Tuberculosis is one of the major cause of morbidity and mortality worldwide. Primary tuberculosis of tonsils in absence of pulmonary involvement is a rare entity with an incidence of less than 5%. Palatine tonsils are located at a site which is frequently exposed with infected sputum or saliva. Chronic tonsillitis with enlarged tonsils and sore throat are the main clinical presentation. We report a case of primary tuberculosis of tonsils in a 21-year old male who presented with chief complaints of sore throat, difficulity in swallowing, odynophagia and swelling neck since 4 months. Final diagnosis of tonsillar tuberculosis was made on histopathology.
Idiopathic Scrotal Calcinosis (ISC) is a rare benign lesion involving the scrotal skin which is characterized by the presence of single or multiple calcified nodules. It usually presents during third decade of life. Many theories about the etiopathogenesis have been proposed, one of which is dystrophic calcification in the background of epidermal inclusion cyst over a period of time. Clinically, scrotal calcinosis may be confused with epidermal inclusion cysts, steatocystoma, cutaneous circumscription or benign tumors like lipoma, fibroma or others. Our patient, 25 year old male presented with multiple painless swellings over scrotal skin. Clinical diagnosis of multiple sebaceous cysts was made. Surgical excision of all the nodules was done and sent for histopathological examination. Microscopy revealed presence of amorphous basophilic calcified deposits in the dermis, predominantly without epithelial lining. The histopathological diagnosis of idiopathic scrotal calcinosis was made.
Case ReportSwellings of the major salivary gland commonly lead to the differential diagnosis which includes benign and malignant tumors that are frequently associated with cystic degeneration or entirely cystic in nature. Mucus retention cysts are true cysts that rarely involve the major salivary glands. 6% to 9% of the major salivary gland swellings present as a cystic lesion and only 2-5 % of them are non-neoplastic in nature. A 21 year-old female patient presented with swelling in right parotid region for last one and half years. CECT of the parotid region show a well-defined oval fluid density lesion measuring 2.4cmx1.9cmx3.4cm in the superficial lobe of the right parotid gland with extension into the deep lobe of the parotid gland. On FNAC, 7ml creamish fluid was aspirated which on microcopy showed foamy histiocytes in a mucoid background. A diagnosis of benign cystic lesion was made cytologically. The patient underwent right subtotal parotidectomy. Gross examination revealed a globular soft tissue piece with attached fatty tissue piece measuring 5x4x3cm. On cut section a cystic cavity identified measuring 3.5x2.7x2.0cm. Cyst cavity was filled with thick mucoid material. Microscopic examination revealed a cyst lined by cuboidal and partially by pseudostratified columnar epithelium. Interspersed mucus cells also present in lining epithelium. Lumen of cyst showed proteinaceous material. Compressed salivary gland parenchyma also seen at the periphery. No cellular atypia was seen. A diagnosis of Mucus retention cyst of right parotid gland was rendered histopathologically.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.