Pathology
Nature of Specimen: EUS-FNB
Gross appearance:
1-Oesophagus: Unstained films and haemorrhagic material entangling tissue fragments, submitted for cellblock preparation.
2-Anal canal: Unstained films and haemorrhagic material entangling tissue fragments, submitted for cellblock preparation.
Microscopic features:
Sections examined from both cellblocks prepared from oesophageal and anal aspirates revealed blood clots entangling fragments of tumour tissue formed bundles of spindle cells having oval blunt-ended nuclei, with moderate amount of eosinophilic cytoplasm.
Cytologic examination of the films received revealed hypocellular films showing inflammatory cells and scattered small bundles of spindle cells.
No mitotic activity. No tumoural necrosis.
Diagnosis: Bland spindle cell proliferation, mainly of smooth muscle nature (hypertrophy/leiomyomas).