scholarly journals Cysticercosis breast: a cytological diagnosis

Author(s):  
Jyoti Rajpoot ◽  
Sheetal Arora ◽  
Nikita Gupta ◽  
Rashmi Arora

<p class="abstract">Parasitic lesions of breast are rare, usually seen in endemic areas. Clinically such cases are frequently misdiagnosed as benign or sometimes malignant tumors of breast. Cysticercosis is caused by larval form of Taenia solium, acquired via fecal oral route. Radiology may be suggestive of cysticerocosis. In our case, diagnosis was confirmed with fine needle aspiration cytology.</p>

2015 ◽  
Vol 61 (4) ◽  
pp. 277-281 ◽  
Author(s):  
Iacob Alina ◽  
Sin Anca ◽  
Mezei Tibor ◽  
Mocan Simona ◽  
Ormenisan Alina ◽  
...  

AbstractIntroduction: Masses of the head and neck comprise a variety of benign and malignant tumors and tumor-like conditions, which may present diagnostic challenges to the surgeon and pathologist as well. Fine needle aspiration cytology is considered to be a valuable diagnostic tool used for preoperative evaluation of various masses in the head and neck region. However, its role is quite controversial for salivary gland tumour evaluation. This study was aimed to evaluate salivary gland fine-needle aspiration cytology for sensitivity, specificity and diagnostic accuracy in our medical center.Material and method: The present study included 58 patients with different salivary gland lesions who underwent preoperative fine-needle aspiration procedure followed by surgical procedure and histological examination. The cytological findings were compared with the final histological diagnosis and concordance assessed.Results: Of the 58 cases with salivary gland lesions, most of them involved parotid gland (72.41%), 91.38% were neoplasms and 8.62% were non-neoplastic lesions. Out of 53 neoplasms, 39 were benign and 14 were malignant salivary gland tumors. The sensitivity and a specificity of fine-needle aspiration cytology in differentiation malignancies from benign lesions was 100% and 97.73% respectively. In some situations cytological features could not provide correct tumor characterization.Conclusions: Fine-needle aspiration cytology is a simple and reliable technique for preoperative evaluation of salivary gland tumors with a high sensitivity diagnosis of malignant tumors, but a lower tumor type characterization. Due to the minimally invasive nature of the technique, fine-needle aspiration cytology offers valuable information for planning of subsequent therapeutic management.


2021 ◽  
pp. 014556132110640
Author(s):  
Hirofumi Kanetake ◽  
Yuko Inaka ◽  
Ichita Kinoshita ◽  
Yusuke Ayani ◽  
Akiko Ozaki ◽  
...  

Objective Parotid tumors are rare neoplasms in adults but are exceedingly infrequent in adolescents. We aimed to determine the clinical characteristics and outcomes of parotid tumors in adolescents under 20 years old. Methods Between 1999 and 2020, 979 cases of benign parotid tumors and 236 cases of malignant parotid tumors were treated surgically in our department. Of these, 12 benign cases (1.2%) and 9 malignant cases (3.8%) were in adolescents. There were no benign or malignant cases for those aged under 10 years. Results Regarding the histological type, all benign tumors were pleomorphic adenomas. About half of malignant tumors were mucoepidermoid carcinomas, and excluding one high-grade case, the grade of malignancy was all low/intermediate. The accuracy of fine-needle aspiration cytology among adolescents showed no significant difference with that of adults. In contrast to adults, adolescent benign tumor cases showed a markedly high rate of pleomorphic adenomas and no postoperative facial nerve palsy. Malignant tumors in adolescents had a different trend than adults; low/intermediate-grade malignancies were common and thus few symptoms/signs of malignancy could be observed. As well, the accuracy of fine-needle aspiration cytology was poor. All cases had a good prognosis and are disease-free survival. Conclusion Parotid tumors in adolescents are rare but have several characteristics that are distinct from adults. As long-term observation is required posttreatment in adolescent patients, recurrence in benign pleomorphic adenomas and poor long-term prognosis in malignant tumors, especially for those with low/intermediate-grade malignancy, are more likely to be observed.


2021 ◽  
Vol 8 (3) ◽  
pp. 382
Author(s):  
Aria Jyothi A. ◽  
Lilarani Vijayaraghavan

Background: Lytic lesions of bone are easier to aspirate and fine needle aspiration cytology aids in an earlier diagnosis. The findings are correlated with radiological findings and subsequent histopathological diagnosis. Sensitivity, specificity, positive and negative predictive value of fine needle aspiration cytology of lytic lesions of bone evaluated.Methods: It was a descriptive study for 2 years. All types of lytic lesions of bone were aspirated with fine needle along with radiological assistance. The cytological diagnosis was correlated with histo pathological diagnosis.Results: A total number of 84 cases were studied with histopathological follow up in 51 cases. FNAC diagnosis was correct in 34 cases. In 8 cases, cytology diagnosis was malignant neoplasm, but correct typing was not possible. In 9 cases cytological diagnosis were inconclusive due to inadequate material. Sensitivity of the test was 70.83%, specificity was 50.12%, positive predictive value was 97.14%, negative predictive value was 6.67% and overall accuracy was 70 .01%.Conclusions: The role of FNAC in diagnosis of bone lesions is both promising and challenging. Because of simplicity, low morbidity and economical benefits, FNAC should be the first step in the diagnosis of bone lesions.


1984 ◽  
Vol 75 (4) ◽  
pp. 633-637
Author(s):  
Tatsuo Iizumi ◽  
Tsunetada Yazaki ◽  
Kenji Rinsho ◽  
Shori Kanoh ◽  
Kenkichi Koiso ◽  
...  

2021 ◽  
Vol 8 (03) ◽  
pp. 126-130
Author(s):  
Lekshmi V ◽  
Mini B

BACKGROUND Fine needle aspiration cytology (FNAC) is commonly used as a safe and minimally invasive diagnostic test in benign salivary gland lesions. Nevertheless, the capacity of aspiration cytology in diagnosing benign lesions in the salivary gland is still disputed because accurate tumour typing is dependent on the quality and yield of the aspirate, as well as the competence of the cytopathologist. We aim to assess the precision of fine needle aspirate in the pre-operative diagnosis of benign salivary gland lesions and compare it with the histopathological findings. METHODS This is a longitudinal study conducted among 45 patients with preoperative cytological diagnosis of benign salivary gland lesions, who were followed-up till surgery with subsequent histopathological examination in Government Medical College, Thrissur, from 1 st January 2013 to 30th June 2015. RESULTS Among the benign neoplasms, 29 out of 30 cases of pleomorphic adenoma were confirmed on histopathology and one was basal cell adenoma. Out of nine cases of Warthin’s tumour, only seven were confirmed by histopathology. Of the remaining two, one was found to be salivary duct carcinoma showing the typical comedo necrosis and the other was found to be low grade mucoepidermoid carcinoma. So, these two cases were found to be false negative. The statistical analysis showed an overall diagnostic accuracy of 95.5 % for benign salivary gland lesions. CONCLUSIONS FNAC is a minimally invasive technique useful in salivary gland lesions. In nonneoplastic lesions surgery can be avoided and in neoplasms appropriate surgery can be planned. An accurate cytological diagnosis is often possible but may sometimes require the expertise of the cytopathology and use of ancillary techniques KEYWORDS Salivary Gland, Fine Needle Aspiration Cytology, Benign Tumours, Pleomorphic Adenoma, Warthin’s Tumour, Mucoepidermoid Carcinoma, Salivary Duct Carcinoma


2018 ◽  
Vol 5 (3) ◽  
pp. 1046
Author(s):  
Harish Kumar C. ◽  
Yaam Kumar C.

Background: Thyroid gland is unique of all endocrine glands because it is the largest, superficial and the only one amendable to direct physical examination. A discrete swelling in one lobe and with no palpable abnormality elsewhere is termed as solitary swelling. Fine needle aspiration cytology (FNAC) is the investigation of choice in solitary thyroid swellings. There is another technique fine needle non aspiration cytology (FNNAC) which avoids aspiration but still permits cytologic review of the swellings which can also be done in thyroid swellings. The objective of the study was to compare and analyze the preoperative efficiency of FNAC vs FNNAC in solitary thyroid nodules and its correlation with post-operative histopathological examination findings.Methods: A total of 72 patients presenting with thyroid nodule in this hospital in BMCRI, Bengaluru during period of January2017 to December2017 underwent both FNAC and techniques. 23 G needles was used for both FNAC and FNNAC. FNAC was performed using needle and a syringe using aspiration. In FNNAC technique the needle held between thumb and fore finger of one hand was gently inserted into the nodule and was moved in different directions. Material entering the needle hub by capillary action was then expressed onto clean glass slides after attaching syringe filled with air to it and smears were prepared. Cases which underwent total/hemi thyroidectomy, the specimen was sent to pathology department in 10% formalin solution.Results: FNNAC produced diagnostically superior samples and less diagnostically inadequate samples than FNAC.Conclusions: As thyroid is a vascular and a colloid organ, in FNAC aspiration gives blood/colloid with less cellular architecture in most of the cases. In FNNAC cellular architecture was preserved with less blood/colloid background which aids in easier cytological diagnosis. Hence FNNAC is a better technique than FNAC in cytological diagnosis of solitary thyroid nodule.


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