scholarly journals A PARTICULAR PRESENTATION OF A DIFFUSE PEDUNCULATED LIPOMA OF THE SACRAL REGION

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Mihaela Berevoescu ◽  
Mihai Barbulescu ◽  
Nicolae Iustin Berevoescu ◽  
Florin Andrei Grama ◽  
Gabriela Lică ◽  
...  
Keyword(s):  
Clinical Features ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Soft Tissue Tumors ◽  
Point Of View ◽  
Fatty Tissue ◽  
Sacral Region ◽  
Benign Soft Tissue Tumors ◽  
Needle Aspiration Cytology ◽  
Pedunculated Tumor

Background. Subcutaneous lipomas are one of the most common benign soft tissue tumors seen in clinical practice. They may occur at any age, affecting men more often than women. In therapeutically neglected cases, these lesions may have unusual clinical features. Our case highlights one such form that may be found amongst subcutaneous lipomas. Case report. A 37-year-old man came to the Surgical Clinic for treatment of an ulcerated, pedunculated tumor, measuring 14.5/8/7 cm, located in the sacral region. Clinically, liposarcoma was considered as the diagnosis. Although preoperative fine needle aspiration cytology (FNAC) of the tumor showed mature adipose tissue fragments on all cytological smears, surgical excision was performed, with intraoperative extemporaneous histological examination of the tumor. Histopathological results showed a lipoma with unusual associated features: ulceration of the overlying skin and fatty tissue necrosis, with formation of abscess areas. Conclusion. Therapeutically neglected subcutaneous lipomas may have unusual clinical features, leading to difficulties for both diagnosis and therapeutic approach. This case complements the existing data, from the point of view of the clinical presentation, as well as the histopathological characteristics that a subcutaneous lipoma may have.

scholarly journals Efficacy of fine needle aspiration cytology in diagnosing soft tissue tumors

2012 ◽  
Vol 2 (4) ◽  
pp. 305-308 ◽  
Author(s):  
S Parajuli ◽  
M Lakhey
Keyword(s):  
Soft Tissue ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Soft Tissue Tumors ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Benign Soft Tissue Tumors ◽  
Needle Aspiration Cytology ◽  
Malignant Soft Tissue

Background: Fine needle aspiration cytology has an established role in the diagnosis of various neoplastic and non-neoplastic lesions. Its accuracy when applied by experienced and well trained practitioners matches that of histopathology in providing an equivocal diagnosis; so it can also be used as a very useful alternative to excision biopsy in the diagnostic workup of soft tissue tumors.Materials and Methods: This retrospective study was done in the Department of Pathology, Kathmandu Medical College for a period of one year from January 2006 to December 2006. A total of 60 cases presented with soft tissue tumors, of which only 50 were biopsied and the correlation done. A detailed history, clinical findings, routine relevant laboratory investigations and radiological findings were carried.Results: Fine needle aspiration cytology revealed diagnostic materials in 47 cases and 3 cases were inconclusive for a definite diagnosis. 40 cases were diagnosed as benign lesions and 7 cases as malignant lesions. Out of the benign cases, the most common were lipomas which accounted for 52.5% of cases followed by benign mesenchymal tumor- 17.5%. Out of the malignant cases 71.42% were diagnosed as malignant mesenchymal tumor and 28.57% as malignant nerve sheath tumor. The overall diagnostic accuracy of fine needle aspiration cytology in soft tissue tumors in the present study was 86%. The sensitivity and specificity of diagnosing benign soft tissue tumors was 97.36% and 66.67% respectively and for malignant soft tissue tumors 66.67% and 97.36% respectively.Conclusion: Fine needle aspiration cytology can be effective and reliable diagnostic tool in the evaluation of soft tissue tumors. It is highly sensitive to detect benign soft tissue tumors and highly specific for malignant soft tissue tumors.Journal of Pathology of Nepal (2012) Vol. 2, 305-308DOI: http://dx.doi.org/10.3126/jpn.v2i4.6884

scholarly journals Hand tumors: A review of 186 patients at a single institute

2021 ◽  
Vol 29 (1) ◽  
pp. 230949902199399
Author(s):  
Taketsugu Fujibuchi ◽  
Hiroshi Imai ◽  
Joji Miyawaki ◽  
Teruki Kidani ◽  
Hiroshi Kiyomatsu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Features ◽  
Malignant Tumors ◽  
Proximal Phalanx ◽  
Delayed Diagnosis ◽  
Ring Finger ◽  
Soft Tissue Tumors ◽  
Body Parts ◽  
Maximal Diameter ◽  
Benign Soft Tissue Tumors

Purpose: The spectrum of diagnoses and clinical features of hand tumors differ from those of tumors in other body parts. However, only a few reports have comprehensively referenced the diagnosis and clinical features of hand tumors. This study aimed to elucidate the diagnostic distribution and the clinical features of hand tumors undergone surgery in our institute. Patients and methods: A total of 235 lesions in 186 patients diagnosed with hand tumors between 1978 and 2020 were reviewed. Age at surgery, gender, chief complaint, tumor location, and pathological diagnosis were analyzed. Results: There were 121 benign bone tumors, 98 benign soft tissue tumors, and 16 malignant tumors. Chondroma and tenosynovial giant cell tumor were common benign bone and soft tissue tumors at the proximal phalanx of the ring finger and the palm, respectively. Meanwhile, chondrosarcoma and synovial sarcoma were common malignant tumors at the dorsal part of the hand. Local pain and painless mass were the chief complaints in patients with benign bone and soft tissue tumors, respectively. Most patients with malignant tumors were referred after unplanned resection. When patients were classified into two categories by tumor size according to maximal diameter, tumors larger than 19 mm had a significantly higher risk of malignant ( p = 0.031) despite being smaller than other tumors in different body parts. Conclusion: When a tumor malignancy is suspected, the patient should be referred to a specialist to avoid unplanned resection or delayed diagnosis due to misdiagnosis. Knowing the distribution and clinical features should help in diagnosing hand tumors.

scholarly journals Retroperitoneal pelvic schwannoma in pregnancy: a case report

2017 ◽  
Vol 6 (8) ◽  
pp. 3689 ◽  
Author(s):  
Nithya J. ◽  
Banumathy M. ◽  
Radha A.
Keyword(s):  
Spindle Cell ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Nerve Sheath Tumor ◽  
Ct Guided ◽  
Spindle Cell Neoplasm ◽  
Complete Surgical Excision ◽  
S 100 ◽  
Needle Aspiration Cytology ◽  
In Pregnancy

Solitary nerve sheath tumor such as Benign schwannomas arising in the pelvic retro peritoneum is infrequently reported. Retroperitoneal location accounts for 0.3-3.2% of primary schwannomas. We report a case of benign retroperitoneal pelvic schwannoma in pregnancy that was incidentally diagnosed when it presented with Preterm premature rupture of membranes and mechanical obstruction for labour. She underwent caesarean section and delivered a healthy baby. She was evaluated in the postoperative period by computerized tomography (CT) imaging studies and CT guided fine needle aspiration cytology (FNAC) was not diagnostic. Complete surgical excision of the tumor was achieved in the postpartum period. The adjacent vascular and urinary channels sustained no injuries and she had no neurologic deficit. Histology revealed spindle cell neoplasm composed of interlacing fascicles and sheets of spindle cell with focal areas of nuclear palisading and thick walled blood vessels. Immunohistochemistry was positive for S 100 suggesting schwannoma. Retroperitoneal location of schwannomas is rare and surgery is curative. Prognosis is good, since recurrence is rare. 

Pitfalls and Key Features of a Case of Sclerosing Pneumocytoma: A Cytological Challenge?

2016 ◽  
Vol 60 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Monica Onorati ◽  
Marta Nicola ◽  
Chiara Luisa Bianchi ◽  
Francesco Bini ◽  
Nadia Bellaviti ◽  
...  
Keyword(s):  
Lung Nodule ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Lung Tumour ◽  
Current Case ◽  
Sclerosing Hemangioma ◽  
Positron Emission ◽  
Key Features ◽  
Needle Aspiration Cytology ◽  
Tomography Scan

Background: The aim of the current case report is to re-evaluate the key features and pitfalls of fine-needle aspiration cytology (FNAC) in the diagnosis of sclerosing pneumocytoma (previously named sclerosing hemangioma) and to establish the importance of FNAC in addressing a proper surgical strategy. Case: Herein we documented a case of a 70- year-old man with a lung nodule which showed a hypermetabolic uptake on positron emission tomography. He therefore underwent FNAC under computed tomography scan guidance with a 22-gauge needle. The cytopathological examination allowed a diagnosis of sclerosing pneumocytoma. A wedge surgical excision was performed and the histological examination confirmed the cytological diagnosis. Conclusion: FNAC is a fundamental tool for distinguishing sclerosing pneumocytoma from a malignant lung tumour and together with clinical, radiological and pathological multidisciplinary assessment is indispensable in planning appropriate surgical management. Cytopathologists should be aware of the pitfalls and key features of the cytopathological diagnosis of sclerosing pneumocytoma, which can significantly change the surgical approach to the patient and protect him from aggressive overtreatment.

scholarly journals A Bilobed Schwannoma in Roof of Orbit: A Rare Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Somya Dulani ◽  
Sachin Diagavane ◽  
Seema Lele ◽  
Harshal Gaurkhede
Keyword(s):  
Peripheral Nerve ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Supraorbital Nerve ◽  
Nerve Tumor ◽  
Peripheral Nerve Tumor ◽  
Rare Case Report ◽  
Needle Aspiration Cytology ◽  
Painless Mass

In this paper, we report a case of bilobed schwannoma, presented in the roof of orbit arising from supraorbital nerve. A 62-year male presented with a nontender mass in superior part of orbit and eccentric proptosis. Visual acuity and rest of ocular examination were normal. CT scan and MRI orbit revealed an extraconal homogenous bilobed mass, of size 3.5 to 2.5 cms in roof of orbit. Fine needle aspiration cytology was done, which was suggestive of schwannoma a peripheral nerve tumor. Successful surgical excision of intact bilobed schwannoma was done with careful separation and preservation of supraorbital nerve from which it was originated. Postoperative period was uneventful though rare, less than 1%, schwannoma can present as painless mass in the orbit and proptosis. Treatment of choice is surgical excision of intact tumor to prevent recurrence and preservation of peripheral nerve from which it arises.

scholarly journals Role of fine needle aspiration cytology in the diagnosis of soft tissue tumors - a prospective study

2019 ◽  
Vol 5 (8) ◽  
pp. 535-541
Author(s):  
Dr. Lakshmi Saraswathi Boni ◽  
◽  
Dr. Sumalatha Kasturi ◽  
Dr. Prasad Uma ◽  
Dr. Bhagyalakshmi Atla ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Prospective Study ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Soft Tissue Tumors ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Needle Aspiration Cytology ◽  
A Prospective Study

scholarly journals Clinicopathological evaluation of thyroid swelling in patient attending Hamidia Hospital Bhopal

2020 ◽  
Vol 7 (7) ◽  
pp. 2222
Author(s):  
Samir Shukla ◽  
Shashi kant Tiwari
Keyword(s):  
Thyroid Nodule ◽  
Surgical Excision ◽  
Thyroid Function Test ◽  
Needle Aspiration ◽  
Medical College ◽  
Neoplastic Lesion ◽  
Thyroid Swelling ◽  
Needle Aspiration Cytology ◽  
Gandhi Medical College ◽  
A Prospective Study

Background: The prevalence of thyroid nodule ranges from 4-10% in general population. Its treatment includes either conservative management or surgical excision of gland. Fine needle aspiration cytology (FNAC) has emerged as most accepted, accurate diagnostic procedure and considered the gold standard diagnostic test in evaluation of thyroid nodule, other tests like ultrasound, nuclear scan used in conjunction with FNAC. The aim of study was to study the spectrum of diseases in thyroid swelling and accuracy of FNAC in the diagnosis.Methods: A prospective study, with total 50 patients, was conducted during period from 2017-2019 in department of surgery, Gandhi Medical College Bhopal. All patients who underwent thyroid surgeries were selected for study. All patients underwent detailed history, clinical examination, routine investigations, thyroid function test, FNAC, ultrasonography neck and histopathological examination.Results: Of 50 cases female to male ratio was 9.2:1, with median age group was 38.6 years. Among all, 42 (84%) were benign, 3 (6%) malignant and 5 (10%) suspicious. Of 5 suspicious lesions, only 1 (5%) case found malignant. Hemi thyroidectomy was common surgery performed, followed by subtotal/near total and total thyroidectomy.Conclusions: Thyroid swellings are common in females occur in 3rd and 4th decade most commonly. FNAC is very useful and indispensable in the diagnosis. Most common non neoplastic and neoplastic lesion was solitary thyroid nodule and papillary carcinoma respectively.

scholarly journals General surgeon’s experience in managing extra pelvic endometriosis

2020 ◽  
Vol 7 (7) ◽  
pp. 2384
Author(s):  
Muhammad Eimaduddin Sapiee ◽  
Roziana Ramli ◽  
Nor Syahaniza Waheeda Alias ◽  
Zailani M.
Keyword(s):  
Histopathological Examination ◽  
Iliac Fossa ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Left Iliac Fossa ◽  
General Surgeons ◽  
Needle Aspiration Cytology ◽  
Extrapelvic Endometriosis ◽  
Wall Mass

Two unusual cases of extrapelvic endometriosis are discussed here. Both presented themselves to the general surgeons. Case 1 presented with cyclical painful abdominal wall mass at the left iliac fossa region. Ultrasound and computed tomography scan showed a solitary mass at the subcutaneous region and fine needle aspiration cytology revealed endometriosis. The patient underwent wide surgical excision and recovered. Case 2 presented with painless swelling at the left inguinal area whilst being pregnant. Surgical exploration was performed for ‘left inguinal hernia’ but an encysted mass was found in the inguinal canal which was excised. Histopathological examination reported endometriosis. Both cases were subsequently under gynaecological follow-up. It is important for the surgeons to include endometriosis as one of the differential diagnosis in the management of their female patients with mass or swelling.

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