Context:Regional lymphadenitis is the most common complication of bacille Calmette–Guerin (BCG) vaccination. Most of the BCG lymphadenitis cases are nonsuppurative, but some suppurate and follow abscess formation, rupture, ulceration and cicatrization. Needle aspiration is the rapid, safe and cost-effective method for diagnosis as well as management of suppurative BCG adenitis.Aims:The aims of the present study were to assess the clinical and cytological spectrum of BCG lymphadenitis and to evaluate the role of needle aspiration in the management of suppurative BCG lymphadenitis.Settings and Design:We have approached every cases of ipsilateral axillary lymphadenopathy having history of BCG vaccination. We designed to aspirate the suppurative axillary lymph nodes and follow-up of nonsuppurative cases.Subjects and Methods:30 cases of BCG adenitis were studied during a period of 2 years. 12 cases of suppurative lymphadenitis were approached by needle aspiration and cytologically evaluated, and all the cases were followed-up for 12 weeks after diagnosis. Anti-tubercular drugs were not applied, and surgical excision was reserved for nonhealing lesions.Statistical Analysis Used:Data tables.Results:Ipsilateral axillary lymph nodes were commonest site and none had constitutional symptoms. Acid-fast bacilli were detected in 11 (91.67%) cases of suppurative BCG lymphadenitis. On follow-up all nonsuppurative adenitis were resolved spontaneously, and 8 suppurative lymphadenitis cases were resolved after 4 weeks of needle aspiration. Four cases needed repeat aspiration among which 3 resolved in 8 weeks, and one needed surgical excision.Conclusions:We recommend needle aspiration as a simple, safe, chief and effective modality, which helps in diagnosis as well as in management of suppurative BCG lymphadenitis.
Neurofibroma of the soft palate, an extremely rare tumour, is probably not yet reported in the literature. We report the first case of an isolated neurofibroma of the soft palate not associated with von Recklinghausen's disease (VRD), which is also, probably, the first reported case of neurofibroma of the soft palate. The tumour was completely removed from the soft palate after performing tracheostomy, necessitated due to difficulties in intubation.
Background:Tubular adenomas are rare benign neoplasms of female breast affecting women, predominantly of child-bearing age group. Definitive diagnosis of this tumor is usually achieved after histopathological study. Clinical, radiological, and even cytological features are often insufficient for accurate diagnosis.Aim:The aim of the present study was planned to analyze clinical and radiological features of histologically confirmed cases of tubular adenoma of breast to find out a clue for accurate preoperative cytological diagnosis. Materials and Methods: In our 10-year research program, all histologically confirmed tubular adenoma cases of breast were studied. Clinico-radio-cytological features, if available, were analyzed and tabulated.Results:Thirty-three cases of tubular adenoma of breast were studied. Radiological and cytological assessments are available for 12 and 26 cases, respectively. Tubular adenoma could be diagnosed in only two cases (7.7%) by cytological assessment, but in none by radiological assessment.Conclusions:Clinico-cyto-radiological assessment could identify the benign nature of the tumors in most cases, but final confirmation was possible only after histopathological study.
Epidermal inclusion cyst (EIC) is a benign lesion, which occurs due to proliferation and implantation of epidermal elements within a circumscribed space in dermis. They usually occur in the head and neck region, trunk and extremities. EIC occurring in the breast is very rare. In this study, we are presenting a rare case of EIC occurring in the breast; which was diagnosed by fine-needle aspiration cytology (FNAC). Later on, histopathology confirmed the diagnosis. We are presenting this case not only because of its rare site of presentation, but also to highlight the role of FNAC in diagnosing this benign lesion.
Lymphatic filariasis is endemic in India and South-East Asia. Detection of microfilaria is infrequently reported during cytological evaluation of various lesions or body cavity fluids. Microfilariae in cytological smears of few benign and malignant neoplasms have also been reported. Here we present a very rare case of presence of microfilariae in a smear from ultrasound guided fine-needle aspiration of gallbladder adenocarcinoma. The present patient is probably the second reported case in the literature harboring occult filariasis in association with gallbladder carcinoma. Though it is a chance finding, cytology can be an effective tool for detection of asymptomatic filariasis helping to pave the way of disease eradication.
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