1
|
Kavirayani V, Pai NG, Nayal B, Prabhu S. Infantile inflammatory myofibroblastic tumour of the sigmoid colon: a diagnostic dilemma. BMJ Case Rep 2023; 16:e256505. [PMID: 37832973 PMCID: PMC10583037 DOI: 10.1136/bcr-2023-256505] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2023] Open
Abstract
An inflammatory myofibroblastic tumour (IMT) is an uncommon neoplasm composed of inflammatory cells and myofibroblasts in a fibrous stroma. They are mostly seen in the lungs and rarely involve the gastrointestinal tract. An 8-month-old infant presented with a history of lower abdominal lump for 2 months. Her CT scan confirmed a large, lobulated mass in the retroperitoneum arising from the pelvis. The mass was found to be arising from the sigmoid colon on laparotomy which was excised. Histopathology showed a cellular tumour composed of spindle cells and inflammatory lymphocytic infiltrate. Immunohistochemistry revealed positive staining for anaplastic lymphoma kinase and smooth muscle actin, confirming the diagnosis of IMT. The patient is doing well at her 6-month follow-up. Ours is the youngest case of sigmoid IMT among the only other series of eight cases reported in the literature indicating its rarity.
Collapse
Affiliation(s)
- Vaishnavi Kavirayani
- Pediatric Surgery, Kasturba Medical College Manipal, Manipal academy of Higher education, Manipal, Karnataka, India
| | - Nitin G Pai
- Pediatric Surgery, Kasturba Medical College Manipal, Manipal academy of Higher education, Manipal, Karnataka, India
| | - Bhavna Nayal
- Pathology, Kasturba Medical College Manipal, Manipal academy of Higher education, Manipal, Karnataka, India
| | - Santosh Prabhu
- Pediatric Surgery, Kasturba Medical College Manipal, Manipal academy of Higher education, Manipal, Karnataka, India
| |
Collapse
|
2
|
Nair R, Nayal B, Beedkar S, Menon G. "A tumour registry initiative". World Neurosurg X 2023; 20:100227. [PMID: 37456693 PMCID: PMC10344826 DOI: 10.1016/j.wnsx.2023.100227] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 06/02/2023] [Accepted: 06/12/2023] [Indexed: 07/18/2023] Open
Abstract
Background Published literature on epidemiological profile of paediatric brain tumours in India is limited. Aim: To present a retrospective analysis of the histological spectrum of 158 paediatric age group central nervous system tumours operated in a single tertiary care hospital in Coastal South India between January 2015 and December 2021. Material and methods Retrospective analysis of the data regarding frequencies of various primary brain tumours among 158 paediatric patients (<18 years of age). The tumours were categorised according to the revised 4th edition of World Health Organization (WHO) classification of tumours of the Central Nervous system. Results Paediatric CNS constituted 8.5% of total intracranial tumours (158/1860) operated in the study period. The mean age of the patients was 10.2 years and a definite male predominance was noted (1.54:1) Astrocytomas, glioneuronal tumours, and neuronal tumours constituted the majority (72/158; 45.6%) followed by embryonal tumours (31/158; 19.6%) and craniopharyngiomas(24/158; 15.4%).Of the glial neoplasms majority were pilocytic and other astrocytic tumours(41.6%), followed by mixed neuroglial tumours (19.4%), diffuse high grade astrocytomas (Grade III/IV) (11.1%), diffuse low -grade astrocytomas (Grade II) (9.7%) and ependymomas (13.8%). Our series also included six meningiomas (3.8%), five germ cell tumours (3.16%), four nerve sheath tumours (2.53%), two choroid plexus tumours (1.26%), two pineal parenchymal tumours (1.26%) and one metastasis from a soft tissue sarcoma from the thigh. Supratentorial tumours (58.2%) were more common than posterior fossa (34.6%) and spinal tumours (7.6%) and visual pathway gliomas accounted for 5.6% of all our tumours. Conclusions Paediatric central nervous system tumours are more common in boys and in the second decade of life. Astrocytomas are the most common paediatric brain tumours followed by medulloblastomas and craniopharyngiomas. Pediatric tumours affect the supratentorial compartment more often than the infratentorial compartment. The profile of paediatric brain tumours in our series is similar to that reported from other Indian centres as well as most western literature.
Collapse
Affiliation(s)
- Rajesh Nair
- Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
| | - Saurabh Beedkar
- Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
| | - Girish Menon
- Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India
| |
Collapse
|
3
|
Bhandarkar AM, Menon A, Geetha V, Nayal B. Mammary Analogue Secretory Carcinoma of Parotid - a Pathological Mystery. Indian J Otolaryngol Head Neck Surg 2023; 75:905-908. [PMID: 37275037 PMCID: PMC10235396 DOI: 10.1007/s12070-022-03142-w] [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: 06/19/2021] [Accepted: 08/19/2022] [Indexed: 10/14/2022] Open
Abstract
Salivary gland neoplasms account for 3-6% of head and neck tumours. 70-80% of parotid tumours are benign in histopathology. FNAC has an overall accuracy of 95% in diagnosis of parotid neoplasms. However, the remaining 5% still pose a histopathological mystery which may require a surgical excision of the parotid. We report a case of a 42 year-old-man with a history of parotid swelling and a FNAC report which showed a possibility of a low-grade mucoepidermoid carcinoma or a ductal adenocarcinoma. Final histopathological diagnosis after surgical excision revealed a new pathological entity in mammary analogue secretory carcinoma of parotid.
Collapse
Affiliation(s)
- Ajay M Bhandarkar
- Department of Otorhinolaryngology, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Sharada Madhav Pai OPD, Kasturba Hospital Madhavnagar, 4th Floor, 576104 Manipal, Karnataka India
| | - Architha Menon
- Department of Otorhinolaryngology, Bangalore Medical College and Research Institute, Bangalore, India
| | - V Geetha
- Department of Pathology, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, India
| |
Collapse
|
4
|
Vasudevan G, Srinivas SP, Nayal B, Jayaprakash P, Ramaswamy B. SMARCB1 (INI-1) - Deficient sinonasal carcinoma: Report of two cases. INDIAN J PATHOL MICR 2023; 66:352-355. [PMID: 37077082 DOI: 10.4103/ijpm.ijpm_313_21] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/21/2023] Open
Abstract
SMARCB1 (INI-1)-deficient sinonasal carcinoma is a rare, poorly differentiated carcinoma defined by complete loss of tumor suppressor gene SMARCB1 (INI-1) within the neoplastic cell nuclei demonstrated by the immunohistochemical stain. SMARCB1 (INI-1) gene inactivation has been implicated in the pathogenesis of a diverse group of malignant neoplasms that tend to share "rhabdoid" morphology. SMARCB1 (INI-1)-deficient sinonasal carcinoma was first reported by Agaimy et al. in 2014. These tumors are often basaloid with focal rhabdoid differentiation, prominent necrosis, increased mitotic activity, and aggressive behavior. Other than being INI-1 and NUT negative, they are positive for pancytokeratin and express variable immunoreactivity for squamous markers like p63 and neuroendocrine markers like synaptophysin. Most patients present with locally advanced disease and hence a combination of chemotherapy, radiotherapy, and surgery is usually recommended.
Collapse
Affiliation(s)
- Geetha Vasudevan
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Srilatha Parampalli Srinivas
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Padmapriya Jayaprakash
- Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Balakrishnan Ramaswamy
- Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| |
Collapse
|
5
|
Rodrigues G, Mohapatra S, Gowda C, Nayal B. Primary tuberculous mastitis. J Glob Infect Dis 2021; 13:196-197. [PMID: 35017880 PMCID: PMC8697819 DOI: 10.4103/jgid.jgid_111_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 07/05/2021] [Indexed: 11/08/2022] Open
|
6
|
Nayal B, Nathany S, Valiathan M, Geetha V. Primary peritoneal malignant mixed müllerian tumor with heterologous (rhabdomyosarcomatous) differentiation – A rare entity. Human Pathology: Case Reports 2019. [DOI: 10.1016/j.ehpc.2018.07.002] [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: 11/28/2022] Open
|
7
|
Thomas J, Sravya I, Sreekumar NC, Nayal B. Rare leiomyosarcoma in a burn scar. Indian J Burns 2019. [DOI: 10.4103/ijb.ijb_9_19] [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
|
8
|
Abstract
PEComas are uncommon mesenchymal tumors often involving the pelvic organs. They have an unpredictable behavior. Accurate diagnosis and long-term follow-up is therefore essential in these patients. We report this case of PEComa of uncertain malignant potential in an unusual location with excellent prognosis.
Collapse
Affiliation(s)
- Mary Mathew
- Department of Pathology, Kasturba Medical College, Manipal University, Manipal, KARNATAKA, INDIA
| | | | | | | |
Collapse
|
9
|
Shenoy SB, Karam T, Udupa K, Nayal B. Leukaemic infiltration of the optic nerve head: a rare site of initial relapse. BMJ Case Rep 2016; 2016:bcr2016217239. [PMID: 27797802 PMCID: PMC5073714 DOI: 10.1136/bcr-2016-217239] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2016] [Indexed: 11/03/2022] Open
Abstract
A 24-year-old male patient with acute lymphoblastic leukaemia (ALL), in complete remission, presented with the symptoms of gradual onset painless diminution of vision in the right eye (OD) of 2-month duration. On examination, best-corrected visual acuity in OD was finger-counting at 1 m and near vision was less than N36 Anterior segment examination was normal, except for the presence of relative afferent pupillary defect in OD. Fundus examination showed optic disc oedema, peripapillary and vitreous haemorrhage, dilated and tortuous veins over the disc and presence of subretinal infiltrates and subretinal fluid around the optic disc. Clinical picture was suggestive of leukaemic infiltration of the optic nerve head. Cytological analysis of the cerebrospinal fluid did not show any abnormal cells or blasts .Vitreous biopsy from OD was suggestive of leukaemic infiltration. After radiotherapy, the leukaemic infiltrates regressed and visual acuity improved to 6/6, N6 in OD.
Collapse
Affiliation(s)
- Shailaja Bhat Shenoy
- Department of Ophthalmology, Kasthurba Medical College, Manipal University, Manipal, India
| | - Thoiba Karam
- Kasturba Medical College Manipal, Manipal, Karnataka, India
| | - Karthik Udupa
- Department of Medical Oncology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal, Manipal University, Manipal, Karnataka, India
| |
Collapse
|
10
|
Nair R, Nayal B, Kumar V, Jaiprakash P. Esthesioneuroblastomas: Reservations and Recommendations. J Clin Diagn Res 2016; 10:PD01-4. [PMID: 27630897 DOI: 10.7860/jcdr/2016/19674.8091] [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: 02/21/2016] [Accepted: 04/30/2016] [Indexed: 11/24/2022]
Abstract
Neuroectodermal tumour has a wide range of biological activity that ranges from an indolent course to local recurrence and rapid widespread metastasis. We describe, herewith, 2 patients with Esthesioneuroblastomas (ENB) who had varied atypical clinical presentation. The first case presented with Intracranial Pressure (ICP) headache and acute visual deterioration with radiology revealing an extra axial lesion with extension into the nasal cavity while the second case presented with nasal congestion and progressive headache of long duration. We review the unusual characteristics that may uncommonly occur in ENBs and elaborate regarding which of these must be considered when evaluating patients with this malignancy.
Collapse
Affiliation(s)
- Rajesh Nair
- Senior Registrar, Department of Neurosurgery, Kasturba Medical College , Manipal, Karnataka, India
| | - Bhavna Nayal
- Associate Professor, Department of Pathology, Kasturba Medical College , Manipal, Karnataka, India
| | - Vinod Kumar
- Associate Professor, Department of Neurosurgery, Kasturba Medical College , Manipal, Karnataka, India
| | - Padmapriya Jaiprakash
- Associate Professor, Department of Pathology, Kasturba Medical College , Manipal, Karnataka, India
| |
Collapse
|
11
|
Abstract
Lipomatous tumors of the uterus are rare neoplasms which can be divided into three broad groups – pure, mixed, and the exceedingly rare malignant liposarcoma. Lipoleiomyoma is a rare benign variant of leiomyoma with an incidence ranging between 0.03% and 0.2%. These tumors are usually seen in obese postmenopausal women and are usually asymptomatic but may also present with typical leiomyoma symptoms. The most common site of occurrence is the uterine corpus. Imaging plays an important role with magnetic resonance imaging being the modality of choice as it delineates the fat component better. The pathogenesis of this lesion is poorly understood. Histology shows a characteristic pattern with an encapsulated lesion with an admixture of smooth muscle cells, lobules of adipocytes and fibrous tissue. Prognosis is excellent. We report a case of lipoleiomyoma in an elderly, obese postmenopausal woman, who presented with abdominal discomfort and discuss the important differential diagnosis.
Collapse
Affiliation(s)
- Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal, Mangalore, Karnataka, India
| | - Puneet Kaur Somal
- Department of Pathology, Kasturba Medical College, Manipal, Mangalore, Karnataka, India
| | - Anuradha Ck Rao
- Department of Pathology, Srinivas Institute of Medical Sciences and Research, Mukka, Karnataka, India
| | - Pratap Kumar
- Department of Obstetrics and Gynaecology, Kasturba Medical College, Manipal, Mangalore, Karnataka, India
| |
Collapse
|
12
|
Abstract
Metastasis to the oral cavity is a rare occurrence with renal cell carcinoma (RCC) being the third most common tumor to metastasize to this location. Buccal mucosa is rarely involved and in the absence of a known primary, such lesions pose a diagnostic challenge to the pathologist. The histomorphological features may mimic a primary salivary gland neoplasm adding to the dilemma. We present one such case of metastatic RCC of the buccal mucosa.
Collapse
Affiliation(s)
- Ranjini Kudva
- Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - Swarna Kantipudi
- Department of Radiodiagnosis, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| | - Satadru Ray
- Department of Surgical Oncology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
| |
Collapse
|
13
|
Nayal B, Vasudevan G, Rao ACK, Kudva R, Valliathan M, Mathew M, Rao L. Primary Small Cell Carcinoma of The Esophagus - An Eight Year Retrospective Study. J Clin Diagn Res 2015; 9:EC04-6. [PMID: 26155481 DOI: 10.7860/jcdr/2015/12464.5927] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 04/05/2015] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Primary small cell carcinoma of the esophagus is a rare and aggressive tumor. Patients present with metastatic disease and have a poor clinical outcome. The objective of the study was to correlate clinical and histopathological features of primary small cell carcinoma of the esophagus diagnosed and treated at our hospital. MATERIALS AND METHODS A retrospective study of 11 patients diagnosed with primary small cell carcinoma of the esophagus in Kasturba Hospital, Manipal between 2006 and 2014 was done. The histopathological and immunohistochemical features were correlated with clinical and endoscopic findings. RESULTS Eleven patients were diagnosed to have small cell carcinoma of esophagus with a male preponderance. Common presenting symptoms were dysphagia and weight loss. Majority of the patients showed mid esophageal ulceroproliferative growth. Biopsy findings were consistent with the characteristic morphology of small cell carcinoma and demonstrated immunoreactivity to neuroendocrine markers. In addition, few cases also showed adjacent squamous dysplasia/carcinoma. Most of the patients presented with metastatic disease, liver being the most common site. These patients were treated by chemotherapy and radiotherapy. CONCLUSION Esophageal small cell carcinomas are aggressive tumors with high rates of distant metastasis. Presence of squamous dysplasia /squamous cell carcinoma in the adjacent mucosa supports the hypothesis that this neoplasm arise from pleuripotent stem cells. Presence of the latter is also useful to rule out spread from lung primary.
Collapse
Affiliation(s)
- Bhavna Nayal
- Associate Professor, Department of Pathology, Kasturba Medical College, Manipal University , Manipal, Karnataka, India
| | - Geetha Vasudevan
- Additional Professor, Department of Pathology, Kasturba Medical College, Manipal University , Manipal, Karnataka, India
| | - Anuradha C K Rao
- Professor, Department of Pathology, Kasturba Medical College, Manipal, Manipal University , Karnataka, India
| | - Ranjini Kudva
- Professor, Department of Pathology, Kasturba Medical College, Manipal, Manipal University , Karnataka, India
| | - Manna Valliathan
- Professor, Department of Pathology, Kasturba Medical College, Manipal, Manipal University , Karnataka, India
| | - Mary Mathew
- Professor, Department of Pathology, Kasturba Medical College, Manipal, Manipal University , Karnataka, India
| | - Lakshmi Rao
- Professor, Department of Pathology, Kasturba Medical College, Manipal, Manipal University , Karnataka, India
| |
Collapse
|
14
|
Kumar V, Nair R, Upadhyaya S, Nayal B, Shetty A. Extradural Spinal Metastasis of Adenoid Cystic Carcinoma (ACC): A Case Report. J Clin Diagn Res 2015; 9:XD09-XD10. [PMID: 25738073 DOI: 10.7860/jcdr/2015/10644.5498] [Citation(s) in RCA: 2] [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: 07/21/2014] [Accepted: 12/11/2014] [Indexed: 11/24/2022]
Abstract
Adenoid cystic carcinoma (ACC) is a rare malignant tumour of the major salivary glands. It accounts for 10-15% of all salivary gland tumours and 1% of all head and neck tumours. Surgical resection followed by radiation is the choice of treatment for ACC. However, late loco-regional recurrence and metastasis is often seen emphasizing the importance of long-term follow-up. We report an unusual case of extradural metastasis of ACC in the dorsal spine. The primary submandibular gland tumour was resected 11 y back. A recurrence had been detected two years prior to the occurrence of spinal metastasis. Surgical decompression was done which was followed by palliative radiotherapy. Patient is symptomatically better, ambulant and on regular follow-up.
Collapse
Affiliation(s)
- Vinod Kumar
- Assistant Professor, Department of Neurosurgery, Kasturba Hospital , Manipal, India
| | | | - Sunil Upadhyaya
- Assistant Professor, Department of Pathology, Kasturba Hospital , Manipal, India
| | - Bhavna Nayal
- Assistant Professor, Department of Pathology, Kasturba Hospital , Manipal, India
| | - Arjun Shetty
- Professor and HOD, Department of Neurosurgery, Kasturba Hospital , Manipal, India
| |
Collapse
|
15
|
|
16
|
Vasudevan G, Nayal B, Nagel B, Rao L. Hepatic Epithelioid Hemangioendothelioma in an Eight Year old - A Case Report. J Clin Diagn Res 2014; 8:FD01-2. [PMID: 25653958 PMCID: PMC4316264 DOI: 10.7860/jcdr/2014/9910.5267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 05/07/2014] [Accepted: 07/24/2014] [Indexed: 11/24/2022]
Abstract
Hepatic epithelioid haemangio-endothelioma (HEHE) is a rare vascular tumour of endothelial origin. The etiology of this tumour is unknown and has a variable clinical outcome. It usually affects adults and is extremely rare in children. Histologically, HEHE is characterized by epithelioid to dendritic tumour cells with intracytoplasmic lumina containing RBCs and a myxoid to sclerotic stroma. Being a rare entity, awareness and a high degree of suspicion is required to correctly identify this tumour. We report a case of hepatic hemangioendothelioma in an 8-year-old child.
Collapse
Affiliation(s)
- Geetha Vasudevan
- Additional Professor, Department of Pathology, Kasturba Medical College, Manipal University, Manipal. Karnataka, India
| | - Bhavna Nayal
- Assistant Professor, Department of Pathology, Kasturba Medical College, Manipal University, Manipal. Karnataka, India
| | - Bhawna Nagel
- Junior Resident, Department of Pathology, Kasturba Medical College, Manipal University, Manipal. Karnataka, India
| | - Lakshmi Rao
- Professor, Department of Pathology, Kasturba Medical College, Manipal University, Manipal. Karnataka, India
| |
Collapse
|
17
|
Nayal B, Mathew M, Rao L, Nagel B, Kumar P. Synchronous Bilateral Clear Cell Carcinoma and Papillary Serous Cystadenocarcinoma of the Ovaries. ACTA ACUST UNITED AC 2014. [DOI: 10.5455/jihp.20130323125431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
18
|
Abstract
Disseminated cryptococcosis is usually detected by cytological examination of fluids and histopathological examination of tissues and confirmed by fungal cultures. Here we report a case of unusual presence of cryptococcal organism engulfed by neutrophils and monocytes in the peripheral smear.
Collapse
Affiliation(s)
- Bhavna Nayal
- Department of Pathology, Melaka Manipal Medical College, Manipal University, Manipal, India
| | | | | | | |
Collapse
|
19
|
Nair R, Agrawal S, Nayal B. Spontaneous Resolution of Emphysematous Gastritis with Vaso-occlusive Disease-A Case Report. Malays J Med Sci 2013; 20:68-70. [PMID: 23966828 PMCID: PMC3743985] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2012] [Accepted: 11/07/2012] [Indexed: 06/02/2023] Open
Abstract
Emphysematous gastritis secondary to vaso-occlusive disease is a surgical emergency. It is a rare yet severe form of widespread phlegmonous gastritis. It is caused by corrosive ingestion, alcohol abuse, and on rare occasions, infections. The clinical presentation is diagnostic with supportive information from contrast-enhanced computed tomography (CECT) of the abdomen and gastroduodenoscopy. Here, we describe a case of emphysematous gastritis with spontaneous vaso-occlusive disease that was successfully managed without surgery.
Collapse
Affiliation(s)
- Rajesh Nair
- Department of General Surgery, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal 576104, India
| | - Saurabh Agrawal
- Department of General Surgery, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal 576104, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal University, Madhav Nagar, Manipal 576104, India
| |
Collapse
|
20
|
Agrawal S, Nair R, Malali B, Nayal B. Case of benign phyllodes tumour associated with hypoglycemia. Malays J Med Sci 2013; 20:67-69. [PMID: 23983580 PMCID: PMC3744002] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2012] [Accepted: 06/06/2012] [Indexed: 06/02/2023] Open
Abstract
Benign phyllodes tumour is a rare non-cancerous growth of the breast characterized by a solitary unilateral tumour in one breast, or rarely multifocal in one or both breasts. It is diagnosed on the basis of physical examination, imaging studies, and fine-needle aspiration cytology. In this report, we present a case of benign phyllodes tumour with an unusual presentation of recurrent attacks of hypoglycemia, which can be attributed to secretion of insulin-like growth factor II from the tumour.
Collapse
Affiliation(s)
- Saurabh Agrawal
- Department of General Surgery, Kasturba Medical College, Manipal University, Manipal 576104, India
| | - Rajesh Nair
- Department of General Surgery, Kasturba Medical College, Manipal University, Manipal 576104, India
| | - Bharath Malali
- Department of General Surgery, Kasturba Medical College, Manipal University, Manipal 576104, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College, Manipal University, Manipal 576104, India
| |
Collapse
|
21
|
Nayal B, Rao L, Rao ACK, Sharma S, Shenoy R. Extragenital aggressive angiomyxoma of the axilla and the chest wall. J Clin Diagn Res 2013; 7:718-20. [PMID: 23730656 DOI: 10.7860/jcdr/2013/5458.2891] [Citation(s) in RCA: 3] [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: 12/14/2012] [Accepted: 01/22/2013] [Indexed: 11/24/2022]
Abstract
Aggressive angiomyxomas are uncommon mesenchymal tumours which most often arise in the perineal and the pelvic regions in women. Extragenital aggressive angiomyxonas are extremely rare. We are reporting a young male with an aggressive angiomyxoma which involved the axillary region and extended into the anterior chest wall, which demonstrated its characteristic histomorphological features. The diagnosis was confirmed by immunohistochemistry. A careful histological examination, along with immunohistochemistry, aids in diagnosing this lesion and differentiating it from tumours which have similar histologies.
Collapse
Affiliation(s)
- Bhavna Nayal
- Assistant Professor, Department of Pathology, KMC, Manipal University , Manipal, India
| | | | | | | | | |
Collapse
|
22
|
Upadhyaya S, Nair R, Kumar V, Nayal B, Shetty A. Sylvian cistern arachnoid cyst--a rare cause of precocious puberty. Pediatr Neurosurg 2013; 49:365-8. [PMID: 25428575 DOI: 10.1159/000368323] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2014] [Accepted: 09/07/2014] [Indexed: 11/19/2022]
Abstract
Precocious puberty still remains an elusive diagnosis in the majority of patients. Infrequently, lesions of the central nervous system are associated with sexual precocity. Depending on their location, these cysts may affect many systems, however, there is little information concerning their involvement in endocrinological disorders. We report a case of a sylvian cistern arachnoid cyst presenting with precocious puberty in a 3-year-old girl. The child recovered following a cystoperitoneal shunt. The mass effect of the arachnoid cyst upon the hypothalamus was, at least in part, responsible for the development of precocious puberty. To the best of our knowledge, this is the 1st case of a sylvian cistern arachnoid cyst presenting with precocious puberty. The role of surgical decompression of the cyst is also discussed.
Collapse
Affiliation(s)
- Sunil Upadhyaya
- Department of Neurosurgery, Kasturba Medical College, Manipal University, Manipal, India
| | | | | | | | | |
Collapse
|
23
|
Kini Rao AC, Nayal B. Conjunctival myxoma-a case report. Malays J Med Sci 2013; 20:92-94. [PMID: 23613661 PMCID: PMC3629886] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2012] [Accepted: 08/08/2012] [Indexed: 06/02/2023] Open
Abstract
Ocular myxomas are rare neoplasms. We report a case of conjunctival myxoma in a 33-year-old male. Clinically, it was diagnosed as a conjunctival cyst. Histopathological findings revealed spindle, and fusiform cells in loose myxoid stroma with cystic change. There were no systemic abnormalities detected.
Collapse
Affiliation(s)
- Anuradha Calicut Kini Rao
- Department of Pathology, Kasturba Medical College Manipal University, Madhav Nagar, 576104 Manipal, India
| | - Bhavna Nayal
- Department of Pathology, Kasturba Medical College Manipal University, Madhav Nagar, 576104 Manipal, India
| |
Collapse
|
24
|
Goud BKM, Devi OS, Nayal B, Devaki RN. A rare case of unilateral gynecomastia during antituberculous chemotherapy with isoniazid. Indian J Pharmacol 2012; 44:521-2. [PMID: 23087519 PMCID: PMC3469961 DOI: 10.4103/0253-7613.99340] [Citation(s) in RCA: 3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2011] [Revised: 03/25/2012] [Accepted: 04/30/2012] [Indexed: 11/30/2022] Open
Abstract
Gynecomastia refers to enlargement of male breast (s) due to benign proliferation of glandular tissue and is caused by excessive estrogen. The etiology may be pathological, pharmacological, or idiopathic reasons. The present report describes a case of gynecomastia due to isoniazid therapy.
Collapse
Affiliation(s)
- B K Manjunatha Goud
- Department of Biochemistry, Ras Al Khaimah Medical and Health Sciences University, UAE
| | | | | | | |
Collapse
|
25
|
Goud M, Nayal B, Deepa K, Devi OS, Devaki RN, Anitha M. A case of acute pancreatitis with occupational exposure to organophosphorus compound. Toxicol Int 2012; 19:223-4. [PMID: 22778524 PMCID: PMC3388770 DOI: 10.4103/0971-6580.97226] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Pesticides have contributed to dramatic increase in the quality and quantity in crop yields. Organophosphates are commonly used as insecticides in agriculture and are potent toxicants. Patients with organophosphorus poisoning may present with subclinical features of acute pancreatitis. Proper biochemical investigation and clinical correlation helps in diagnosis.
Collapse
Affiliation(s)
- Manjunatha Goud
- Department of Biochemistry, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, U.A.E
| | | | | | | | | | | |
Collapse
|
26
|
Goud BKM, Nayal B, Devi OS, Devaki RN, Avinash SS, Satisha TG, Raghuveer CV. Comparison of microalbuminuria with hs-CRP and low density lipoprotein levels in nondiabetic, nonhypertensive myocardial infarction patients. J Cardiovasc Dis Res 2012; 3:287-9. [PMID: 23233772 PMCID: PMC3516008 DOI: 10.4103/0975-3583.102702] [Citation(s) in RCA: 4] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Microalbuminuria (MA), defined as urine albumin to urine creatinine ratio (UACR) of 30 to 300 mg/G of creatinine, is an established risk factor for cardiovascular morbidity and mortality and for end-stage renal disease in individuals with an adverse cardiovascular risk profile such as those with hypertension or/and diabetes mellitus. MATERIALS AND METHODS Thirty five patients were included in the study and equal number of age- and sex-matched controls were also included. 2 ml of venous blood was collected for hs-CRP determination and early morning mid stream urine sample was collected under strict aseptic precautions. The lipid profile was estimated in cobas autoanalyzer. RESULTS There was significant increase in levels of Low density lipoprotein (LDL) cholesterol, microalbumin, and hs-CRP (P< 0.001) in patients with myocardial infarction compared to healthy controls. CONCLUSION Therefore, MA and hsCRP evaluation may have potential role in improving cardiovascular risk prediction, when used along with traditional lipid profiles.
Collapse
Affiliation(s)
- B. K. Manjunatha Goud
- Department of Biochemistry, RAK Medical and Health Sciences University, Ras Al Khaimah, U.A.E
| | - Bhavna Nayal
- Department of Pathology, KMC, Manipal University, Manipal, India
| | - Oinam S. Devi
- Department of Nursing, Vidya Nursing College, Kapu, Udupi, India
| | - R. N. Devaki
- Department of Biochemistry, JSS Medical College, JSS University, Mysore, India
| | - S. S. Avinash
- Department of Biochemistry, Father Muller Medical College, Mangalore, India
| | - T. G. Satisha
- Department of Biochemistry, Siddartha Medical College, Tumkur, India
| | - C. V. Raghuveer
- Department of Pathology and Medical Director, SIMS, Mukka, Mangalore, India
| |
Collapse
|