Ectopic pregnancy in the interstitial part of the fallopian tube is a rare event. This condition presents a challenge for clinical as well as radiological diagnosis. Although routine two-dimensional ultrasound can be suggestive, three-dimensional ultrasound is highly accurate in diagnosis. Hence, the authors report a rare case of interstitial ectopic pregnancy diagnosed preoperatively by three-dimensional ultrasound and managed laparoscopically.

Background: Bone marrow aspiration done in cases of repeated fever, fever of unknown origin, pancytopenia to detect Malaria parasite in bone marrow.  The study was undertaken to evaluate the role of bone marrow aspiration in establishing the etiology of Plasmodium vivax in cases of pancytopenia or thrombocytopenia in recurrent fever or fever of unknown origin.Methods: Patients of different age groups presenting with recurrent fever or fever of unknown origin with pancytopenia or thrombocytopenia from Jan 2015 to Oct 2017. Out of the 108 bone marrow aspirations abiding the above criteria 47 showed presence of Plasmodium vivax trophozoites in bone marrow.Results: The age of patients varied from 8 months to 65 years. 47 cases showed presence of Plasmodium vivax trophozoites, mainly with hyperplastic marrow showing normoblastic and megaloblastic hyperplasia, presence of hemophagocytosis in 6 cases and also 2 cases showing increase in plasma cells.Conclusions: Bone marrow aspiration studies are of vital importance in diagnosing malarial infection in endemic areas as being one of the cause of pancytopenia or thrombocytopenia.

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Background: Fine needle aspiration cytology in orbital lesions gained importance in the last 3 decades. FNAC can be used for aiding the clinician to plan treatment of orbital and eyelid tumors study was undertaken to evaluate the role of FNAC as a diagnostic tool for diagnosis and management of various orbital and eyelid lesions, as it is of great value in the diagnosis of new primary, recurrent and metastatic orbital tumors.Methods: Patients of different age groups presenting with orbital and eyelid lesions were studied over a period of 4 years from March 2013 to Feb 2017. The 75 patients selected for this study were clinically evaluated and then investigated with computed tomograpghy (CT) scanning. Each patient was subjected to FNAC under direct vision/ultrasongraphy guidance with sterile 22 guage needle without anaesthesia. Biopsy was done to confirm the cytological diagnosis.Results: The age of patients varied from 3 years to 70 years. On cytology 61 cases were benign and 14 malignant. Histopathological examination of 53 cases was done which confirmed the cytological diagnosis.Conclusions: FNAC is a useful, rapid, safe and cost effective method for diagnosing orbital and eyelid pathology.

Background: Cutaneous metastases from carcinoma are relatively uncommon, usually representing late events in the course of internal malignancies and indicate a dismal outcome of patients. Aim of the study was undertaken to evaluate the role of FNAC as a diagnostic tool for diagnosis of cutaneous metastases of various internal malignancies as it is of great value in the early diagnosis.Methods: Study of cutaneous metastases was undertaken for the period from April 2013 to July 2017. Out of over 12000 cytology cases, 25 cases were diagnosed as cutaneous metastases. Fine needle aspiration was done using 22-gauge needle without anaesthesia and smears were air dried and stained with MGG.Results: Out of 25 patients diagnosed with cutaneous metastases on cytology, 11 were males and 14 females with age ranging from 20-75 years. Chest wall was the most common site of metastases. Adenocarcinoma and Non-Hodgkin’s Lymphoma were the most common cytomorphological types observed.Conclusions: FNAC is minimally invasive, safe, rapid and reliable method for the diagnosis of cutaneous metastases.