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A review of the literature for myxoid change and vacuoles in fine needle aspiration biopsies of MM discloses that vacuoles are found in up to 35% of aspirates of MM, but myxoid change is very rare, reported in &lt;5% of the cases. Cytologists should be aware of this rare morphologic pattern of metastatic epithelioid MM.<\/jats:p>","DOI":"10.4103\/1742-6413.177157","type":"journal-article","created":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T07:46:03Z","timestamp":1456127163000},"page":"4","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Fine needle aspiration biopsy of metastatic malignant mesothelioma with myxoid change and signet ring cells: A case report and review of the literature"],"prefix":"10.25259","volume":"13","author":[{"given":"Manisha M.","family":"Mishra","sequence":"first","affiliation":[{"name":"Address: Department of Pathology, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol F.","family":"Farver","sequence":"additional","affiliation":[{"name":"Department of Pathology, Cleveland Clinic, Cleveland, OH 44195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah J.","family":"Chute","sequence":"additional","affiliation":[{"name":"Department of Pathology, Cleveland Clinic, Cleveland, OH 44195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2016,2,22]]},"reference":[{"key":"10.4103\/1742-6413.177157\/ref-1","first-page":"491","article-title":"Malignant pleural mesothelioma: An epidemiological perspective","volume":"1","author":"Robinson","year":"2012","journal-title":"Ann Cardiothorac Surg"},{"key":"10.4103\/1742-6413.177157\/ref-2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s11912-011-0177-9","article-title":"Malignant pleural mesothelioma","volume":"13","author":"Raja","year":"2011","journal-title":"Curr Oncol Rep"},{"issue":"Suppl","key":"10.4103\/1742-6413.177157\/ref-3","first-page":"S68","article-title":"Cytopathology of pleural mesotheliomas","volume":"114","author":"Nguyen","year":"2000","journal-title":"Am J Clin Pathol"},{"key":"10.4103\/1742-6413.177157\/ref-4","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1097\/00125480-200607000-00004","article-title":"The diagnosis of malignancy in effusion cytology: A pattern recognition approach","volume":"13","author":"Pereira","year":"2006","journal-title":"Adv Anat Pathol"},{"key":"10.4103\/1742-6413.177157\/ref-5","first-page":"185","article-title":"Fine needle aspiration cytology of malignant mesothelioma","volume":"31","author":"Sterrett","year":"1987","journal-title":"Acta Cytol"},{"key":"10.4103\/1742-6413.177157\/ref-6","first-page":"567","article-title":"Primary malignant pleural tumors (mesotheliomas) presenting as localized masses. 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