scholarly journals Tufts of microfilarial worms in cytological aspirate of spermatic cord: A rare case presentation

2021 ◽  
Vol 6 (4) ◽  
pp. 302-304
Author(s):  
Kafil Akhtar ◽  
Fauzia Talat ◽  
Sumbul Warsi ◽  
Shafaque Zabin

Filariasis is a major health problem in many tropical countries including India. Most commonly affected organs are lymphatics of lower limbs, retroperitoneal tissue, spermatic cord, epididymis and breast. Despite high incidence, it is infrequent to find microfilariae in fine needle aspiration cytology smears and body fluids. Microfilaremia is usually detected in blood or skin specimens. Cytological examination with FNAC is an investigation of choice especially in patients with evident swelling with difficult clinical diagnosis. We present a case of spermatic cord microfilariasis in a 32 years male presented with right scrotal swelling with dancing filarial sign on ultrasonograpghy, while the peripheral blood smear was negative for the organism.

CytoJournal ◽  
2008 ◽  
Vol 6 ◽  
pp. 5 ◽  
Author(s):  
Meenakshi Batrani ◽  
Manju Kaushal ◽  
A. K. Sen ◽  
Rajbala Yadav ◽  
N. K. Chaturvedi

Background: Histological diversity is the hallmark of pleomorphic adenoma, the most common salivary gland tumor. It may cause difficulty in cytological interpretation, due to limited and selective sampling. Case presentation: A 16-year-old female patient presented with right cheek swelling. Fine needle aspiration cytology showed squamous cells, basaloid cells, and foamy cells, along with extracellular keratin and foreign body giant cells. Characteristic metachromatic fibrillary chondromyxoid stroma, which is usually seen in pleomorphic adenoma, was not seen in the aspirate. A diagnosis of mucoepidermoid carcinoma was given on cytology. Subsequent resection revealed an encapsulated pleomorphic adenoma, with extensive squamous metaplasia and appendageal differentiation on histology. Conclusion: This case illustrates that pleomorphic adenoma with squamous metaplasia presents a potential for misinterpretation as mucoepidermoid carcinoma on cytology. We discuss the various pitfalls and the features that are helpful in distinguishing these two lesions.


2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Indumathi Ainer ◽  
Hardip Singh Gendeh ◽  
Salina Binti Husain ◽  
Khadijah Mohd Nor

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.


2020 ◽  
Vol 26 (1) ◽  
Author(s):  
P. A. Egharevba ◽  
O. Omoseebi ◽  
A. I. Okunlola ◽  
O. A. Omisanjo

Abstract Background Leiomyomas are benign smooth muscle tumours predominantly found in the uterus. Rarely, they may be located in the ovaries, scrotum, bladder, lungs, vascular structures and spermatic cord. Case presentation We managed a 39-year-old man who presented with a year history of progressive right-sided hemiscrotal swelling. The right scrotal mass was excised, and histology showed scrotal leiomyoma. Conclusion Scrotal leiomyoma is very rare and challenging to diagnose pre-operatively as a cause of scrotal swelling, but it is amenable to surgical excision.


2021 ◽  
Vol 8 ◽  
Author(s):  
Xin Chen ◽  
Yuan Wang ◽  
Haiyuan Liu ◽  
Honghui Shi ◽  
Qingbo Fan ◽  
...  

Background: Abdominal aggressive fibromatosis (AF) can be confounded with abdominal wall endomentriosis (AWE) because they share considerable similarity. Because of the different patient prognoses and treatment strategies available, accurate pre-operative diagnosis is important.Case Presentation: We here report two cases of abdominal masses presenting as periodic changes in tumor sizes, which occurred in correlation with the menstrual cycle. The clinical findings were highly suggestive of AWE. However, the final pathological findings revealed AF. The estrogen receptor and progesterone receptor expressions were negative in the two cases. The differences between the two diseases have been discussed in detail.Conclusion: A diagnosis of AWE should be scrutinized closely if the patient does not complain of cyclic pain. Fine-needle aspiration cytology is a suitable tool for pre-operative evaluation.


2013 ◽  
Vol 12 (3) ◽  
pp. 334-338
Author(s):  
Ansari Sajid ◽  
Ahmad Kaleem ◽  
Amanullah Md. Farid ◽  
Dhungel Kanchan ◽  
Gupta Mukesh Kumar ◽  
...  

A 16 years old girl presented with low back pain, fever and weakness in both lower limbs for 3 months. Plain radiograph shows lytic lesion in first sacral vertebra and multiple lung nodules. In suspicion of tuberculosis, antitubercular drugs were advised. But magnetic resonance imaging revealed right paraspinal soft tissue mass with multiple lesions in several vertebrae causing spinal canal compression alongwith lesions in iliac bones, sacrum, lung parenchyma and scalp tissue. Fine needle aspiration cytology and biopsy revealed Ewing’s sarcoma. Patient was referred to higher centre for chemotherapy/radiotherapy. Herein we report this rare case of extraosseous Ewing’s sarcoma with disseminated metastases masquerading as Pott’s spine. Bangladesh Journal of Medical Science Vol. 12 No. 03 July ’13 Page 334-338 DOI: http://dx.doi.org/10.3329/bjms.v12i3.15447


Author(s):  
Rupali . ◽  
Karan Sharma ◽  
Nirmal Chand Kajal

<p class="abstract"><strong>Background:</strong> Tuberculosis (TB) is primarily a disease of lungs but can affect any part of the body. Among extrapulmonary TB, tuberculosis of otorhinolaryngeal region is uncommon but not rare. Despite the best efforts of the RNTCP, tuberculosis is still a major health problem in India. In our study screening of the pulmonary tuberculosis patients was done to know the incidence and pattern of otorhinoloryngeal manifestations and also to know the treatment outcome after follow up of patient till completion of DOTS therapy under RNTCP.</p><p class="abstract"><strong>Methods:</strong> This study included 400 pulmonary tuberculosis patients, both sputum positive and sputum negative (200 patients in each group) of newly treated (ND) and previously treated (PT) categories. After complete history, physical and local examination, suspected patients were evaluated for otorhinolaryngeal manifestations of tuberculosis. The diagnosis was confirmed after culture swabs, fine needle aspiration cytology (FNAC) and biopsy for histopathological examination (HPE).</p><p class="abstract"><strong>Results:</strong> Out of total 400 patients majority of patients belong to 21-30 years age group. Out of total 400 patients, 5 (1.25%) patients were having laryngeal tuberculosis, 1 (0.25%) patient of tubercular otitis media and 2 (0.5%) patients were having nasal TB. Results of our study are consistent with previously done studies despite RNTCP treatment. The treatment outcome was good after completion of ATT.</p><p class="abstract"><strong>Conclusions:</strong> Every patient of pulmonary TB with complaint related to otorhinolaryngeal region should be examined and followed up with high suspicion of ENT related tuberculosis.</p>


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Santosh Tummidi ◽  
Bitan Naik ◽  
Arundhathi Shankaralingappa ◽  
Pavithra Balakrishna ◽  
Arati Ankushrao Bhadada ◽  
...  

Abstract Background Fine needle aspiration cytology (FNAC) with rapid on-site evaluation has a great potential for the diagnosis of fungal lesions and other opportunistic infections. Fungal infections have been in increasing trend in the past two decades due to immunosuppression, travel, and environmental exposure. Human disease caused by Phaeoacremonium species is rare and was first reported in 1974 as subcutaneous tissue infection in a renal transplant recipient. Case presentation We report a case of subcutaneous tissue swelling in a 67-year-old male, wherein FNAC was done with incidental detection of the fungus (Phaeoacremonium spp). Conclusion There are very few reported cases of subcutaneous infection in humans by Phaeoacremonium spp. Clinical suspicion and FNAC can play an important role in early detection of the fungus, prevent spread, and facilitating early treatment.


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Fazl Qadir Parray ◽  
Rayees Ahmad Dar ◽  
Nisar Ahmad Chowdri ◽  
Arif Hamid ◽  
Rayees Ahmed Malik

Primary malignant tumours of spermatic cord are rare. The liposarcoma of spermatic cord is a rare entity and only a few cases have been reported in the literature. We report a case of forty five-year-old male with huge left inguinoscrotal swelling. Fine needle aspiration cytology (FNAC) of swelling revealed the diagnosis of a liposarcoma. The patient was subjected to radical orchidectomy and wide excision. Histopathological examination (HPE) of the resected specimen reported a well-differentiated liposarcoma of the spermatic cord and confirmed the diagnosis.


2021 ◽  
Vol 8 (1) ◽  
pp. C6-9
Author(s):  
Challa Sukumar ◽  
Aarzoo Jahan ◽  
Shakti Kumar Yadav ◽  
Sompal Singh ◽  
Namrata Sarin

Teratomas are tumours which are derived from all the 3 germ cell layers: endoderm, mesoderm and ectoderm with varying proportions. Cervical teratomas in children are almost always benign but locally aggressive. They can present with respiratory distress and immediate excision is required. The cervical teratoma is an uncommon entity which are rarely reported in Indian medical literature particularly on FNA. We present a case of an anterior cervical teratoma in an infant which was diagnosed on the base of FNA material.


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