized clear lipid vacuoles and predominance of small mature lymphocytes. |
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Hemorrhagic effusion, Reactive macrophages contain phagocytosed red blood cells and heme‐breakdown pigment including hemosiderin (green/blue) and hematoidin (golden/orange). |
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Reactive mesothelial cell, dog, Classic features of cytoplasmic blebbing and a pink fringe border are seen. They may be seen individually, or in variably sized cohesive sheets. They occasionally have a perinuclear ring of small clear vacuoles. |
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Highly reactive cells may lose these features, and assume many criteria of malignancy, including moderate to marked anisocytosis/anisokaryosis and prominent nucleoli |
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Highly reactive cells may lose these features, and assume many criteria of malignancy, including moderate to marked anisocytosis/anisokaryosis and prominent nucleoli. |
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Mesothelioma Note the neoplastic cell that has been phagocytosed by another neoplastic cell (cell cannibalism).Exfoliates in large sheets, which frequently have a papillary arrangement. Marked criteria of malignancy are present, including anisokaryosis and karyomegaly, multinucleation, and even cell cannibalism Cannibalism is also reported in other malignancies. Neoplastic mesothelial cells may be erythrophagocytic or contain heme‐breakdown pigments Differentiation of mesothelioma from carcinoma or even florid mesothelial hyperplasia is difficult with cytology alone Useful cytomorphologic criteria in human mesothelioma cases include the presence of microvesicles in the cytoplasm, dense cytoplasm, and angulated cell shape. W międzybłoniaku połączenia lepiej widoczne w raku ścisłe |
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Mesothelioma Neoplastic cells contain golden hematoidin crystals. Exfoliates in large sheets, which frequently have a papillary arrangement. Marked criteria of malignancy are present, including anisokaryosis and karyomegaly, multinucleation, and even cell cannibalism Cannibalism is also reported in other malignancies. Neoplastic mesothelial cells may be erythrophagocytic or contain heme‐breakdown. pigments Differentiation of mesothelioma from carcinoma or even florid mesothelial hyperplasia is difficult with cytology alone Useful cytomorphologic criteria in human mesothelioma cases include the presence of microvesicles in the cytoplasm, dense cytoplasm, and angulated cell shape. W międzybłoniaku połączenia lepiej widoczne w raku ścisłe |
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Mesothelioma Note the angular cell shape and microvesicles within the cytoplasm. Exfoliates in large sheets, which frequently have a papillary arrangement. Marked criteria of malignancy are present, including anisokaryosis and karyomegaly, multinucleation, and even cell cannibalism Cannibalism is also reported in other malignancies. Neoplastic mesothelial cells may be erythrophagocytic or contain heme‐breakdown. pigments Differentiation of mesothelioma from carcinoma or even florid mesothelial hyperplasia is difficult with cytology alone Useful cytomorphologic criteria in human mesothelioma cases include the presence of microvesicles in the cytoplasm, dense cytoplasm, and angulated cell shape. W międzybłoniaku połączenia lepiej widoczne w raku ścisłe |
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Rak - płyn Note the enormous size of the neoplastic cells relative to the neutrophil and red blood cells. 1.Carcinoma cells exfoliate in large numbers, often in a papillary or acinar arrangement. 2. Cells are mostly round, with variable cytoplasm volume that may contain abundant secretory material. 3. Nuclei often display the greatest pleomorphism, with multinucleation, anisokaryosis (both within and between cells), mitotic figures, and multiple large basophilic nucleoli being common criteria of malignancy |
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Chłoniak - płyn 1.Effusions resulting from lymphoma are linked with large-cell, high-grade disease. 2. The neoplastic cells are large, with a nuclear diameter that exceeds that of two red blood cells and with finely stippled or reticulated chromatin. 3. Nucleoli may be variably prominent. The cells have small to moderate volumes of deep-blue cytoplasm that may contain fine, clear vacuoles 4. Lymphoma can sometimes resemble histiocytic sarcoma |
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Rak - płyn There is a bizarre mitotic figure and marked anisocytosis/ anisokaryosis. 1.Carcinoma cells exfoliate in large numbers, often in a papillary or acinar arrangement. 2. Cells are mostly round, with variable cytoplasm volume that may contain abundant secretory material. 3. Nuclei often display the greatest pleomorphism, with multinucleation, anisokaryosis (both within and between cells), mitotic figures, and multiple large basophilic nucleoli being common criteria of malignancy |
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Rak - płyn Note the multinucleated cells with anisokaryosis and nuclear fragmentation. 1.Carcinoma cells exfoliate in large numbers, often in a papillary or acinar arrangement. 2. Cells are mostly round, with variable cytoplasm volume that may contain abundant secretory material. 3. Nuclei often display the greatest pleomorphism, with multinucleation, anisokaryosis (both within and between cells), mitotic figures, and multiple large basophilic nucleoli being common criteria of malignancy |
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1. Histiocytic sarcoma may exfoliate into body cavities and appear as round, individualized cells. 2. Nuclei are ovoid to amoeboid and frequently have irregular or festooning borders. 3. Binucleation or multinucleation may be seen, and mitotic figures are common. 4. Cells have a variable volume of medium-blue cytoplasm that often contains clear vacuoles |
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