Cytomorphologic panorama of cysticercosis on fine needle aspiration. A review of 298 cases.

Definitive identification of detached hooklets, scolex and fragments of the spiral wall of Cysticercus cellulosae on fine needle aspiration smears was documented. A critical review of aspirates from 200 diagnosed and 98 suspected lesions of soft tissue and intramuscular cysticercosis was done. Characteristic fragments of bladder wall cytomorphologically corresponding to viable or partially necrotic lesions were seen in 203 cases. Identification of fragments of an invaginated larva (i.e., hooklets, scolex or spiral wall) established the diagnosis in 33 of the suspected lesions. Cytomorphologically all these cases were from either necrotic or calcified lesions. In necrotic lesions with eosinophils, a careful search for fragments of the invaginated portion of the larva should be made.