scholarly journals Cytomorphological spectrum of epididymal nodules: An institution's experience

CytoJournal ◽  
2017 ◽  
Vol 14 ◽  
pp. 26 ◽  
Author(s):  
Jyotsna Naresh Bharti ◽  
Biswajit Dey ◽  
Jenna Bhattacharya ◽  
Shyama Jain
Keyword(s):  
Fine Needle Aspiration Biopsy ◽  
Case Series ◽  
Needle Aspiration ◽  
Definitive Diagnosis ◽  
Surgical Interventions ◽  
Neoplastic Lesions ◽  
Epidermal Inclusion Cyst ◽  
Cytological Features ◽  
23 Gauge

Background: Epididymal lesions are uncommon in clinical practice. Few case series has been described in the literature documenting the role of cytology in the evaluation of epididymal nodules. This study was undertaken to analyze the cytomorphology of epididymal nodules and to evaluate role of fine-needle aspiration biopsy (FNAB) in early definitive diagnosis of epididymal nodules. Materials and Methods: A total of seventy cases of epididymal nodules were aspirated over a period of 6 years in the Department of Pathology. These cases were taken from the cytology record as a part of this study. The aspiration was performed using 22/23-gauge needle. Smears were stained with May-Grunwald-Giemsa and Papanicolaou stains. Special stains and immunocytochemistry were performed, wherever required. Results: The cytological features were adequate to establish the diagnosis in sixty cases. The lesions diagnosed were tuberculosis 16 (22.85%), spermatoceles 12 (17.14%), benign cystic lesion 8 (11.42%), encysted hydrocele 8 (11.42%), acute suppurative lesion 6 (8.57%), filariasis 4 (5.71%), chronic epididymitis 3 (4.28%), nodular fasciitis 1 (1.42%), epidermal inclusion cyst 1 (1.42%), and cystic adenomatoid tumor 1 (1.42%). Ten cases were inadequate to establish the diagnosis. FNAB was useful in diagnosis of 86% of cases. Infectious lesions of the epididymis were more common than neoplastic lesions. Patients with infection responded well to medical treatment. Conclusions: FNAB is an easily available technique for palpable lesions of epididymis, and it helps in making an early, near definitive diagnosis of epididymal lesions. It also helps to avoid unnecessary surgical interventions and helps in timely management.

scholarly journals Adult exogenous lipoid pneumonia: A rare and underrecognized entity in cytology – A case series

CytoJournal ◽  
2018 ◽  
Vol 15 ◽  
pp. 17 ◽  
Author(s):  
Simon Sung ◽  
Henry D. Tazelaar ◽  
John P. Crapanzano ◽  
Aziza Nassar ◽  
Anjali Saqi
Keyword(s):  
Case Reports ◽  
Case Series ◽  
Invasive Procedure ◽  
Needle Aspiration ◽  
Definitive Diagnosis ◽  
Imaging Features ◽  
Lipoid Pneumonia ◽  
Fine Needle ◽  
Cytological Features ◽  
Appropriate Therapy

Background:Exogenous lipoid pneumonia (ELP) is a rare benign entity without specific clinical or imaging presentation. Although cytological studies – either bronchoalveolar lavage (BAL) or fine-needle aspiration (FNA) – may be pursued in patients with ELP, a definitive diagnosis is frequently rendered only on histology. The aim of this study is to highlight the cytological features of ELP.Methods:A search of cytopathology (CP) and surgical pathology (SP) diagnoses of ELP was conducted. The corresponding clinical and imaging features were obtained, and the morphology, particularly the presence and size of the intracytoplasmic vacuoles and background, was assessed.Results:Nine cases of ELP were identified, including eight with corresponding CP and SP. A neoplasm was suspected in three based on imaging, but ELP was not in the differential clinically or radiographically in any. Among the cases, six patients had BALs and three FNAs. All of the samples showed multiple large vacuoles within macrophages with at least some equal to or larger than the size of the cell nucleus. Similar vacuoles were noted extracellularly on smears.Conclusions:ELP is typically described in case reports in the clinical or radiological literature. To the best of our knowledge, this represents the largest series of adult ELP in CP. When large vacuoles are present in macrophages in cytology specimens, at least a suspicion of ELP can be suggested to initiate appropriate therapy, identify/remove the inciting agent, and preclude a more invasive procedure.

scholarly journals Fine needle aspiration biopsy: the role of immediate cytologic assessment

1986 ◽  
Vol 147 (1) ◽  
pp. 155-158 ◽  
Author(s):  
DA Miller ◽  
CH Carrasco ◽  
RL Katz ◽  
FM Cramer ◽  
S Wallace ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Aspiration Biopsy ◽  
Fine Needle ◽  
Needle Aspiration Biopsy

scholarly journals The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

2016 ◽  
Vol 60 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Fabio Pagni ◽  
Marta Jaconi ◽  
Andrew James Smith ◽  
Ambrogio Brenna ◽  
Maria Gabriella Valente ◽  
...  
Keyword(s):  
Case Series ◽  
Needle Aspiration ◽  
Lesion Size ◽  
Fine Needle ◽  
Computed Tomography Scans ◽  
The Mean ◽  
The Right ◽  
First Time ◽  
Orbital Lesions

Objective: This paper analyzes a series of ultrasound (US)-guided orbital fine needle aspirations (FNAs) which provide diagnostic information that cytopathologists approaching orbital lesions for the first time can find useful and underlines the importance of teamwork. Study Design: The investigators retrospectively obtained data from 24 consecutive orbital FNAs. For all patients, a complete clinicoradiological database was created. FNAs were performed under US guidance with 25-gauge needles and an aspiration biopsy syringe gun, and sent to the Department of Pathology for examination and data management. Results: The mean age of the patients was 54 years. Imaging studies included US, magnetic resonance imaging and computed tomography scans; 9 lesions involved the right orbit and 15 the left orbit. The mean lesion size was 23.6 ± 7.2 mm. After microscopic examination, 7 smears were labeled as ‘nondiagnostic', while in 17 cases a definitive diagnosis was proposed, which always proved to be correct (70.8%, specificity = 100%). Conclusions: The investigators believe that FNA biopsy of orbital masses is a necessary step; its weaknesses lie in the particularly delicate site of sampling and the extreme heterogeneity of lesions. Nevertheless, when orbital FNA is performed within a well-coordinated multidisciplinary team, it is a powerful tool that can be used to define the most appropriate management of these patients.

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