The cytomorphologic features of 13 neural lesions sampled by fine-needle as
piration (FNA) are reviewed. The frequencies at which various architectural
features including Verocay bodies, filamentous background and vascular arc
ades were present was recorded, along with the frequencies of cytologic fin
dings including the presence of spindle cells wavy nuclei, intranuclear inc
lusions, fishhook nuclei, nuclear pleomorphism, filamentous cytoplasm, and
mitotic figures. Verocay bodies were a rare finding, present in only 1 of 1
1 cases. Vascular arcades were similarly infrequent (1/11 cases). Spindle-s
haped cells along with wavy nuclei were the most frequent findings, with fi
shhook-shaped nuclei and a filamentous background of high frequency (9/11 c
ases). Our study indicates that same of the characteristic features recorde
d in the literature are rarefy seen in needle aspiration smears, but featur
es such as spindle-shaped cells, wavy and fishhook-shaped nuclei, and a fil
amentous background are relatively frequent findings. (C) 1999 Wiley-Liss,
Inc.