scholarly journals Primary Tubercular Parotitis

2015 ◽  
Vol 3 (1) ◽  
pp. 48-50
Author(s):  
Tulika Dubey ◽  
Bishwo Tulachan ◽  
BN Borgohain ◽  
Sabina Rai
Keyword(s):  
Clinical Presentation ◽  
Needle Aspiration ◽  
Rare Entity ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Fine Needle ◽  
Parotid Neoplasm ◽  
Parotid Swelling ◽  
Needle Aspiration Cytology

This is a case report of a 50 years old female who was diagnosed as primary tubercular parotitis. The clinical presentation was similar to that of a parotid neoplasm. She was treated with anti tubercular therapy.Tubercular parotitis is a very rare entity even in the countries where tuberculosis is highly prevelant. The presentation being similar to a neoplasm may bring about diagnostic dilemma and the patient may have to undergo unnecessary surgery. So in cases where we encounter a chronic parotid swelling, we have to be highly suspicious in diagnosing and a thorough workup in the line of tuberculosis has to be done even in the absence of clinically evident foci of tuberculosis elsewhere. Ultrasonography (USG) and Fine Needle Aspiration Cytology (FNAC) prove to be very useful in diagnosing such cases and these cases are better treated medically.Journal of Universal College of Medical Sciences Vol. 3, No. 1, 2015: 48-50

scholarly journals Parotid oncocytoma: diagnostic vs surgical dilemma

2017 ◽  
Vol 5 (1) ◽  
pp. 22-23
Author(s):  
Suman Thapa ◽  
R. Parajuli ◽  
T. Limbu ◽  
R. Bhandari
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Benign Tumors ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Fine Needle ◽  
Parotid Swelling ◽  
Needle Aspiration Cytology ◽  
Slow Growing

Oncocytomas are rare benign tumors of salivary gland origin, most often seen involving the parotid gland. They should be considered as a possible diagnosis in elderly patients with slow growing, nontender and mobile parotid swelling. We report here a middle aged female with left parotid swelling that was misdiagnosed on fine needle aspiration cytology and confirmed with histopathology report. Rarity of the disease with frequent cytologic overlaps and interpreter’s inexperience account for the majority of aspiration cytology pitfalls. Therefore, aspiration cytology alone may be misguiding at times, leading to surgical over-correction and further potential complications. The ever-changing trends of mucoepidermoid carcinoma (pre-operative, fine needle aspiration cytology), pleomorphic adenoma (intraoperative) and oncocytoma (post-operative, histopathology) have created diagnostic dilemma, confusion and challenged the surgical rationale. In cases with discrepancy between clinical, cytological and pathological reports, diagnostic as well as surgical dilemma exists wherein a thorough diagnostic re-assessment and a proper surgical revision is warranted.  

scholarly journals Sclerosing hemangioma: A diagnostic dilemma in fine needle aspiration cytology

CytoJournal ◽  
2016 ◽  
Vol 13 ◽  
pp. 9 ◽  
Author(s):  
Jennifer Zeng ◽  
Fang Zhou ◽  
Xiao-Jun Wei ◽  
Sandor Kovacs ◽  
Aylin Simsir ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Clinical Presentation ◽  
Benign Neoplasm ◽  
Needle Aspiration ◽  
Cell Block ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Sclerosing Hemangioma ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Sclerosing hemangioma of the lung is a benign neoplasm with a widely debated histogenesis. It has a polymorphic histomorphology characterized by a biphasic cell population of “surface cells” and “round cells” arranged in four general patterns: Papillary, solid, angiomatous, and sclerotic. This variability in histomorphology makes it difficult to diagnose sclerosing hemangioma by fine needle aspiration (FNA). We present a case of sclerosing hemangioma diagnosed on FNA with immunohistochemistry performed on an accompanied cell block. The clinical presentation, cytomorphology, immunohistochemistry, and differential diagnoses are discussed.

scholarly journals Correlation of fine needle aspiration cytology with histopathology findings in cases of thyroid lesions in Bir Hospital

2014 ◽  
Vol 9 (1) ◽  
pp. 23-29
Author(s):  
PB Thapa ◽  
D Shrestha ◽  
JP Pradhananga
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Thyroid Lesion ◽  
Fine Needle ◽  
Study Results ◽  
Needle Aspiration Cytology ◽  
Thyroid Lesions

Aims: To correlate the findings of fine needle aspiration cytology (FNAC) with the histopathology( HPE) of the excised nodule or specimen and to assess the accuracy and efficacy of FNAC in the diagnosis of the thyroid nodules. Materials and methods: This is a prospective study conducted at the Department of Ear Nose Throat (ENT) & Head & NecK Surgery( HNS), National Academy of Medical Sciences, Bir Hospital, Kathmandu from 2nd January 2009 to 29th December 2011. One hundred patients with thyroid nodule were included in the study. Results: Out of 100 patients 77 were females and 23 males. The age ranged from 11-60 years. Statistical analysis of results for Benign Thyroid lesion showed 98.6% sensitivity, 75 % specificity. Likewise, results for Malignant thyroid lesions showed 75 % sensitivity, 98.6 % specificity . Conclusion: FNAC has high accuracy in the diagnostic evaluation of thyroid lesions. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-1, 23-29 DOI: http://dx.doi.org/10.3126/jcmsn.v9i1.9670

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