Pleural Effusion Cytology of Metastatic Sclerosing Epithelioid Fibrosarcoma.
Daniel W Masters, Jan F Silverman
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Case in brief
A patient presented with a pleural effusion that was found to be metastatic sclerosing epithelioid fibrosarcoma (SEF). Cytological analysis revealed characteristic features of SEF, and immunohistochemistry, particularly MUC4, was utilized to confirm the diagnosis. The case highlights the importance of cytological evaluation in identifying this rare malignancy.
Diagnostic / clinical pearl
Clinicians should consider sclerosing epithelioid fibrosarcoma in the differential diagnosis of pleural effusions, especially when cytological features are atypical.