Extramedullary hematopoiesis as a ‘clue’ to diagnosis of hepatoblastoma on fine needle aspiration cytology: A report of two cases
A 19-year-old male presented with a hypochondrial mass. Investigations showed a hemoglobin of 7.9g%; platelet count of 8.9 lakhs/cu mm; Liver function test was within normal limits, and serum AFP level was 1888 ng/mL. CT scan showed massive hepatomegaly with large hypodense lesion along with multiple small lesions in the right lobe []. No associated cirrhosis or intra-abdominal lymphadenopathy was noted. FNAC smears were markedly cellular with sheets and clusters of cells having moderate to abundant granular/clear cytoplasm and central round nuclei with dense chromatin. Cells showed minimal nuclear pleomorphism and inconspicuous nucleoli. No intranuclear inclusions or bare nuclei were seen. A few singly scattered megakaryocytes and erythroblasts were seen []. A diagnosis of HB was offered.