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Background: Fine needle aspiration of neck nodes is quick, safe and convenient method for the diagnosis of various lesions. The procedure is well tolerated by the patients, has minimal complications and repeatable. Because of its minimally invasive characteristic, this technique is now being used routinely for quick and accurate diagnosis. Enlarged lymph nodes are one of the most frequently sampled tissues. The diagnostic accuracy of FNAC in neck node malignancy is high. Aims & Objective: To study efficacy of aspiration cytology in suspected metastatic neck lymph nodes. Material and Methods: A prospective hospital based study was conducted among patients attending cytology lab in Department of Pathology, of a tertiary care centre in this region over a period of three years. All new patients having clinically suspected neck lymph nodes were included in the study. All previously treated patients and those with recurrence were excluded from the study. Cervical lymph nodes were aspirated, and smears were prepared & processed following standard techniques. Findings were correlated with previous studies. A total number of 225 cases were examined. Results: A total of 225 cases of lymph node aspirates were examined. Out of these, 190 cytologically diagnosed cases, as metastatic cervical lymph nodes were further evaluated. Most number of cases was seen in males, in the age group of 45-76 years. Higher number of patients had known primary sites, seen in oral cavity. Confirmatory cytological diagnosis could be made in maximum number of cases. Conclusion: Fine needle aspiration cytology is a safe, rapid and highly accurate method for diagnosis of superficially palpable lymph nodes. It is now considered as a routine OPD procedure, and most convenient method for confirmation of suspected metastatic nodes.

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The unpredictable behavior of histological types and the disputable results of particular surgical procedures have contributed to the controversies. The therapeutic issue is further compounded by an imprecise preoperative diagnosis. This study shows that wide local excision for benign and borderline and simple mastectomy with or without reconstruction for the malignant PT of the breast are acceptable best surgical options.

Filariasis is a major health problem of the tropical and subtropical regions, but filariae are also found in temperate climates. The disease is endemic all over India and microfilariae have been observed as coincidental findings with inflammatory conditions and neoplastic lesions. We report a rare case of a 40-year-old female from a nonendemic area presenting with lump in the left breast. The skin overlying the mass was fungating and ulcerated. Ipsilateral axillary lymph nodes were palpable. Fine-needle aspiration cytology revealed highly cellular smears having ductal epithelial cells arranged in groups, tight clusters, and scattered singly. Cells were large, having pleomorphic round to oval nuclei with prominent nucleoli. Along with these tumor cells, sheathed microfilariae of Wuchureria bancrofti were seen, suggesting a diagnosis of ductal carcinoma with coexistent microfilaria of W. bancrofti. Findings were confirmed on histopathology of the resected specimen following modified radical mastectomy. Coexistent pathologies should always be considered while reporting.

Soft tissue sarcomas of the genitourinary tract are rare. Paratesticular sarcomas are extremely rare with majority of scrotal masses localizing to the testis and being neoplastic in nature. Paratesticular leiomyosarcomas (LMSs) are located in the spermatic cord, epididymis, or scrotum. However, their location in the scrotal skin or subcutaneous tissue is extremely rare. Only 10 cases have been reported from India previously. Ours is the 11th case. A 50-year-old male presented with a recurrent scrotal mass which was painless and gradually increasing in size. Histopathology and immunohistochemistry confirmed it to be paratesticular LMS. A rare case report with the review of literature is presented.

Rhabdomyosarcoma (RMS), a malignant neoplasm of skeletal muscle origin, is the most common soft tissue sarcoma caused by infectious disease etiology, especially in nondeveloped countries. Despite being a relatively rare cancer, it accounts for approximately 40% of all recorded soft tissue sarcomas. Alveolar RMSs are seen to occur in children, while around 80% cases occur in the first three decades of life. We present here, a case of a 12-year-old child having alveolar RMS, presenting clinically and radiologically with pleural effusion.

Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.