Cytodiagnosis of Scalp Lesions

Hingway, Snehlata R; Kodate, Poornima

doi:10.46347/jmsh.2015.v01i01.001

Cited by 4 publications

(12 citation statements)

References 16 publications

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“…The swellings are generally accessible and hence, additional material can be adequately retrieved for ancillary testing that further aids in diagnosis. [ 5 ] Hingway et al .,[ 1 ] in their study have ascertained the utility of aspiration cytology in the diagnosis of scalp swellings. Accurate diagnosis is essential as further lines of management that include surgery and/or chemotherapy, radiotherapy is largely dependent on it.…”

Section: Discussionmentioning

confidence: 99%

“…Fine needle aspiration cytology (FNAC) plays a vital role in the diagnosis of scalp lesions as it generally avoids the hazards associated with open biopsies. [ 1 ] It is essential to establish an accurate diagnosis pre-operatively as the management and the prognosis is dependent on accurate diagnosis. There are varied spectrums of lesions that occur in scalp that include common entities like inclusion cysts, lesions of eccrine and apocrine origin in addition to both primary and secondary malignancies.…”

Section: Introductionmentioning

confidence: 99%

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The utility of ancillary techniques in the cyto-diagnosis of malignant scalp lesions

Shukla

Gupta

Awasthi

et al. 2021

J Cytol

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Background: Fine needle aspiration cytology (FNAC) is rapid, inexpensive, and easy technique to establish the diagnosis of scalp lesions. The use of ancillary techniques such as immunocytochemistry (ICC), immunohistochemistry (IHC), and flow cytometry on aspiration material aids in accurate diagnosis which is additionally beneficial for management and prognosis. Aims: The objective of this prospective case series was to evaluate the utility of ancillary techniques in the accurate cyto-diagnosis of malignant scalp lesions. Materials and Methods: This study was a prospective case series that included 64 cases of scalp lesions in which FNAC had been performed for diagnosis. The lesions were categorized as Non-diagnostic/Inadequate, Inflammatory, Benign and Malignant. In all the cases that were categorized as malignant additional material was collected for ancillary testing that included ICC, cell block preparation followed by IHC and flow cytometry. Results: Non-diagnostic/inadequate aspirates were 17.19% (n = 11/64), 25% (n = 16/64) aspirates were inflammatory, 35.93% (n = 23/64) aspirates were benign and 21.87% (n = 14/64) aspirates were categorized as malignant. With the aid of ancillary techniques, 57.14% malignant scalp aspirates were accurately categorized as epithelial origin. Lesions of bone and soft tissue constituted 28.57% (n = 4/14) of cases and lesions of hematolymphoid origin constituted 14.29% (n = 2/14) of all cases. Conclusion: This is a novel study where accurate categorization of malignant scalp tumors has been done with the use of ancillary techniques. This is useful as it may help in defining the tumor type, may aid in patient management. The material obtained can also be triaged for molecular testing.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The utility of ancillary techniques in the cyto-diagnosis of malignant scalp lesions

Shukla

Gupta

Awasthi

et al. 2021

J Cytol

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“…Benign lesions at this site may show large size, bone erosion, and fixity, thereby mimicking malignancy. FNAC provides rapid diagnosis in benign lesions and helps in excluding malignancy, while cytological evaluation of malignant lesions allows typing of the lesion and guides surgical intervention …”

Section: Introductionmentioning

confidence: 99%

Cytomorphological spectrum of scalp lesions in the population of a developing country: A retrospective study

Sharma

Pathak

Goyal

et al. 2019

Diagnostic Cytopathology

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BACKGROUND Scalp lesions are frequently encountered in clinical practice. Fine‐needle aspiration cytology (FNAC) can characterize most of these lesions; however, there is little published work on cytology of scalp lesions. METHODS Records of all the patients subjected to FNAC from January 2011 to August 2016 were retrieved from the archives of the Cytopathology section of our Institute. Out of the 71 852 cases reviewed, 896 patients, who presented with palpable scalp lesions, were included in the study. Aspirates were obtained with a 23‐gauge needle attached to a 10 mL disposable plastic syringe. May–Grünwald–Giemsa stained and Pap stained slides were prepared. Special stains and immunocytochemical analysis were done when necessary. RESULTS Out of the 896 cases of aspirates from scalp lesions, 155 (17.2%) aspirates were found to be inadequate for diagnosis. One hundred and fifty‐seven (21%) out of 741 adequate aspirates showed features of inflammatory or reactive pathology comprising of abscesses (57), cystic lesions (24), tubercular lesions (16), and reactive lymphadenopathy (66). Four hundred and fifteen (56%) aspirates revealed a tumor‐like etiology comprising of epidermal cyst (395), sebaceous cyst (4), dermoid cyst (1), calcinosis (7), vascular malformation (7), hematoma (5), and juvenile xanthogranulomatous lesion (1). Tumorous lesions formed 22.3% of the aspirates. Of these, 7 cases (4.2%) were of metastases to the scalp. CONCLUSION In a developing country, FNAC is a useful and cost‐effective investigation for the diagnosis of a wide spectrum of scalp lesions. It allows rapid diagnosis and permits timely intervention thereby preventing complications due to delay in diagnosis.

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“…There are numerous other benign scalp tumors such as lipoma, fibroma, pilomatricoma (calcified cyst), seborrheic keratosis, nevi, hemangioma, warts and pseudolymphoma. [3] Cutaneous metastases of visceral malignancies are rare, but among these the scalp is a common site, probably due to its rich vascularity [4]. Clinically, scalp metastases may present as solitary or multiple nodules, papules or the most common finding being a bulging mass with nodule, with or without associated alopecia [5].…”

Section: Introductionmentioning

confidence: 99%

“…Clinically, scalp metastases may present as solitary or multiple nodules, papules or the most common finding being a bulging mass with nodule, with or without associated alopecia [5]. According to a study done by Hingway et al, the most probable cause for scalp metastases is malignancies from the head and neck region [4].…”

Section: Introductionmentioning

confidence: 99%

Potpourri of interesting scalp lesions

Hegde

Samartha

2019

Trop J Pathol Microbiol

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Introduction: Painless soft tissue masses on the scalp are commonly encountered in clinical practice. The most likely diagnoses still remain as epidermoid cysts, sebaceous cysts and benign lipomas. The aim of this study is to exhibit the vast variety of scalp lesions, with emphasis on the metastatic scalp lesions. Materials and Methods: This was a retrospective study carried out in the Department of Pathology in a tertiary care hospital in coastal Karnataka, India. A total of 29 scalp lesions received during the period were included in the study. Paraffin blocks and slides along with case records were retrieved and studied. Results: Out of a total of 29 scalp lesions included in this study, the most common lesion was lipoma. The most interesting cases were the 5 cases of scalp lesions which were metastasis from visceral organs, the most common site being the thyroid. Conclusion: A wide histopathological range of lesions comprising of neoplastic and non-neoplastic lesions were found. The most common lesion in this study was lipoma, while the most interesting were metastatic scalp lesions.

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Cytodiagnosis of Scalp Lesions

Cited by 4 publications

References 16 publications

The utility of ancillary techniques in the cyto-diagnosis of malignant scalp lesions

The utility of ancillary techniques in the cyto-diagnosis of malignant scalp lesions

Cytomorphological spectrum of scalp lesions in the population of a developing country: A retrospective study

Potpourri of interesting scalp lesions

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