Pulmonary sequestration is a rare, mostly sporadic disorder, with an incidence of 0.1–6% of all congenital lung malformations. It is also called as bronchopulmonary foregut malformation (BPFM) or accessory lung. A 16-day-old female child presented with vomiting and inability to take feeds. She was investigated further and differentials included foregut duplication cyst and BPFM. Surgical exploration confirmed the diagnosis of a BPFM. Delay in diagnosis may lead to complications such as torsion and sepsis.
A large benign ovarian cyst [Figure 1] was received in the lab. Grossly, it was a large, spherical, 12 cm in diameter, papery thin cyst filled with dark colored fluid. While further grossing; there was an area of the cyst with a 0.9 cm thick wall. Multiple sections of the same revealed an adult granulosa cell tumor.In hindsight, if the material was divided or if the sections were not representative of the pathology, the diagnosis would have been missed. Therefore it is of the utmost importance to avoid cutting a resected specimen in the operation theatre [1] and submit the entire specimen to a single laboratory. This will aid the correct diagnosis and also save resources as the biopsy material is very precious.
We report an interesting case wherein we received a lymph node [Figure 1] for processing; the lymph node showed reactive lymphadenitis; however, at the edge; there was a small attached connective tissue. That connective tissue harboured granulomatous tuberculous inflammation, clinching the diagnosis of Tuberculosis, which otherwise would have been missed. Therefore, if complete good material obtained by surgical biopsies is sent to one laboratory for diagnostic review, it will aid in diagnosis and reduce chances of error.
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