scholarly journals Primary hydatid disease of the breast clinically masquerading as a galactocele: A case report

2015 ◽  
Vol 3 (2) ◽  
pp. 82-84 ◽  
Author(s):  
Bushra Siddiqui ◽  
Shahbaz Habib Faridi ◽  
Sayeedul Hasan Arif ◽  
Mohammad Aslam
Keyword(s):  
Hydatid Cyst ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Left Breast ◽  
Cytological Examination ◽  
Aspiration Cytology ◽  
Breast Examination ◽  
Needle Aspiration Cytology ◽  
The Right ◽  
Foamy Macrophages

Abstract We report a rare case of a 30-year-old breastfeeding woman who presented to our surgical outpatient department with complaints of a gradually enlarging lump in her left breast for the last 2 months. She also complained of difficulty in breastfeeding for 1 week. On examination, the right breast was normal but there was a 4 cm × 4 cm retroareolar soft lump in her left breast. Examination of the bilateral axilla was normal. A provisional diagnosis of galactocele was made and the patient was subjected to ultrasonic mammography and fine needle aspiration cytology (FNAC). Ultrasonic mammography of the left breast showed a heterogeneous, hypoechoic lesion with thick septations and internal echoes suggestive of a complex cystic lesion, leading to a differential diagnosis of either hydatid cyst or breast abscess. On FNAC, the aspirate was not milky and cytological examination was performed, which revealed hydatid scolices, hooklets, foamy macrophages and granular debris, leading to the final diagnosis of hydatid cyst of the breast. The patient was investigated further but there were no cysts at any other site. Chemotherapy with albendazole was started and surgery was performed after 1 month. Histopathology further confirmed the diagnosis. Owing to the rarity of presentation, this case is being reported here.

scholarly journals Study of clinical, imaging and pathological assessment of breast lumps: an observational study

2020 ◽  
Vol 7 (5) ◽  
pp. 1452
Author(s):  
Sumedha Laul ◽  
Divish Saxena ◽  
Nitin Wasnik
Keyword(s):  
Final Diagnosis ◽  
Needle Aspiration ◽  
Age Group ◽  
Breast Lump ◽  
Aspiration Cytology ◽  
Malignant Breast ◽  
Palpable Breast ◽  
Needle Aspiration Cytology ◽  
Breast Lumps

Background: A palpable lump in a woman’s breast could be benign or malignant and it requires prompt evaluation to confirm or exclude cancer. This study aims to establish the correlation between clinical and radiological parameters for provisional diagnosis of breast lumps and the role of histopathology for final diagnosis of these breast lumps.Methods: Total 275 female patients with palpable breast lumps were included in the study, where a detailed history was recorded and clinical examination was done. All patients underwent ultrasonography of the breast along with fine needle aspiration cytology or histopathology, wherever indicated.Results: Benign breast lumps were found more commonly in 18-30 years of age group whereas malignant breast lumps were seen more commonly in the 41-60 years age group and the incidence increased with age. Fixity to skin was present in 5.1% and fixity to chest wall was present in 5.8% respectively, and all of these cases turned out to be malignant.Conclusions: Attributing factors for suspicion of malignant lumps are advanced age, fixity to surrounding structures, presence of ulceration and peau’d orange breast skin appearance. Although for confirmation of malignancy from a suspected breast lump requires either cytology or histopathology of the excised specimen.

scholarly journals Cytologic diagnosis of unusual, large multiple cutaneous myxomas in a case of Carney complex

2018 ◽  
Vol 10 (03) ◽  
pp. 354-356
Author(s):  
Manjusha Karegar ◽  
Mrinal Sarwate ◽  
Kanchan Kothari ◽  
Amey Rojekar ◽  
Leena Naik
Keyword(s):  
Needle Aspiration ◽  
Carney Complex ◽  
Cytologic Diagnosis ◽  
Aspiration Cytology ◽  
Significant Family History ◽  
Vascular Proliferation ◽  
Needle Aspiration Cytology ◽  
Cardiac Myxomas ◽  
The Right ◽  
Epithelial Element

ABSTRACTCutaneous myxomas are rare benign neoplasms which are frequently associated with Carney complex (CNC). Although more than 500 cases of CNC are reported, there is no literature on cytologic diagnosis of Cutaneous myxomas. An 18-year-old male, with no significant family history, presented with multiple cutaneous swellings, largest measuring 15 cm on the right cheek. He also had spotty skin pigmentations, raised adrenocorticotropic hormone levels and recurrent cardiac myxomas. Fine-needle aspiration cytology from the right cheek and suprapubic swellings revealed paucicellular smears with abundant myxoid material in the background, admixed with fragments of spindle and stellate cells with bland nuclear morphology, and vascular proliferation in few fragments. There was no mitosis, necrosis, or any epithelial element. Hence, diagnosis of cutaneous myxomas in CNC was made which was confirmed on histopathology. This is the first report of cytologic diagnosis of multiple cutaneous myxomas in CNC and the largest cutaneous myxoma reported in literature.

scholarly journals FNAC of Bacillus- Calmette- Guerin lymphadenitis masquerading as Langerhans cell histiocytosis

CytoJournal ◽  
2004 ◽  
Vol 1 ◽  
pp. 6 ◽  
Author(s):  
Nalini Gupta ◽  
Vijay Kumar ◽  
Raje Nijhawan ◽  
Radhika Srinivasan ◽  
Arvind Rajwanshi
Keyword(s):  
Langerhans Cell Histiocytosis ◽  
Index Case ◽  
Needle Aspiration ◽  
Langerhans Cell ◽  
Bacillus Calmette Guerin ◽  
Diagnostic Challenge ◽  
Aspiration Cytology ◽  
Needle Aspiration Cytology ◽  
Generalized Lymphadenopathy ◽  
Foamy Macrophages

Bacillus Calmette Guerin (BCG) lymphadenitis is a well known entity. Disseminated BCG infection usually presents as generalized lymphadenopathy, skin rash and hepatosplenomegaly and at times, can pose a diagnostic challenge to clinicians. There are only a few published studies on the cytological findings of BCG lymphadenitis. In this letter we report the fine needle aspiration cytology (FNAC) of BCG lymphadenitis clinically masquerading as Langerhans cell histiocytosis (LCH). FNA smears showed sheets of foamy macrophages and many polymorphs in a dirty necrotic background with many macrophages as well as polymorphs showing negatively stained rod like structures within their cytoplasm. Zeihl Neelson stain revealed that these cells were heavily loaded with acid fast bacilli (AFB). In the index case, AFB were also seen within the cytoplasm of polymorphs, which has not been documented earlier in the literature.

scholarly journals Nodal histiocytic disorder in children: report of three cases and review of literature

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Indumathi Ainer ◽  
Hardip Singh Gendeh ◽  
Salina Binti Husain ◽  
Khadijah Mohd Nor
Keyword(s):  
Cervical Lymph Node ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Review Of Literature ◽  
Aspiration Cytology ◽  
Case Presentation ◽  
Massive Lymphadenopathy ◽  
Lymph Node Enlargement ◽  
Needle Aspiration Cytology

Abstract Background Histiocytic system consists of phagocytes and dendritic cells. Both are found in lymph nodes. Usually, this disorder presents with painless cervical lymph node enlargement hence frequently mistaken for lymphoma or tuberculosis. Case presentation Here, we report three pediatric cases: one of Langerhans cell histiocytosis and two of sinus histiocytosis and massive lymphadenopathy with neck mass as initial presentation. The final diagnosis was made with fine needle aspiration cytology, biopsy, and ancillary tests. Conclusion Biopsy and immunohistochemistry studies are recommended for determining subtypes of histiocytosis and further management of patient.

scholarly journals Dermatofibrosarcoma Protuberans in a Child: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Prashant Goyal ◽  
Shelly Sehgal ◽  
Sompal Singh ◽  
Shalabh Rastogi
Keyword(s):  
Dermatofibrosarcoma Protuberans ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Excision Biopsy ◽  
Aspiration Cytology ◽  
Soft Tissue Neoplasm ◽  
Dermal Layer ◽  
Infancy And Childhood ◽  
Mesenchymal Neoplasm ◽  
Needle Aspiration Cytology

Background. Dermatofibrosarcoma protuberans (DFSP) is an intermediate grade soft tissue neoplasm originating from the dermal layer of the skin. It usually occurs in adults; however, it can rarely be seen in infancy and childhood. Diagnosis of DFSP in children is quite difficult-given-rarity of this lesion, its variegated appearance, and its presentation sometimes at unusual sites.Case. We present the case of five-year-old boy who came with painless lesion on a forehead. Fine needle aspiration cytology (FNAC) suggested possibility of mesenchymal neoplasm. Patient was advised excision biopsy. Final diagnosis of DFSP was made based on histopathological findings. The patient was then advised reexcision surgery with wide margins. The patient was lost to followup and later turned up after two months with recurrence of a similar swelling at the same site.Conclusion. DFSP in children is rare and difficult to diagnose. Treatment of childhood DFSP is often delayed leading to incomplete excision. Hence, there is need to recognize and appropriately manage this uncommon childhood neoplasm.

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