Cytological features in equivocal diagnoses (C3/4) of breast fine needle aspiration cytology

2006 ◽  
Author(s):  
Nga-shan, Phyllis Leung
1995 ◽  
Vol 109 (1) ◽  
pp. 36-38 ◽  
Author(s):  
Asitava Mondal ◽  
D. K. Patra

AbstractTuberculosis of the thyroid gland is an extremely rare condition. Amongst 1565 cases of thyroid lesions subjected to fine needle aspiration cytology (FNAC) over a period of nine years, 18 cases (1.15 per cent) were found to have cytological features consistent with tuberculosis thyroiditis. Acid-fast bacilli were isolated in all cases. The ages of the patients ranged from 36 to 52 years with a median age of 46 years: there were 12 females and 6 males. All the patients presented with painless solitary nodules of the thyroid. Three patients had concomitant cervical lympadenopathy and four patients were known to have tuberculosis of the lungs which was being treated. Solitary nodules of the thyroid were confirmed by a thyroid scan with radioactive iodine. Fine needle aspirates from thyroid swellings showed epithelioid granulomas with necrosis in all cases. There were no false reports or complications.It is evident from this study that FNAC is an efficient way with which to detect tuberculosis of the thyroid gland.


2010 ◽  
Vol 2 (02) ◽  
pp. 117-120 ◽  
Author(s):  
Veda P. ◽  
Srinivasaiah M.

ABSTRACTIncisional endometriosis (IE) is a rare entity reported in 0.03–1.08% of women following obstetric or gynecologic surgeries. Most cases reported in literature have appeared after cesarean sections and were often clinically mistaken for hernia, abscess, suture granuloma or lipoma. We hereby report a case of IE following a second trimester hysterotomy, which was diagnosed by fine needle aspiration cytology (FNAC). Our patient was 26 years old, presenting with a mass over anterior abdominal wall, associated with incapacitating pain during each menstrual cycle. FNAC showed epithelial cells, stromal cells and hemosiderin laden macrophages. Based on the typical history, clinical and cytological features, the diagnosis of IE was established. Wide surgical excision was done and the resulting rectus sheath defect was repaired. Patient was followed for 6 months during which time she was symptom free. This article also reviews the spectrum of cytological features and the rare possibility of malignant transformation that can occur in IE.


2019 ◽  
Vol 28 (1) ◽  
pp. 38-43
Author(s):  
Francesca Ambrosi ◽  
Esther Diana Rossi ◽  
Serena Calderoni ◽  
Maria Cristina Cucchi ◽  
Gianni Saguatti ◽  
...  

Epitheliosis (or usual duct hyperplasia) is a proliferation of epithelial and myoepithelial cells located within enlarged acini and small ducts, which is characterized by irregular and peripheral fenestration. Infiltrating epitheliosis (IE) is a specific lesion, characterized by classical epitheliosis flowing out into the adjacent stroma. The stroma is desmoplastic and shows keloid appearance with irregular elastosis. IE can mimic malignancy both on radiological and histological grounds. The aim of the present study is to describe the fine needle aspiration cytological features of 6 consecutive cases of IE, with histological correlation. IE cases presenting as screen detected lesions and preoperatively diagnosed on fine needle aspiration cytology (FNAC) were reviewed. All patients had radiologically breast lesions suspicious for malignancy that underwent FNAC followed by surgical resection. The FNAC smears presented some features that could lead to a misdiagnosis of malignancy, such as bloody background, high cellularity, and stromal fragments containing epithelial cells. Nevertheless, malignancy was excluded, due to the absence of atypia and the presence of myoepithelial cells in the cell clusters. IE presents a special FNAC pattern that can be misinterpreted as malignancy. Therefore, knowledge is necessary to avoid patient overtreatment.


2014 ◽  
Vol 6 (02) ◽  
pp. 130-132 ◽  
Author(s):  
Anuradha Sinha ◽  
Subrata Pal ◽  
Jyoti Prakash Phukan

ABSTRACTEccrine spiradenoma is an uncommon benign adnexal tumor. Cytological features of eccrine spiradenoma have been described very rarely in English literature. In the present case, we are describing a case of eccrine spiradenoma of back, which was diagnosed by fine-needle aspiration cytology and subsequently confirmed by histopathology. Its cytology revealed tight multilayered clusters of uniform benign cuboidal epithelial cells along with spindle-shaped myoepithelial cells and occasional lymphocytes.


2021 ◽  
Vol 6 (2) ◽  
pp. 128-131
Author(s):  
Suman Singh ◽  
Neelam ◽  
Rashmi K Raina

Juvenile xanthogranuloma(JXG) is an uncommon benign histiocytic cutaneous lesion which is seen primarily in first two decades of life. There is not much literature available on its cytology. We present a case of solitary juvenile xanthogranuloma in a 43 years old female located above left nasal ala which was diagnosed on Fine needle aspiration cytology and subsequently confirmed on histology. Characteristic cytological features favored a diagnosis of juvenile xanthogranuloma.


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