Method: The study consists of 516 patients with palpable anterior triangle neck masses coming to the Department of Pathology. Result: Out of total 516 patients, 122 patients of thyroid lesions came for FNAC. Female were more affected than males with male: female ratio of 1:4.9. Most commonly affected age group was 16-30 years of age. Conclusion: Out of the 516 FNAC, maximum number were from lymph node consisting of 360 cases (69.86%), 122 cases (23.64%) were thyroid lesions, 34 cases (6.50%) were miscellaneous lesions from the submandibular salivary gland, soft tissue and subcutaneous tissue of anterior triangle of neck region. FNAC is important diagnostic test for differentiating inflammatory from malignant lesions so that unnecessary surgical biopsy can be avoided and helps in proper management of the patients. Keywords: Diagnostic, FNAC, Lesions, Ant. Triangle & Histopathology.
The study was conducted in the Department of Surgical Pathology, Patliputra Medical College and Hospital, Dhanbad. Cytological study of breast lumps was done. All patients who were clinically suspected of having breast carcinoma were subjected to FNAC of breast lump under aseptic precautions after explaining the procedure, its potential complications and taking written consent. Local examination was done and details were recorded as per proforma. FNAC was performed by following technique. It is a useful parameter to be taken into consideration when selecting mode of therapy for breast carcinoma and to predict the tumor behavior. Cytological grading is especially useful in low resource settings, where core biopsy is not routinely performed for diagnosis of breast carcinoma. The cyto-prognostic grading helps in identifying fast growing tumors (Grade III& II). Such tumors are more likely to respond to chemotherapy than the low grade, slow growing tumors, which are better suited to pre-treatment with tamoxifen. Therefore, assessment of biological aggressiveness by cytological grading without removing the tumor is valuable approach. Keywords: Robinson’s Grade, Breast, Carcinoma & Cytological Aspirates.
Introduction: Cancer of the cervix is the fourth most common cancer among women in the world. It accounts for 9%-13% of all cancers in females. Cervical cancer is the most common cause of death among women in developing countries. Aim: To study the role of Pap smear in detecting premalignant and malignant lesions of cervix; and to determine the prevalence of various lesions. Materials and Methods: A retrospective study was conducted in pathology department of Shaheed Nirmal Mahato Medical College, Dhanbad, Jharkhand from January 2017 to December 2020 on patients meeting the mentioned inclusion and exclusion criteria. Results: A total of 3591 Pap smears were studied with respect to age group, clinical signs and symptoms, and cytology ndings. Most of the patients were in age group of 31–40 (44.30%) years. The Pap smear ndings revealed 35.90% as mild dysplasia (Low grade squamous intraepithelial lesion- LSIL/CIN-I) , 14.81% as moderate to severe dysplasia (High grade squamous intraepithelial lesion-HSIL/CIN-II,CIN-III), 0.29% as invasive carcinoma(suspected) besides 51% showed Negative for Intraepithelial Lesion or Malignancy ( Inammatory lesion as 44.70% and 6.30% as normal cytology. Mean age of the patients with diagnosis of LSIL was 30.3 years and for HSIL, it was 39.5 years. Conclusion: Premalignant and malignant lesions of cervix are not uncommon in our set up and cervical cytology by Papanicolaou (Pap) smears is an effective means of screening for cervical premalignant and malignant conditions. Nonspecic inammation and Low grade squamous intraepithelial lesion were most common nding among different age groups.
Introduction: Head and neck lesions comprises a large number of congenital, inammatory or neoplastic lesions including different anatomic sites and originating in different tissues and organs. Fine needle aspiration cytology (FNAC) is a simple, quick, feasible, repeatable and outpatient procedure with minimal risk of complication. Aim: To study the role of FNAC and its utility in diagnosis of palpable head neck masses and to determine the spectrum of various lesions. Materials And Methods: A retrospective study was conducted in pathology department of Shaheed Nirmal Mahato Medical College, Dhanbad, Jharkhand from January 2016 to December 2020 on patients with palpable head and neck swelling. Detailed clinical history of patient was noted. Aspirations were done by using 10 ml syringe and 22/23 gauge needles. Smears were stained with PAP, Haematoxylin and Eosin and Leishman stain. Cytomorphological diagnosis was given. Results: Out of 562 patients of head and neck swelling, 61.92% (348 cases) were of lymph node, 20.28% (114 cases) were of thyroid, 3.38% from salivary gland (19 cases), 14.06% (79 cases) from skin and soft tissue swellings. The most common diagnosis was reactive lymphadenitis (32.74%) followed by granulomatous lymphadenitis (18.33%). The mean age of study population was 32 years. There was female preponderance (88.59%) in thyroid lesions whereas lymph node lesions (60.91%), salivary gland lesions (73.68%) and soft tissue swellings (59.49%) were more common in males. Conclusion: From our study we concluded that FNAC is simple, quick, inexpensive, repeatable and minimally invasive rst line investigation for differential diagnosis of head and neck lesions.
BACKGROUND Rhinosporidium seeberi is an organism responsible for Rhinosporidiosis. Most of the time, it will cause infection to nasal mucosa, whereas disseminated infection can also be seen in some cases. Highest incidence of Rhinosporidiosis has been reported from India and Sri Lanka. The presumed mode of infection from the natural aquatic habitat of R. seeberi is through the traumatised epithelium. Characteristically, rhinosporidium lesions in the nasal passages are polypoidal, granular, red in colour due to pronounced vascularity with a surface containing yellowish pin head-sized spots which represent underlying mature sporangia. The definitive diagnosis of rhinosporidiosis is by histopathology on biopsied tissues.
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