Difference between revisions of "Ferruginous body"

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#redirect [[Malignant_mesothelioma]]
[[Image:Ferruginous bodies - BAL - r3 -- very high mag.jpg|right|thumb|300px|Ferruginous body in a BAL. (WC)]]
'''Ferruginous body''' is a histopathologic finding in [[lung pathology]] that strongly suggests exposure to asbestos.
 
==General==
*Uncommon finding.
*Strongly suggestive of asbestos exposure.
 
Conditions associated with asbestos exposure (mnemonic ''PALM''):<ref name=Ref_PCPBoD8_375>{{Ref PCPBoD8|375}}</ref>
*[[Pleural plaques]].
*[[Asbestosis]].
*[[Lung carcinoma]].
*[[Malignant mesothelioma]].
 
==Microscopic==
Features:
*Segmented twirling baton-like structure (approximately 3-5 micrometres x 20-80 micrometres) with long slender fibre within.
*Black/brown crystal-like appearance.
 
DDx:
*Dirt - especially on H&E.
 
===Images===
<gallery>
Image:Ferruginous_body.jpg | Ferruginous bodies. (WC)
</gallery>
====Cytology====
<gallery>
Image: Ferruginous bodies - BAL - r1 -- high mag.jpg | FB - high mag. (WC)
Image: Ferruginous bodies - BAL - r1 -- very high mag.jpg | FB - very high mag. (WC)
 
Image: Ferruginous bodies - BAL - r2 -- very high mag.jpg | FB - very high mag. (WC)
 
Image: Ferruginous bodies - BAL - r3 -- high mag.jpg | FB - high mag. (WC)
Image: Ferruginous bodies - BAL - r3 -- very high mag.jpg | FB - very high mag. (WC)
Image:Carcinoma asbestos body lung.jpg | Ferruginous body in carcinoma - cytology. (WC/Alex Brollo)
</gallery>
 
==Stains==
*[[Prussian blue stain]] +ve.
 
==Sign out==
<pre>
Comment:
No cell block is available for further work-up, e.g. iron staining.
 
The findings herein should be correlated with imaging and the clinical history.
Ferruginous bodies are associated asbestos exposure.
</pre>
 
==See also==
*[[Malignant mesothelioma]].
 
==References==
{{Reflist|1}}
 
[[Category:Pulmonary pathology]]
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