DIAGNOSIS OF SYNCYTIAL (LACUNAR CELL PREDOMINANT) NODULAR SCLEROSING HODGKINS-DISEASE BY FINE-NEEDLE ASPIRATION - A CASE-REPORT

We report a case of syncytial nodular sclerosing Hodgkin's disease dia gnosed by fine needle aspiration biopsy. To our knowledge, the cytolog ic findings of this unusual histologic variant have not been reported previously. We believe this entity represents a serious potential pitf all to the aspiration cytologist who targets lymph nodes. This report describes the cytologic features of syncytial nodular sclerosing Hodgk in's disease and emphasizes the need in general for moderate conservat ism in fine needle aspiration biopsy interpretation in patients withou t a previously documented malignancy. It also demonstrates the superio rity of tissue sampling with fine needle aspiration biopsy when compar ed to incisional biopsy.