Fifty-one patients were evaluated by fine-needle aspiration (FNA) as part of the diagnosis, staging, and management of osteosarcoma. All patients had histologic confirmation of osteosarcoma. Five patients underwent two aspirations each; thus, the total number of aspirates reviewed was 56. Aspirations were performed by interventional radiologists using fluoroscopic guidance. The cytologic features of osteosarcoma were divided into five groups: (1) pleomorphic (malignant fibrous histiocytoma-like); (2) epithelioid; (3) chondroblastic; (4) small cell; and (5) mixed. Although osteoid-like material was seen, it could not be distinguished readily from dense collagen. The chondroid matrix of chondroblastic osteosarcoma was recognized as a granular film with scattered clear bubbles. Fine-needle aspiration was diagnostic of sarcoma in 45 of 56 aspirates (80.4%). In eight aspirates, the cellularity of the smears was insufficient for diagnosis due to extensively osteoblastic tumors (six), necrotic tumor (one), and undetermined causes (one). In three aspirates, failure was attributed to poor cellular preservation due to unknown factors. The authors conclude that FNA is a useful tool in the multidisciplinary diagnosis and management of osteosarcoma. Aspirates should only be evaluated with full knowledge of the clinical and radiographic findings. The most significant limitation of FNA is the inability to detect osteoid.

Determining the nature of root and shoot competition can elucidate the competitive ability of an invasive species and direct management strategies. In a set of competition experiments, artichoke thistle (Cynara cardunculus), an exotic invasive perennial forb, was subjected to full or shoot competition with four species: black mustard (Brassica nigra), an exotic annual forb; ripgut grass (Bromus diandrus), an exotic annual grass; purple needle-grass (Nassella pulchra), a native perennial grass; and itself. For shoot competition, a smaller pot nested in a larger experimental pot sequestered the target plant root system. A bare ground invasion experiment, in which all plants were transplanted on the same date, and a community invasion experiment, in which competitor species were planted 1 mo before targets, were conducted. In the bare ground invasion experiment, target plant size was reduced (P ≤ 0.05) when exposed to full competition with the exotic species, but not purple needle-grass. Effects on target plants included reductions in height, number of leaves, rosette diameter, and shoot and leaf dry weight. In the community invasion experiment, full competition with all species reduced target plant growth (P ≤ 0.05). Shoot competition was more important when all species were planted synchronously, whereas root competition was more important when target plant establishment was delayed. In a separate experiment, artichoke thistle was grown under four light levels simulating field conditions under canopies of the same competitors. Midday carbon assimilation decreased linearly with increased shade, indicating the likely effects of shoot competition on artichoke thistle. Results indicated that exotic species are more competitive than native purple needle-grass against artichoke thistle and that restoration directly to native grassland after artichoke thistle removal might be difficult. However, artichoke thistle seedling growth is reduced by root competition from grasses that emerge earlier, indicating that early season management of grasslands to delay artichoke thistle establishment might provide effective control.

Aspiration specimens from 12 patients with histologically documented ductal carcinoma-in-situ (DCIS) of the breast (seven patients) or DCIS with minute foci of stromal invasion (five) were evaluated. Five patients presented with palpable masses, 1.5-4.0 cm, and four patients presented with localized thickening, associated with nipple erosion and discharge in two of them. One patient had nipple inversion, and one patient had bilateral nipple discharge. In one patient, no apparent abnormality of the breast was present. Mammography was either suspicious for or strongly suggestive of carcinoma in 10 patients and negative in two. Aspirates from all patients were composed of fragments of atypical ductal epithelium and numerous single epithelial cells. In nine cases, the smears were hypercellular and similar to aspirates of typical invasive ductal carcinoma. Calcifications were present in six cases. In four of these, associated tumor necrosis was evident. Cytologic features separating DCIS patients from those showing minimal stromal invasion or common types of invasive ductal carcinoma (IDC) were not identified. We conclude that fine-needle aspiration cytology of DCIS is identical to that of IDC. If preoperative radiotherapy or chemotherapy is considered in the management of invasive breast carcinoma, cutting-needle biopsy for confirmation of tumor invasion is necessary.

No abstract