Adrenocortical tumors are rare in childhood and adolescence. They account for 0.2% of pediatric tumors. Adrenal tumors that exclusively secrete androgens are rare. We here report a case of 13 month old male child with androgen secreting right adrenal gland tumor. The child presented with frontal baldness, acne, pubic hair and enlarged penis. This case is presented because of its rarity.
Introduction: Cell block is a useful method to evaluate pleural effusion by enabling observation of tissue morphology and also additional sections that are useful for special stains and immunochemistry. Because of its safe and easy collection, pleural fluid cell block is considered an alternative to pleural tissue, especially if the patient not eligible for surgery or biopsy. The cell block technique now takes an intermediate position between histological and cytological examination. So the aim of this study is to know the effectiveness of cell block technique over the conventional smears in pleural fluid analysis. Methodology: It is a prospective study conducted for a period of 5 months from 1 st August 2019 to 31 st December 2019 in the Department of Pathology, RVM Institute of medical sciences and Research Centre. During this period, total 50 cases of pleural effusion which were admitted in medical ward of RVMIMS&RC hospital. Pleural fluid samples obtained from aspiration of all the admitted pleural effusion cases are analyzed during the above period. Results: Out of the total 50 cases included in this study, males were 35 and female were 15 contributing 60% and 40% respectively. Males are more than females. Age range of the study participants was from 20-70 years, with the dominant age group being 31-40 years. In the present study, 16% were diagnosed as malignancy on cell block and only 10% were diagnosed as positive for malignancy on cytosmears.
Conclusion:The present study demonstrates that the pleural fluid cytology cell block techniques are the most useful tests in establishing the diagnosis of pleural effusion. Cytological examination of body fluids is a complete diagnostic modality which aims at pointing out the etiology and prognosis of effusion. But, with the help of cell block technique and it helps in reaching at a near accurate diagnosis.
Introduction: Preoperative histopathological diagnosis is corner stone, which are most definitive methods of preoperative diagnosis. So the aim of the study is to determine the effectiveness of core needle biopsy in establishing the diagnosis. Methodology: Hospital based Prospective study which was conducted in department of pathology, RVM Institute of medical Sciences and Research Centre, Siddipet district, Telangana state. A total of 33 cases were studied from March 2019 to December 2019.Results: In the present study the female participants are more than the males with an observed gender ratio (M: F) 0.8:1.2.The diagnostic results from the samples of core needle biopsy are classified into 4 types and 2 samples (6%) were not adequate to diagnose. The major type of tumors are Primary Malignant type of tumors that is 49%, followed by metastatic type 24%,benign type are 18% and Chronic osteomyelitis was 1 case (3%).
Conclusion:The diagnostic accuracy, sensitivity, specificity, and positive and negative predictive values was 100% which was presented in table 6, were determined on the basis of 31cases, our core needle biopsy diagnosis was matching with definitive diagnosis after surgery.
Introduction: Most of the intra-abdominal masses are not palpable and even if palpable, the exact size, shape and extent of lesion is not markable. Therefore, various imaging modalities like USG, CT and fluoroscopy are used for guiding fine needle aspiration. This emphasizes the need to analyze the value of percutaneous aspiration biopsy cytology of intra-abdominal masses as a diagnostic modality, in avoiding operative intervention and facilitating treatment planning. Aim and objective of this study is to assess the diagnostic utility of percutaneous aspiration in intra-abdominal and pelvic masses. Methodology: Prospective study conducted in RVM Institute of Medical Sciences, Siddipet Telangana state. The study participants are 30cases. All the 30 cases were subjected for ultrasound guided FNAC in the departments of Pathology with the aid from Radiology department. Study period was one year from January 2019 to December 2019. Results: Out of the 30 cases the most observed lesions are hepatic with 9 cases, followed by ovarian lesions 7 and retroperitoneal 6 cases. Most of the lesions are malignant (77%) in nature, among the ovarian lesions 43% are benign, followed by 50% malignant type in retroperitoneal lesions according to the histo-pathology findings. Conclusion: FNAC showed 100% accuracy in diagnosing hepatic, ovarian and retroperitoneal lesions. All the patients tolerated the procedures and no complications were noted.
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