51
|
Dey B, Srinivas BH, Badhe B, Nachiappa Ganesh R, Gochhait D, Toi PC, Jinkala S. Malignant Epithelioid Soft Tissue Tumours- A Pathologist's Perspective With Review of Literature. Cureus 2020; 12:e12263. [PMID: 33520482 PMCID: PMC7834554 DOI: 10.7759/cureus.12263] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Background Soft tissue tumours with epithelioid morphology have many differential diagnoses, which include epithelioid sarcoma, malignant extrarenal rhabdoid tumour, epithelioid malignant peripheral nerve sheath tumour, epithelioid leiomyosarcoma, epithelioid angiosarcoma and sclerosing epithelioid fibrosarcoma. There are other rare entities also. They often express characteristic patterns of immunohistochemical markers that can be used to identify these tumours. Materials and methods This retrospective study comprises 22 cases of malignant soft tissue tumours with epithelioid differentiation diagnosed over a period of four years. Findings regarding clinical presentation, cytological findings, histopathological findings and immunohistochemical profile of the tumours were noted and analyzed. Results A total of 22 cases were included in the study including five cases of epithelioid sarcoma (conventional and proximal), three cases of epithelioid angiosarcoma and epithelioid myxofibrosarcoma, two cases of epithelioid malignant peripheral nerve sheath tumour, epithelioid gastrointestinal stromal tumour and clear cell sarcoma each, one case of epithelioid leiomyosarcoma, sclerosing epithelioid fibrosarcoma, malignant extrarenal rhabdoid tumour, monophasic synovial sarcoma and malignant and malignant perivascular epithelioid cell tumour each. Conclusion Pathologists should be aware of the various differential diagnoses of soft tissue tumours with epithelioid morphology. Over and above the clinical findings and morphological features, ancillary methods like immunohistochemistry help to arrive at a definitive diagnosis in most cases.
Collapse
Affiliation(s)
- Biswajit Dey
- Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, IND
| | | | - Bhawana Badhe
- Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND
| | - Rajesh Nachiappa Ganesh
- Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND
| | - Debasis Gochhait
- Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND
| | - Pampa C Toi
- Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND
| | - Sreerekha Jinkala
- Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND
| |
Collapse
|
52
|
Stephen N, Manivannan P, Gochhait D, Sreerekha J, Ramasubramanian N, Srinivas BH, Kar R, Kasturi N, Basu D, Siddaraju N. The utility of fine needle aspiration cytology in orbital haematolymphoid neoplasms. Cytopathology 2020; 32:217-226. [PMID: 33125778 DOI: 10.1111/cyt.12935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Revised: 10/26/2020] [Accepted: 10/26/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Orbital hematolymphoid lesions are rare and usually encountered in elderly patients. Orbital lesions are not easy to biopsy: hence fine needle aspiration cytology (FNAC) can be a very good diagnostic modality for these lesions. MATERIALS AND METHODS Cases of orbital masses subjected to FNAC dating from 2013 to 2020 were retrieved from our archives. A total of 16 cases with biopsy confirmation were included. All clinical details, the type of procedure, details of the immunocytochemistry (ICC) performed on smear, follow-up biopsy, and their haematological work-up were analysed in detail. RESULTS Sixteen biopsy-confirmed cases had been diagnosed as orbital haematolymphoid lesions on cytomorphology and further categorised with ancillary studies including ICC. In twelve instances, the cytology impression was congruent with the histopathological diagnosis and eight of the sixteen cases (50%) proved to be primary orbital lymphoma. Four were secondary orbital lymphomas and the remaining four included one case each of plasmacytoma, myeloid sarcoma, Rosai-Dorfman disease and angiolymphoid hyperplasia with eosinophilia. CONCLUSION FNAC is a minimally invasive procedure for diagnosing most of the haematolymphoid orbital lesions and it has a rapid turnaround time. The accuracy of cytomorphology combined with ICC on smears/cell blocks can be as good as a biopsy for exact categorisation. Additionally, aspirate smears are preferred samples for cytogenetics compared to formalin-fixed tissue blocks, as molecular cytogenetics techniques are frequently employed for diagnostic, prognostic, and therapeutic purposes.
Collapse
Affiliation(s)
- Norton Stephen
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Prabhu Manivannan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jinkala Sreerekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Niranjini Ramasubramanian
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Rakhee Kar
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Nirupama Kasturi
- Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debdata Basu
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
53
|
Rajagopal MD, Stephen N, Gochhait D, Srinivas BH, Siddaraju N, Dubashi B. Embryonal rhabdomyosarcoma of breast, pleura, and retroperitoneum diagnosed from pleural fluid cytology. Diagn Cytopathol 2020; 49:E214-E217. [PMID: 33274858 DOI: 10.1002/dc.24677] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 10/23/2020] [Accepted: 11/20/2020] [Indexed: 12/16/2022]
Abstract
Embryonal rhabdomyosarcoma (ERMS) is a malignant small blue round cell tumor which is commonly seen in head and neck region. Breast and pleural involvement are uncommon. Rhabdomyosarcoma has been rarely reported in the body fluids like ascitic, pleural, and cerebrospinal fluid. In this article, we report an interesting case of ERMS which had deceptive small blue round cells in pleural fluid. The cytomorphological features along with a panel of immunocytochemical markers helped in arriving at the definite diagnosis. Later, biopsy from the breast lump and retroperitoneal mass also revealed the same tumor. This case is reported since it is rare to find sarcoma cells in pleural fluid and highlight the diagnostic difficulties faced during interpretation.
Collapse
Affiliation(s)
- Meyyappa Devan Rajagopal
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Karaikal, India
| | - Norton Stephen
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Biswajit Dubashi
- Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
54
|
T P, Stephen N, A P, Gochhait D, Bh S, Siddaraju N, Raj JV. Cutaneous metastasis in a case of Wilm's tumor diagnosed on cytology - A rare case report. Diagn Cytopathol 2020; 49:E190-E194. [PMID: 33206463 DOI: 10.1002/dc.24666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 10/09/2020] [Accepted: 11/05/2020] [Indexed: 11/11/2022]
Abstract
A 12-year-old male child presented with complaints of a slow growing swelling in the right parasternal region noticed since one month. On examination, the lump was 2 × 2 cm firm, mobile nontender located in the subcutaneous plane which was also confirmed radiologically. Fine needle aspiration cytology was attempted showed small to medium sized monotonous round cell morphology, nuclear molding and mitotic figures were frequent. Few cells exhibiting rosettoid arrangement. No definite epithelial or mesenchymal component was evident. No glio-fibrillary matrix or lymphoglandular bodies were evident in the smears. Based on morphology, a small round cell tumor was considered with possibilities of Wilm's tumor and Ewing's family of tumor. Based on morphological differentials ICC was requested, tumor cells were positive for strong nuclear WT1 staining while CK and FLI1 were negative. The cytomorphology along with the ICC confirmed the diagnosis of metastatic wilm's tumor. Seven years back, patient had a history of nephrectomy, which on histopathology was reported as triphasic Wilms tumor with favorable histology. Generally Wilm's tumor recurs within 2 years of diagnosis. Late recurrence in Wilm's tumor is rare with only a handful of case reports. Common sites for metastasis include lung, liver, contralateral kidney. Cutaneous metastasis is very uncommon, early detection of which with helps in therapeutic and prognostic decisions. The interesting aspect of this article is cytological detection of cutaneous metastasis of late recurrence Wilm's tumor, which is extremely rare to occur.
Collapse
Affiliation(s)
| | | | - Pradeep A
- Pathology, JIPMER, Puducherry, India
| | | | | | | | | |
Collapse
|
55
|
Jayakumar C, Sreerekha J, Gochhait D, Perumal PV, Kanungo S, Siddaraju N, Gochhait S, Ramatchandrin L. Comparison of the quality of the microwave cell-block method with the conventional cell-block method in processing body fluid samples. Cytopathology 2020; 32:92-99. [PMID: 32888217 DOI: 10.1111/cyt.12909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 07/21/2020] [Accepted: 08/24/2020] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Conventional cell blocks (CCB) prepared from cytological specimens are very useful but the method is relatively time-consuming. Suitable modifications in cell-block techniques are beneficial for improving the turnaround time. We share our experience of a rapid microwave cell-block (MCB) technique. AIM AND OBJECTIVES To study the quality of routine and immunohistochemical (IHC) staining of cell-block sections from serous body fluids prepared by the MCB technique compared with the CCB technique. METHOD A total of 177 serous body fluid samples were processed by routine centrifugation technique, and the sediments were used for cell-block preparations by both conventional and rapid microwave methods. Cell-block sections were stained with haematoxylin and eosin stain. Haematoxylin and eosin staining quality was analysed using three parameters (cellularity, morphology and staining intensity). IHC for epithelial membrane antigen and calretinin were also performed, and the quality of staining was evaluated on 62/177 samples. Results were analysed using appropriate statistical tests. RESULTS The time taken for processing cell blocks by the MCB method was 1 hour and 18 minutes compared to 13 hours and 45 minutes by CCB. The quality of sections by both methods showed good agreement for cellularity and intensity of staining, and moderate agreement for morphology. A 100% concordance was noted for distinguishing benign and malignant samples on morphology as well as with IHC stain results. CONCLUSION Although the techniques are comparable in terms of quality of routine and IHC staining, we recommend using the MCB technique due to its short turnaround time.
Collapse
Affiliation(s)
- Chippy Jayakumar
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Jinkala Sreerekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Prasanna Venkadesa Perumal
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Srikanta Kanungo
- Department of Social and preventive medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | | | - Lakshmi Ramatchandrin
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| |
Collapse
|
56
|
Behera B, Kumari R, Thappa DM, Gochhait D, Ayyanar P. Linear comedonal Darier disease: A rare variant. Australas J Dermatol 2020; 62:e318-e319. [PMID: 33035357 DOI: 10.1111/ajd.13468] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 08/20/2020] [Accepted: 08/21/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, and Venereology, AIIMS, Bhubaneswar, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | | | | | | |
Collapse
|
57
|
Manchikanti V, Kasturi N, Rajappa M, Gochhait D. Ocular surface disorder among adult patients with type II diabetes mellitus and its correlation with tear film markers: A pilot study. Taiwan J Ophthalmol 2020; 11:156-160. [PMID: 34295621 PMCID: PMC8259518 DOI: 10.4103/tjo.tjo_56_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 07/26/2020] [Indexed: 12/12/2022] Open
Abstract
PURPOSE The purpose is to study the ocular surface changes among patients with diabetes mellitus (DM) and to correlate them with tear film markers such as insulin-like growth factor (IGF)-1, interleukin (IL)-1β, and tumor necrosis factor (TNF)-α levels. MATERIALS AND METHODS The study was carried out on diabetic patients (>5 years' duration) and healthy age- and gender-matched controls with 21 individuals in each group. Schirmer's test for basal and reflex tear secretion, tear film breakup time (TBUT) for tear stability, ocular staining score (OSS) for dryness severity, ocular surface disease index (OSDI) for symptomatic assessment of dryness and conjunctival impression cytology (IC) for epithelial cell integrity, keratinization, squamous metaplasia, and goblet cell density was studied. Thirty microliters of tears were collected to test IGF-1, IL-1β, and TNF-α levels. RESULTS Patients with DM showed significantly low Schirmer's, TBUT, and OSS values than controls. OSDI score showed moderate-severe dryness in patients with DM and only mild symptoms among controls. An abnormal IC score was seen among cases and controls. The level of TNF-α was significantly increased in patients with DM and positively correlated with Schirmer and TBUT values (P < 0.05). CONCLUSION Dry eye is more prevalent in patients with DM compared to controls as evidenced by poor OSDI score, Schirmer, TBUT, and OSS. TNF-α in the tears of patients with DM is a useful marker that showed a good correlation with Schirmer, TBUT, and dry eye symptoms. IC could not conclusively differentiate the dry eye status in patients with DM from controls.
Collapse
Affiliation(s)
- Vijayakumari Manchikanti
- Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry, India
| | - Nirupama Kasturi
- Department of Ophthalmology, Jawaharlal Postgraduate Medical Education and Research, Puducherry, India
| | - Medha Rajappa
- Department of Biochemistry, Jawaharlal Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
58
|
Behera B, Kumari R, Mohan Thappa D, Hanuman Srinivas B, Gochhait D, Ayyanar P. Dermoscopic features of acquired perforating dermatosis: a retrospective analysis of 19 cases. Clin Exp Dermatol 2020; 46:184-187. [PMID: 32905649 DOI: 10.1111/ced.14444] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 08/30/2020] [Accepted: 08/31/2020] [Indexed: 11/30/2022]
Affiliation(s)
- B Behera
- Departments of, Department of, Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneswar, India
| | - R Kumari
- Departments, Department of, Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - D Mohan Thappa
- North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India
| | - B Hanuman Srinivas
- Department, Pathology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - D Gochhait
- Department, Pathology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - P Ayyanar
- Department, Pathology, All India Institute of Medical Sciences, Bhubaneswar, India
| |
Collapse
|
59
|
Behera B, Kumari R, Thappa DM, Gochhait D, Ayyanar P. Dermoscopic examination of a case of pigmented intraepithelial carcinoma on the palm. Australas J Dermatol 2020; 62:e153-e155. [PMID: 32981039 DOI: 10.1111/ajd.13465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 08/13/2020] [Accepted: 08/15/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, and Venereology, AIIMS, Bhubaneswar, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | | | | | | |
Collapse
|
60
|
Neduvanchery S, Gochhait D, Srinivas BH, Harichandrakumar KT, Subramanian P, Shukkur N, Keerthana K, Penumadu P. Comparison of intraoperative imprints cytology with frozen section for lymph node metastasis in patients with head and neck squamous cell carcinoma. Diagn Cytopathol 2020; 49:252-257. [PMID: 32975911 DOI: 10.1002/dc.24622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 08/24/2020] [Accepted: 09/14/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND Intraoperative evaluation of lymph nodal metastasis in head and neck squamous cell carcinoma (HNSCC) assumes importance and avoids over-treatment in clinically node negative (N0) neck. Frozen section (FZ) is the commonly employed technique, but it requires significant investment in resources, time, and personnel. Intraoperative imprint cytology (IC) is a rapid, reliable, and inexpensive alternative. We conducted a prospective study to assess the diagnostic accuracy of intraoperative IC and FZ for lymph node metastasis in HNSCC. METHODS All patients presenting with HNSCC with clinically N0 neck undergoing surgery were included in the study, and intraoperative assessment of clinically suspicious nodes was done using IC and FZ and was reviewed by two independent pathologists. The sensitivity, specificity, and accuracy of IC and FZ were calculated with reference to the final histopathology report. The time duration for reporting was calculated. RESULTS Thirty-four patients with clinically N0 neck were included in the study, and 85 slides were examined. The sensitivity, specificity, and accuracy of FZ were 100%, 98.6%, and 98.9%, respectively, whereas for IC, it was 85.7%, 95.8%, and 94.1%, respectively. The mean time duration for reporting for FZ and IC was 41.18 ± 3.62 and 18.12 ± 2.01 minutes, respectively. CONCLUSION IC provides a cheaper, accurate, and rapid alternative for FZ for intraoperative assessment of neck nodes in HNSCC, and it assumes importance in resource-driven countries like India.
Collapse
Affiliation(s)
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | | | | | | | | | - K Keerthana
- Department of Surgical Oncology, JIPMER, Puducherry, India
| | | |
Collapse
|
61
|
Stephen N, Jinkala S, Ch Toi P, Ganesh RN, Bheemanathi Hanuman S, Badhe BA, Gochhait D, Dubashi B. Descriptive study of the histopathological subtypes and programmed death-ligand 1 in metaplastic breast carcinoma. Breast J 2020; 26:2371-2375. [PMID: 32959535 DOI: 10.1111/tbj.14056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 08/28/2020] [Accepted: 09/01/2020] [Indexed: 12/11/2022]
Abstract
Metaplastic Breast Carcinoma (MBC) is a rare heterogeneous group of tumors, the incidence of which is less than 1% of breast tumors. These are a unique set of tumors with varying subtypes, poor prognosis, and an increased chance of distant metastasis. We aimed to study the clinical, histomorphological, and immunohistochemical (IHC) features of Metaplastic Breast Carcinoma (MBC). This was a descriptive study of cases diagnosed as MBC at a tertiary care center in Southern India from January 2015 to December 2019. A total of 20 cases were diagnosed whose clinical, histomorphological, and IHC features were studied. PD-L1and CD8 IHC were performed and analyzed in 12 cases. The median age of presentation was 50 years. Seventy percent (14/20) patients were postmenopausal women. On excision, 75% (15/20) showed mixed typed MBC, the remainder showing epithelial type MBC. Metastasis to axillary lymph node was seen only in 20% (4/20) of the cases. Thirty percent (6/20) of the cases belonged to stage 3 disease and 5% (1/20) of the cases belonged to stage 4 disease with liver metastasis. Estrogen receptor (ER), Progesterone receptor (PR) were negative in all the cases, Her2neu was positive in three cases. Ki67 labeling index was greater than 14% in all the cases. PD-L1was positive in 41.5% of the cases and intratumoral CD8 positive lymphocytes were increased in 83.3% of the cases. MBCs are tumors occurring in elderly postmenopausal women, presenting with large tumor size, have lesser chances of lymph node metastasis, and a higher chance of recurrence and hematogenous spread. They are negative for ER, PR, Her-2 neu, with a high Ki67 index and a strong PDL-1 expression.
Collapse
Affiliation(s)
| | | | - Pampa Ch Toi
- Department of Pathology, JIPMER, Puducherry, India
| | | | | | | | | | | |
Collapse
|
62
|
Gowda M, Thiagarajan M, Satheesh S, Mondal N, Gochhait D, Godipelli L. Prenatal grading of fetal congenital heart disease and its influence on decision making during pregnancy and postnatal period: a prospective study. J Matern Fetal Neonatal Med 2020; 35:3158-3166. [PMID: 32883146 DOI: 10.1080/14767058.2020.1814245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Congenital heart defects(CHDs) are an important cause of neonatal mortality and morbidity. With advances in diagnosis and treatment, many defects are now amenable to correction. There is a need for individualized approach to prenatally detected lesions to predict the likely prognosis. Assigning them into risk category helps in prenatal counseling, decision making, referrals and formulation of management plan to improve the outcome. OBJECTIVE To grade the fetal CHDs according to severity and study its usefulness in decision making. METHODS A prospective study at a tertiary care institute between 2016 and 18, including pregnant women with antenatal diagnosis of fetal CHD. Detailed fetal echocardiography was followed by classification of lesions into four risk categories using modified grading system: (A) extremely high risk; (B) high risk (C) moderate risk (D) low risk. Appropriate counseling was provided to facilitate decision making and further management. The grading was reviewed and revised again postpartum/post-mortem for correlation. RESULTS Of the total 137 cases, almost half (45.53%) were Category B, while Category D, C and A had 24.1%, 20.4% and 10.2% of cases respectively. The mean gestation age at diagnosis was 26.5 weeks. Termination of pregnancy was done in 21 cases, mostly in Category B (71.4%) and of the 116 continued pregnancies, there were 16 intrauterine deaths. Prenatal and postnatal findings were available in 109 cases and kappa analysis for agreement between antenatal and postnatal grading showed good agreement (0.82). CONCLUSION Prenatal grading of congenital heart disease is a reliable, structured and simplified tool that can be used for providing counseling and facilitate decision making.
Collapse
Affiliation(s)
- Mamatha Gowda
- Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Monica Thiagarajan
- Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | | | | | | | - Laxmi Godipelli
- Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| |
Collapse
|
63
|
Behera B, Kumari R, Thappa DM, Gochhait D, Ayyanar P. Diagnosis of idiopathic T-cell pseudolymphoma: A continuous challenge. Australas J Dermatol 2020; 62:e142-e144. [PMID: 32815160 DOI: 10.1111/ajd.13445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 07/20/2020] [Accepted: 07/24/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, and Venereology, AIIMS, Bhubaneswar, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - Devinder Mohan Thappa
- North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | | |
Collapse
|
64
|
Ravi S, Stephen N, Sreerekha J, Ramassamy S, Behera B, Gochhait D. Cyto-morphological and clinical approach to infections presenting with discharging sinuses mimicking malignancy. Diagn Cytopathol 2020; 48:1265-1272. [PMID: 33460244 DOI: 10.1002/dc.24567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 07/03/2020] [Accepted: 07/14/2020] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Discharging sinuses is a form of chronic unhealed infection that can present at any site due to a variety of infectious organisms. These discharging sinuses may be associated with mass lesions and lymphadenopathy to mimic some neoplastic processes. Identifying these infections with accuracy and promptness is essential, as the treatment regimens are specific. Fine-needle aspiration (FNA) of these lesions, along with appropriate cytochemical stains, aids in the rapid and precise diagnosis of these infections and excludes neoplasms at these sites. Also, material for culture and other studies can be obtained by FNA. MATERIAL AND METHODS This retrospective study was conducted in the Department of pathology from 2018 to 2020. A total of 179 patients with similar clinical presentation and confirmed infection on cytology were identified. On the evaluation of the requisition forms, 32 (18%) patients were identified with discharging sinus associated along with swelling. RESULTS The five infections (32 cases) that were identified, included 18 cases of tuberculosis (56.25%) followed by 9 cases of actinomycosis (28.12%), 3 cases of pheohypomycosis (9.37%), and one case each of Nocardia (3.12%) and eumycetoma (3.12%) which presented as swelling with discharging sinus. Special stains were performed in all cases for confirmation. Histopathological/Microbiological correlation was done whenever available. CONCLUSION Infections presenting as swelling with discharging sinuses mimicking malignancy can be diagnosed on FNAC with good accuracy.
Collapse
Affiliation(s)
- Soundarya Ravi
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Norton Stephen
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jinkala Sreerekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sivaranjini Ramassamy
- Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Biswanath Behera
- Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
65
|
Prabhakaran N, Divya PS, Ramassamy S, Gochhait D. Dasatinib-Induced Perforating Folliculitis in a Bone Marrow Transplant Patient. Indian Dermatol Online J 2020; 11:635-638. [PMID: 32832461 PMCID: PMC7413471 DOI: 10.4103/idoj.idoj_592_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 03/01/2020] [Accepted: 04/08/2020] [Indexed: 11/04/2022] Open
Affiliation(s)
- Nagendran Prabhakaran
- Department of Dermatology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
| | - Pallerla Sri Divya
- Department of Dermatology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
| | - Sivaranjini Ramassamy
- Department of Dermatology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India
| |
Collapse
|
66
|
Gochhait D, Kekade S, Siddaraju N, Badhe B, Alexender A. Rare parotid tumour presenting with facial nerve palsy diagnosed on fine needle aspiration cytology. Cytopathology 2020; 31:341-344. [PMID: 32356925 DOI: 10.1111/cyt.12847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 03/29/2020] [Accepted: 04/27/2020] [Indexed: 11/28/2022]
|
67
|
Stephen N, Ravi S, Balakrishnan K, Siddaraju N, Basu D, Gochhait D, Ganesan P. Anaplastic large cell lymphoma diagnosed from ascitic and pleural fluid effusion cytology in a paediatric patient. Cytopathology 2020; 31:321-324. [PMID: 32369653 DOI: 10.1111/cyt.12848] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 03/31/2020] [Accepted: 04/18/2020] [Indexed: 12/12/2022]
Affiliation(s)
| | | | | | | | - Debdata Basu
- Department of Pathology, JIPMER, Puducherry, India
| | | | | |
Collapse
|
68
|
Abstract
A 50-year-old female patient presented with protrusion of the left eye for 1 month. Examination showed abaxial proptosis, restriction of extraocular movements, and elevated intraocular pressure. Computed tomography of the orbits showed soft tissue enhancing lesion in the superolateral aspect of the left orbit with lytic lesions in calvarium. Fine needle aspiration cytology of the lesion revealed a diagnosis of plasmacytoma with positive CD138 and CD38 immunohistochemical stains. Erythrocyte sedimentation rate, C-reactive protein and serum lactate dehydrogenase were elevated. Serum protein electrophoresis revealed hypergammaglobulinemia, and bone marrow biopsy revealed 6% plasma cells. The patient was started on chemotherapy with bortezomib, dexamethasone and lenalidomide by the medical oncologist. Significant improvement in proptosis and extraocular movements noted on follow-up. Orbital myeloma may be the first manifestation of systemic disease.
Collapse
Affiliation(s)
- Malavika Mani
- The Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Nirupama Kasturi
- The Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Rekha Sravya
- The Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Subashini Kaliaperumal
- The Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- The Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
69
|
Behera B, Kumari R, Thappa DM, Gochhait D, Srinivas BH, Ayyanar P. Dermoscopic features of solitary neurofibroma: A retrospective analysis of 32 cases. Australas J Dermatol 2020; 61:e406-e409. [PMID: 32469460 DOI: 10.1111/ajd.13338] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 04/16/2020] [Accepted: 04/18/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, and Venereology, AIIMS, Bhubaneswar, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Devinder Mohan Thappa
- North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | | |
Collapse
|
70
|
Ramasubramanian N, Stephen N, Gochhait D, Ganesh RN, Penumadu P, Subramani P, Ramesh A. Rhabdomyosarcoma of urinary bladder in a young man suspected and confirmed on urine cytology. Cytopathology 2020; 31:468-470. [PMID: 32196771 DOI: 10.1111/cyt.12822] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 02/11/2020] [Accepted: 03/12/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Niranjani Ramasubramanian
- Department of Pathology, Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Norton Stephen
- Department of Pathology, Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Prasanth Penumadu
- Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Pradeep Subramani
- Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Ananthakrishnan Ramesh
- Department of Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
71
|
Umamahesweran S, Gochhait D, Jayachandran J, Govindarajan K, Siddaraju N, Srinivas BH. Cytomorphological features of adamantinoma-like Ewing's sarcoma in parotid masquerading as sialoblastoma in a paediatric patient. Cytopathology 2020; 31:228-231. [PMID: 32154957 DOI: 10.1111/cyt.12817] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 02/15/2020] [Accepted: 02/29/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Sandyya Umamahesweran
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jhansi Jayachandran
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Krishnakumar Govindarajan
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Bheemanathi Hanuman Srinivas
- Department of Pathology and Pediatric surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
72
|
Stephen N, Raman A, Kumari S, Dineshbabu S, Gochhait D, Siddaraju N. Intraparotid metastasis from lung adenocarcinoma diagnosed by FNAC-Report of a rare case. Diagn Cytopathol 2020; 48:662-665. [PMID: 32298526 DOI: 10.1002/dc.24428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 03/18/2020] [Accepted: 03/27/2020] [Indexed: 11/11/2022]
Abstract
Metastasis to the parotid gland accounts for 10%-16% of parotid malignancies. Head and neck malignancies constitute the major bulk of metastatic lesions to the parotid. The other common primaries include the breast, kidney, lung, and prostate. Metastasis from the lung to the parotid is a relatively rare occurrence whose exact percentage is not known. Though intralymphatic spread into the parotid is known, intraparenchymal spread through hematogenous route is rare. The presence of intraparenchymal spread of lung Adenocarcinoma to the contralateral parotid diagnosed on fine needle aspiration (FNA) makes it a case worth reporting, highlighting the utility of cell block preparation and immunohistochemistry for a precise and early diagnosis.
Collapse
Affiliation(s)
- Norton Stephen
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Arthy Raman
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sinku Kumari
- Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sekar Dineshbabu
- Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
73
|
Ravi S, Gochhait D, Stephen N, Umamahesweran S, Srinivas BH, Penumadu P. Giant cell tumour-like features of myositis ossificans in cytology-a case report. Cytopathology 2020; 31:471-474. [PMID: 31991033 DOI: 10.1111/cyt.12802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 12/24/2019] [Accepted: 01/05/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Soundarya Ravi
- Department of Surgical Oncology, JIPMER, Puducherry, Tamil Nadu, India
| | - Debasis Gochhait
- Department of Surgical Oncology, JIPMER, Puducherry, Tamil Nadu, India
| | - Norton Stephen
- Department of Surgical Oncology, JIPMER, Puducherry, Tamil Nadu, India
| | | | | | - Prasanth Penumadu
- Department of Surgical Oncology, JIPMER, Puducherry, Tamil Nadu, India
| |
Collapse
|
74
|
Gochhait D, Dehuri P, Devi D. Role of fine-needle aspiration cytology in peripartum/pregnancy.associated breast malignancy . Six cases with review of literature. Muller J Med Sci Res 2020. [DOI: 10.4103/mjmsr.mjmsr_9_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
75
|
Harshith K, Nagarajan K, Ramesh AS, Gochhait D. Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence. IJNS 2019. [DOI: 10.1055/s-0039-1695082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
AbstractActinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-sided weakness apart from scalp swelling, which on imaging showed transcalvarial transdural involvement, and subsequent surgical debridement and histopathologic analysis confirmed actinomycosis. Follow-up showed recurrence of the lesion at the same site following a period of remission. Calvarial involvement of actinomycosis is rare and can mimic even neoplastic or malignant lesions, hence requiring prompt diagnosis, treatment with surgery, and long-term antibiotic treatment to prevent complications.
Collapse
Affiliation(s)
- Kramadhari Harshith
- Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Krishnan Nagarajan
- Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Andi Sadayandi Ramesh
- Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India
| |
Collapse
|
76
|
Devi CA, Stephen SN, Gochhait D, Shanmugam D, Dharanipragada K, Siddaraju N, Singh D. Medullary carcinoma of thyroid metastasis to breast: A cytological experience. Diagn Cytopathol 2019; 48:169-173. [PMID: 31782260 DOI: 10.1002/dc.24342] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 09/14/2019] [Accepted: 10/10/2019] [Indexed: 11/05/2022]
Abstract
Medullary carcinoma of thyroid is a relatively uncommon malignancy, which can be sporadic and syndromic in nature. It commonly spreads to regional lymph nodes followed by spreading to distant sites. Breast is an uncommon site of metastasis of this malignancy. Our case is a 38-year-old woman married parous woman presenting to the outpatient department with complaints of lump in both the breasts. Fine-needle aspiration (FNA) was attempted, which revealed a malignancy more suggestive of a metastasis, which was confirmed on CT scan. A detailed history revealed that the patient is a known case of medullary carcinoma of thyroid. The report was given as metastatic medullary carcinoma to the breast after confirming with a calcitonin immunostain. Given the versatility of primary lesions in the breast, minimally invasive FNA cytology (FNAC) technique with adequate sampling helps in identifying metastatic lesions. Differentiating primary from metastatic lesions changes the course of management to the patient. Metastatic lesions should always be kept in mind in the occurrence of known malignancies, however rare the site of occurrence may be. Morphological clues and immunohistochemical work up aid in arriving at correct diagnosis.
Collapse
Affiliation(s)
- C Aparna Devi
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - S Norton Stephen
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - D Shanmugam
- Department of Surgery, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - Kadambari Dharanipragada
- Department of Surgery, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| | - Divya Singh
- Department of Surgery, Jawaharlal Institute of Post Graduate Medical Education, Puducherry, India
| |
Collapse
|
77
|
Gochhait D, Kekade S, Devi D, Srinivas BH, Siddaraju N, Chandrashekar L. Subcutaneous Panniculitis-Like T Cell Lymphoma: Approach to Differential Diagnosis on Cytology. J Adolesc Young Adult Oncol 2019; 9:120-123. [PMID: 31580741 DOI: 10.1089/jayao.2019.0061] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Sighting a case of subcutaneous panniculitis-like T cell lymphoma (SPTCL) in cytology is very rare in a clinical scenario. Among the differential diagnoses (D/D) of a subcutaneous nodule undergoing fine needle aspiration cytology (FNAC), it is hardly considered in the list. The common D/D on cytology would be panniculitis or a non-SPTCL lymphoma. To make a correct cytological diagnosis, the pathologist has to meticulously observe the type of inflammatory infiltrate, their morphology, the intimate admixture of the fat lobules, and background necrosis or macrophages. This article describes the cytological picture, D/D, and the prognostic factors associated with SPTCL in a young male. He was suspected of SPTCL after FNAC and later confirmed on histopathology with specific immunomarkers. We do not recommend the confirmation of SPTCL on cytology however, we would like to stress that it can be picked up and differentiated from its mimickers on FNAC.
Collapse
Affiliation(s)
- Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Shailesh Kekade
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Durga Devi
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Laxmisha Chandrashekar
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
78
|
Stephen SN, Gochhait D, Ganesh RN, Ravi S, Siddaraju N. One of the many faces of papillary thyroid carcinoma. Cytopathology 2019; 31:169-171. [PMID: 31509313 DOI: 10.1111/cyt.12772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Revised: 07/20/2019] [Accepted: 08/01/2019] [Indexed: 11/26/2022]
|
79
|
Ravi S, Stephen SN, Gochhait D, Potakkat B, Niranjani R, Siddaraju N. Primary pancreatic diffuse large B‐cell lymphoma diagnosed by endoscopic ultrasound guided FNAC: A rare entity. Diagn Cytopathol 2019; 48:57-60. [DOI: 10.1002/dc.24307] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 07/28/2019] [Accepted: 07/30/2019] [Indexed: 12/25/2022]
Affiliation(s)
- Soundarya Ravi
- Department of PathologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| | - S. Norton Stephen
- Department of PathologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| | - Debasis Gochhait
- Department of PathologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| | - Biju Potakkat
- Department of Surgical GastroenterologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| | - R. Niranjani
- Department of PathologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| | - Neelaiah Siddaraju
- Department of PathologyJawaharlal Institute of Post Graduate Medical Education and Research (JIPMER) Dhanvantari Nagar Puducherry India
| |
Collapse
|
80
|
Gochhait D, Dehuri P, Rangarajan V, Siddaraju N. Multifocal Superficial Rapidly Growing Postirradiation Sarcoma Mimicking Metastatic Carcinoma. J Midlife Health 2019; 10:101-104. [PMID: 31391762 PMCID: PMC6643708 DOI: 10.4103/jmh.jmh_24_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Radiation induced sarcomas (RIS) on cytology is rare however need to be reported as they are histologically distinct from the primary tumor and arise years after completion of the radiotherapy. Fine needle aspiration cytology is mostly indicated in cancer patients suspected of recurrence/metastasis and rarely in secondary tumors post therapy or irradiation. Depending on the morphology and site of occurrence of RIS they can cause diagnostic difficulty with the primary carcinoma or sarcoma that was irradiated. Here we discuss a 49 yr old lady, known and treated case of carcinoma cervix who presented with multiple nodular swellings in the lower back and gluteal region and had clinical impression of metastatic carcinoma. The fine needle aspiration cytology smears revealed pleomorphic spindle shaped cells with abundant mitotic figures. Extensive immunocytochemical work up was done on the smear and cell block which helped to make a final conclusion of radiation induced pleomorphic sarcoma. The diagnosis of a tumor in a proven case of previous malignancy needs consideration of tumors secondary to therapy as well, along with the diagnostic differentials of metastasis or recurrence.
Collapse
Affiliation(s)
- Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Priyadarshini Dehuri
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Vidhyalakshmi Rangarajan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
81
|
Selvaraj S, Keloth T, Stephen NS, Gochhait D, Siddaraju N. Intraosseous ganglion diagnosed on cytology: A familiar entity in an exotic location. Cytopathology 2019; 31:81-82. [PMID: 31359500 DOI: 10.1111/cyt.12758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 07/22/2019] [Accepted: 07/23/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Sivaranjani Selvaraj
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Thara Keloth
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Norton S Stephen
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
82
|
Keloth T, Rajkumari N, Gochhait D, Gudivada V, Toi PC, Siddaraju N. Microfilaria and
Strongyloides
larva diagnosed in cerebrospinal fluid and ascitic fluid, respectively: Approach to their morphology on cytology. Diagn Cytopathol 2019; 47:1055-1058. [DOI: 10.1002/dc.24257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Revised: 05/19/2019] [Accepted: 05/22/2019] [Indexed: 11/06/2022]
Affiliation(s)
- Thara Keloth
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| | - Nonika Rajkumari
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
- Department of MicrobiologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| | - Debasis Gochhait
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| | - Vijayalakshmi Gudivada
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| | - Pampa Ch Toi
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| | - Neelaiah Siddaraju
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry India
| |
Collapse
|
83
|
Gudivada V, Gochhait D, Bhandary C, Mishra N, Siddaraju N. Cutaneous nocardiosis with discharging sinus clinically mimicking tuberculosis diagnosed by cytology. Diagn Cytopathol 2019; 47:935-938. [PMID: 31173479 DOI: 10.1002/dc.24217] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2019] [Revised: 05/19/2019] [Accepted: 05/22/2019] [Indexed: 11/11/2022]
Abstract
Nocardiosis is primarily a pulmonary infection commonly seen in immunocompromised individuals. However, lymphocutaneous nocardiosis is observed in immunocompetent individuals often after trauma. The clinical and cytomorphological features of lymphocutaneous nocardiosis closely mimic the most common infections in India such as tuberculosis and mycetoma (very common cutaneous infection with discharging sinus). As it is crucial to differentiate nocardiosis from tuberculosis, to avoid unnecessary antitubercular treatment, special stains like modified Ziehl-Neelsen stain and Gram stain can be employed to differentiate the morphology of Nocardia from tuberculosis. Fine-needle cytology from these cutaneous lesions helps in yielding adequate material for rapid and accurate diagnosis of immediate specific antibiotic treatment. We report a rare case that presented with clinical diagnosis of tuberculosis but turned out to be nocardiosis on cytomorphology with simple and most feasible fine-needle aspiration method of tissue diagnosis and scrape cytology.
Collapse
Affiliation(s)
- Vijayalakshmi Gudivada
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Chandni Bhandary
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Nimesh Mishra
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
84
|
Sreerekha J, Gochhait D, Dk K, Siddaraju N, T P, Kayal S. Endometrial stromal sarcoma metastasis in a supraclavicular lymph node: A diagnostic conundrum on cytology. Cytopathology 2019; 30:567-569. [PMID: 31125458 DOI: 10.1111/cyt.12733] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Revised: 05/02/2019] [Accepted: 05/03/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Jinkala Sreerekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Karthik Dk
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Parvathi T
- Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Smita Kayal
- Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
85
|
Gochhait D, Sreerekha J, Rangarajan V, Siddaraju N, Govindarajalou R, Penumadu P. Cardiac tamponade as an initial presentation of papillary carcinoma with psammoma bodies and intranuclear grooves-A diagnostic dilemma. Diagn Cytopathol 2019; 47:927-929. [PMID: 31120622 DOI: 10.1002/dc.24215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Revised: 05/02/2019] [Accepted: 05/13/2019] [Indexed: 11/05/2022]
Abstract
Involvement of body fluids by adenocarcinoma is a common phenomenon. However, metastasis to the pericardial fluid by adenocarcinoma is a rare occurrence. The most common malignancies associated with malignant pericardial effusion are carcinoma of the lung, breast, esophagus, melanoma, lymphoma, and leukemia. Here, we discuss a case of a 36-year-old female with hemorrhagic pericardial effusion presenting with cardiac tamponade and psammoma bodies which was suspected and reported as metastatic papillary carcinoma of thyroid on cytomorphology; however, the immunocytochemical and radiological features confirmed metastatic papillary adenocarcinoma of lung contrary to the thyroid which is more common and expected.
Collapse
Affiliation(s)
- Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jinkala Sreerekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Vidhyalakshmi Rangarajan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Ramkumar Govindarajalou
- Department of Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Prasanth Penumadu
- Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
86
|
Keloth T, Gochhait D, Sivaranjani S, Siddaraju N. Liquid-based cytology of pigmented phaeohyphomycotic lesion of the palm masquerading as a metastatic tumor. Diagn Cytopathol 2019; 47:828-830. [PMID: 31009173 DOI: 10.1002/dc.24191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 03/11/2019] [Accepted: 04/02/2019] [Indexed: 12/20/2022]
Abstract
Phaeohyphomycosis is a chronic subcutaneous fungal infection caused by dematiaceous fungi, commonly involving the extremities, which present as single or multiple lesions mimicking a benign tumor. Fine-needle aspiration cytology (FNAC) is an easy method for the diagnosis of the lesion. Morphology of the fungus is characteristic with no difficulty for cytopathologist for identification; with a close differential diagnosis of Candida and Aspergillosis. The special stains like periodic acid schiff (PAS) highlights the fungus and the Masson Fontana confirm the melanin pigment and dematiaceous nature of the fungi. Liquid-based cytology (LBC) preparation of the aspirated material was attempted, which is not usually performed on day to day basis. However, in our case the conventional smears were better for appreciating the fungal morphology.
Collapse
Affiliation(s)
- Thara Keloth
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - S Sivaranjani
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
87
|
Subramanian KS, Chikhale M, Barwad A, Gochhait D, Toi PC, Siddaraju N. Fine-needle aspiration cytology and cell block in diagnosis and subtyping of hepatoblastoma. Diagn Cytopathol 2019; 47:706-710. [PMID: 31009172 DOI: 10.1002/dc.24167] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 02/15/2019] [Accepted: 02/22/2019] [Indexed: 11/10/2022]
Abstract
Hepatoblastoma (HB) constitutes less than 1% of all pediatric malignancies and is the most common malignant tumor of liver in children. The fine-needle aspiration cytological (FNAC) diagnosis and sub-typing of this tumor is challenging, which is of critical importance from its treatment point of view. All cases with a clinicoradiological impression of "HB" during the study period of 1 year were subjected to ultrasound-guided (USG) FNAC and cell blocks were prepared in all cases. Detailed cytopathological examination was carried out based on the cytomorphological pattern and the cell blocks were used to correlate the findings and the final diagnoses were confirmed with the histopathological findings. Four cases were included during this study period. All were children, whose age ranged from 3 months to 10 years. All of them presented with mass per abdomen and increased serum alfa-feto protein (AFP) levels. On a detailed cytological examination, the clinical impression of HB was confirmed in all four cases with a subsequent histological correlation. Based on their distinct cytomorphological pattern, three of them were accurately sub-typed as"fetal type," wile the fourth was an "embryonal type of HB." All four cases had the evidence of extramedullary hematopoeisis. We conclude that a precise preoperative FNAC diagnosis with accurate sub-typing of HB is possible purely on cytomorphologic basis which has prognostic and therapeutic implications. Cell blocks are of great use for ancillary studies. Extramedullary hematopoiesis serves as an important "clue" in diagnosis.
Collapse
Affiliation(s)
| | | | | | | | - Pampa Ch Toi
- Department of Pathology, JIPMER, Puducherry, India
| | | |
Collapse
|
88
|
Devi D, Keloth T, Manivannan P, Gochhait D, Kekade S, Gudivada V, Siddaraju N. Cytology of extramedullary haematopoiesis—A rare unanticipated finding in the lymph node of an undiagnosed chronic myeloid leukaemia case. Cytopathology 2019; 30:436-439. [DOI: 10.1111/cyt.12683] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 01/03/2019] [Accepted: 01/27/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Durga Devi
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Thara Keloth
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Prabhu Manivannan
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Debasis Gochhait
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Shailesh Kekade
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Vijayalakshmi Gudivada
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| | - Neelaiah Siddaraju
- Department of Pathology Jawaharlal Institute of Postgraduate Medical Education and Research Pondicherry Puducherry India
| |
Collapse
|
89
|
Patel BK, Gochhait D, Stephen N, Siddaraju N. SLE pericardial effusion clinically mimicking hypothyroidism and tuberculosis diagnosed on cytology with LE cells. Diagn Cytopathol 2019; 47:740-742. [DOI: 10.1002/dc.24176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Accepted: 03/04/2019] [Indexed: 11/09/2022]
Affiliation(s)
- Bidish K. Patel
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry‐605006
| | - Debasis Gochhait
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry‐605006
| | - Norton Stephen
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry‐605006
| | - Neelaiah Siddaraju
- Department of PathologyJawaharlal Institute of Postgraduate Medical Education and Research Puducherry‐605006
| |
Collapse
|
90
|
Palui R, Kamalanathan S, Sahoo J, Dorairajan LN, Badhe B, Gochhait D. Adrenal adenoma in von Hippel-Lindau syndrome: A case report with review of literature. J Cancer Res Ther 2019; 15:S163-S166. [PMID: 30900640 DOI: 10.4103/jcrt.jcrt_127_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
A 29-year-old hypertensive male with von Hippel-Lindau (VHL) syndrome came to the Endocrinology department for evaluation. Contrast-enhanced computed tomography of the abdomen revealed an adrenal mass, bilateral renal cell carcinoma, and multiple pancreatic cysts. The hormonal investigations for adrenal mass were normal. He underwent left-sided adrenalectomy, and the histopathological report was suggestive of an adrenocortical adenoma. Genetic analysis of VHL gene in this patient revealed a heterogeneous 5' splice site variation of intron 1 of the VHL gene that affects splice site of exon 1 (c. 340 + 1G > A). Adrenocortical adenoma is very rare in VHL syndrome. Only two cases of adrenocortical adenoma in VHL have been reported in the literature, and both were associated with pheochromocytoma. This is probably the first reported case of adrenocortical adenoma in VHL syndrome without accompanying pheochromocytoma.
Collapse
Affiliation(s)
- Rajan Palui
- Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sadishkumar Kamalanathan
- Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jayaprakash Sahoo
- Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Bhawana Badhe
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
91
|
Kekade S, Gochhait D, Srinivas BH, Siddaraju N. Scrape cytology of nipple ulceration in a male breast: A rare entity with many differential diagnoses. Cytopathology 2019; 30:552-554. [PMID: 30873679 DOI: 10.1111/cyt.12691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 02/18/2019] [Accepted: 02/19/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Shailesh Kekade
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | | | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
92
|
Kannan N, SreeRekha J, Gochhait D, Ks S, Siddaraju N. Are papillary clusters devoid of a fibro-vascular core significant in urine cytology? Cytopathology 2019; 30:444-446. [PMID: 30869803 DOI: 10.1111/cyt.12689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 02/28/2019] [Accepted: 03/04/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Narasimhapriyan Kannan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jinkala SreeRekha
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sreerag Ks
- Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
93
|
Gochhait D, Edura P, Ganesh NR, Siddaraju N, Rangarajan V, Keloth T. Plasmacytoid morphology of poorly differentiated thyroid carcinoma: Diagnostic approach with a brief review of the literature. Cytopathology 2019; 30:326-329. [PMID: 30712289 DOI: 10.1111/cyt.12681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 12/21/2018] [Accepted: 01/21/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Praveena Edura
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Nachiappa Rajesh Ganesh
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Vidhyalakshmi Rangarajan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Thara Keloth
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
94
|
Kumar A, Pradhan P, Mohan S, Gochhait D, Toi P, Sadasivan J. Accurate diagnosis and sub categorization of benign adenomyoepithelioma of the breast-tubular type: A challenge on core needle biopsy. CHRISMED J Health Res 2019. [DOI: 10.4103/cjhr.cjhr_86_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
95
|
Gochhait D, Govindarajalou R, Kar R, Rangarajan V, Dehuri P, Dubashi B. Plasmacytoma of thyroid clinically and morphologically mimicking primary thyroid carcinoma. Cytopathology 2018; 30:113-116. [PMID: 30462353 DOI: 10.1111/cyt.12658] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2018] [Accepted: 11/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Ramkumar Govindarajalou
- Department of Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Rakhee Kar
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Vidhyalakshmi Rangarajan
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Priyadarshini Dehuri
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Biswajit Dubashi
- Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
96
|
Keloth T, Sreerekha J, Gochhait D, Kekade S, Siddaraju N, Sistla S. Cutaneous granular cell tumor clinically mimicking ectopic breast diagnosed on fine needle aspiration cytology. Diagn Cytopathol 2018; 47:337-340. [PMID: 30561159 DOI: 10.1002/dc.24124] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Revised: 10/08/2018] [Accepted: 10/24/2018] [Indexed: 01/29/2023]
Abstract
Granular cell tumor (GCT) is a rare benign neoplasm of Schwannian origin which accounts of 0.5% of soft tissue tumors. Although the most common site for GCT is tongue, it can occur at any site. GCT presenting as cutaneous nodule is rare, however cases have been reported in literature. We hereby document a case of 30 year female with a hyper-pigmented cutaneous nodule of anterior chest wall on the milk-line mimicking as an ectopic breast, diagnosed as GCT on fine needle aspiration cytology. We also add a note on the differential diagnoses of GCT with differentiating cytological features to emphasize on the correct diagnosis of GCT pre-operatively.
Collapse
Affiliation(s)
- Thara Keloth
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Jinkala Sreerekha
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Shailesh Kekade
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Sarath Sistla
- Department of Pathology and Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
97
|
Dehuri P, Gochhait D, Rangarajan V, Sathiah P, Siddaraju N, Govindarajalou R. Cytologic examination of ascitic fluid in a patient with pleural-based mass: A unique presentation of a rare tumor. Cytojournal 2018; 15:26. [PMID: 30410563 PMCID: PMC6198705 DOI: 10.4103/cytojournal.cytojournal_7_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 05/28/2018] [Indexed: 11/07/2022] Open
Affiliation(s)
- Priyadarshini Dehuri
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Vidhyalakshmi Rangarajan
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Prasath Sathiah
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Neelaiah Siddaraju
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Ramkumar Govindarajalou
- Address: Department of Pathology and Radiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
98
|
Behera B, Gochhait D, Remya R, Resmi MR, Kumari R, Thappa DM. Follicular psoriasis - dermoscopic features at a glance. Indian J Dermatol Venereol Leprol 2018; 83:702-704. [PMID: 28984622 DOI: 10.4103/ijdvl.ijdvl_12_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | | | - Raj Remya
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | - M R Resmi
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | | |
Collapse
|
99
|
Behera B, Kumari R, Gochhait D, Thappa DM. Generalized lichen planus developing at the healed sites of erythema multiforme in a human immunodeficiency virus-seropositive patient. Indian J Dermatol Venereol Leprol 2018; 83:485-489. [PMID: 28540867 DOI: 10.4103/ijdvl.ijdvl_268_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Rashmi Kumari
- Department of Dermatology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Debasis Gochhait
- Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Devinder Mohan Thappa
- Department of Dermatology, Venereology and Leprology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| |
Collapse
|
100
|
Behera B, Malathi M, Thappa DM, Gochhait D, Srinivas BH, Toi PC. Dermoscopic features of three cases of Langerhans cell histiocytosis. Indian J Dermatol Venereol Leprol 2018; 84:730-735. [PMID: 30289121 DOI: 10.4103/ijdvl.ijdvl_737_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Biswanath Behera
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | - Munisamy Malathi
- Department of Dermatology, Venereology and Leprology, JIPMER, Puducherry, India
| | | | | | | | - Pampa Ch Toi
- Department of Pathology, JIPMER, Puducherry, India
| |
Collapse
|