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Hibernoma-A rare tumor on rare site 冬眠瘤是一种罕见部位的罕见肿瘤
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.066
Himachal Mishra, Manika Alexander
Hibernoma is a rare benign tumor that originates from brown fat. Hibernoma is thought to arise from areas containing residual brown fat like- the interscapular area, axilla, neck, chest, abdominal cavity, and retroperitoneum. The incidence of this rare tumor has very rarely been reported to occur over the forehead. Being a benign tumor, no association of malignant transformation or metastasis has been reported. A 23-year-old male presented with a complaint of a painless non-progressive swelling over the forehead for the past 6 months. On examination, the swelling was 2x2 cm, soft, mobile, non-tender, and non-pulsatile with no skin changes. FNAC did which shows sheets and clusters of adipocytes with abundant foamy cytoplasm and reported as “Hibernoma”. The patient has been asked to follow up and for the last 1 year, the tumor is still non-progressive with no pressure symptoms and hence has not undergone surgery. Hibernoma is a rare benign tumor of brown fat tissue which constitutes only 1.6% of benign lipomatous tumors but their actual prevalence is still unknown. This tumor very rarely may occur in the forehead area although incidence over the forehead has rarely been reported. Since this tumor is slow growing, painless non-progressive; it mostly presents as an asymptomatic tumor. It has to be included in the differential diagnosis of adipocyte-containing tumors to prevent false treatment.
冬眠瘤是一种罕见的良性肿瘤,起源于棕色脂肪。冬眠瘤被认为起源于含有残余棕色脂肪的区域,如肩胛间区、腋窝、颈部、胸部、腹腔和腹膜后。这种罕见的肿瘤很少发生在前额。作为一种良性肿瘤,未见与恶性转化或转移相关的报道。一名23岁男性,因过去6个月前额无痛性非进行性肿胀而主诉。检查肿胀2x2 cm,柔软,可移动,无压痛,无搏动,无皮肤改变。FNAC显示脂肪细胞呈片状和簇状,胞浆呈丰富泡沫状,报告为“冬眠瘤”。患者已被要求随访,在过去的一年里,肿瘤仍然没有进展,没有压力症状,因此没有接受手术。冬眠瘤是一种罕见的棕色脂肪组织良性肿瘤,仅占良性脂肪瘤肿瘤的1.6%,但其实际患病率尚不清楚。这种肿瘤很少发生在前额区域,虽然发生在前额的病例很少有报道。由于此肿瘤生长缓慢,无痛无进展;它通常表现为无症状的肿瘤。它必须包含在含脂肪细胞肿瘤的鉴别诊断中,以防止错误治疗。
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引用次数: 0
Primary vaginal villous adenoma – A rare case report 原发阴道绒毛腺瘤1例报告
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.060
Shilpa Mishra, R. Patkar, A. Neelakantan
Villous adenomas are known to occur in gastrointestinal tract; however, they are very rare in female genital tract. The pathogenesis is unclear but their origin from cloacal remnants has been hypothesized. Here we report a rare incidental case of primary villous adenoma with high grade dysplasia arising from vaginal vault in a 28-year-old female who presented with abnormal vaginal bleeding. The importance of reporting this lies in its pre-malignant behaviour and benign looking clinical appearance.
绒毛腺瘤已知发生在胃肠道;然而,它们在女性生殖道中非常罕见。发病机制尚不清楚,但其起源已被假设为泄殖腔残余物。我们在此报告一个罕见的偶然病例,原发绒毛腺瘤伴高度发育不良,由阴道穹窿引起,患者为28岁女性,表现为异常阴道出血。报告这一点的重要性在于其恶性前行为和良性的临床表现。
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引用次数: 0
Rare cytogenetic abnormalities in MDS evolving from fanconi anemia-A case report 范可尼贫血演变为MDS的罕见细胞遗传学异常- 1例报告
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.059
Nidhi Rajendra, Subbaiah Ramanathan, V. Ashok, Srivalli BS
Fanconi anemia (FA) is a genetically heterogenous rare autosomal recessive disorder. Mutations in FANCA gene are the most frequent among FA patients accounting for 60-65%. FA is characterised by congenital malformations, progressive bone marrow failure (BMF) and increased risk of myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). The risk of developing hematological abnormalities in FA patients is around 98% by 40 years of age. The risk of clonal cytogenetic abnormalities during BMF is around 67% by 30 years of age and risk of developing MDS or AML is 52% by 40 years of age. The frequent chromosomal abnormalities are 1q+, monosomy 7 and gains of 3q. Partial duplications/triplications of chromosome 1q are known to represent a nonrandom chromosomal anomaly in myeloid disorders.
范可尼贫血(FA)是一种罕见的常染色体隐性遗传病。FANCA基因突变在FA患者中最为常见,占60-65%。FA的特征是先天性畸形,进行性骨髓衰竭(BMF)和骨髓增生异常综合征(MDS)和急性髓性白血病(AML)的风险增加。FA患者在40岁时发生血液学异常的风险约为98%。到30岁时,BMF期间发生克隆细胞遗传学异常的风险约为67%,到40岁时发生MDS或AML的风险约为52%。常见的染色体异常是1q+,单体7和增益3q。已知染色体1q的部分重复/三倍代表髓系疾病的非随机染色体异常。
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引用次数: 0
Concomitant squamous cell carcinoma and actinomycosis—An unique and rare occurrence 伴随鳞状细胞癌和放线菌病-一种独特和罕见的发生
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.061
Sameer Kadam, Hoogar MB, A. Valand, Vaishali Bhonsale, Kirti Pardesi, Nakul Y. Sampat
: Actinomycosis of the oral cavity is not common, though actinomyces species often occur as normal commensals in the oral cavity. They gain entry into deep tissue to cause infection and consequent tissue damage whenever there is damage to the oral mucosa by injury or infection or neoplastic process. The case being discussed here is of a male, aged 62 years, who presented with an ulcero-proliferative lesion over left buccal mucosa. A punch biopsy was carried out on the lesion. Histopathology laboratory received three gray-white tissue pieces. Histological examination of the tissue pieces revealed features of moderately to poorly differentiated squamous cell carcinoma. Few colonies of radiating filamentous structures reminiscent of colonies of actinomyces species were noted. The sections were further stained with relevant stains for filamentous bacteria such as Periodic Acid Schiff (PAS) stain which confirmed the colonies of Actinomyces spp. The case being submitted here is an unique and relatively rare finding of concomitant squamous cell carcinoma and oral actinomycosis with only few cases being reported in publish English medical literature.
口腔放线菌病并不常见,尽管放线菌种类经常在口腔中作为正常的共栖物出现。当口腔黏膜受到损伤、感染或肿瘤过程的损害时,它们进入深层组织引起感染和随后的组织损伤。这里讨论的病例是一名男性,年龄62岁,表现为左颊粘膜溃疡增生性病变。对病变进行了穿刺活检。组织病理学实验室取灰白色组织片3片。组织切片的组织学检查显示中度至低分化鳞状细胞癌的特征。很少有类似放线菌菌落的辐射丝状结构菌落被发现。切片进一步用相关的丝状细菌染色,如周期性酸性希夫(PAS)染色,证实了放线菌的菌落。在这里提交的病例是一个独特的,相对罕见的发现,伴随鳞状细胞癌和口腔放线菌病,只有少数病例在已发表的英文医学文献中报道。
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引用次数: 1
An unusual visitant in gastric biopsy- A report of two rare cases 胃活组织检查中不寻常的来访者——报告两例罕见病例
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.062
Vallalkani KN, Sumithra A, H. Volga
Granulomatous gastritis (GG) is a subtype of chronic gastritis which may be infectious, non-infectious, or idiopathic in nature. For treating clinicians, granulomatous gastritis has always been a diagnostic challenge because of the same clinical and endoscopic features between Crohn’s disease and tuberculosis. A diagnosis can be reached only by the combination of histopathological examination with clinical and laboratory investigations. Several studies showed that granulomas are more common in the antrum and are generally located superficially within the gastric pit where the gastric bacteria H.pylori are seen, which can cause damage. We are reporting two rare cases of granulomatous gastritis associated with H.pylori in a 40-year-old male and a 43-year-old female with a negative family history of tuberculosis.
肉芽肿性胃炎(GG)是慢性胃炎的一种亚型,可能是传染性的,非传染性的,或特发性的。对于治疗临床医生来说,肉芽肿性胃炎一直是一个诊断挑战,因为克罗恩病和结核病具有相同的临床和内镜特征。诊断只能通过组织病理学检查与临床和实验室调查相结合。一些研究表明,肉芽肿多见于胃窦,通常位于胃窝的表面,在那里可以看到胃幽门螺杆菌,它可以造成损害。我们报告两例罕见的肉芽肿性胃炎与幽门螺杆菌相关的40岁男性和43岁女性与阴性结核家族史。
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引用次数: 0
Chondrosarcoma of the great toe clinically mimicking osteoclastoma-An unusual presentation 临床模拟破骨细胞瘤的大脚趾软骨肉瘤-一种不寻常的表现
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.064
K. Akhtar, Saman Usmani, Fatma Lubna, Sarah Irfan
Chondrosarcoma is cartilage forming neoplasm which mostly occurs in pelvis, femur and humerous. Chondrosarcoma is rare in the foot and the involvement of phalanges is extremely rare. It is a malignant neoplasm which mimics various epiphysial tumors clinically and radiologically, so histopathology is the gold standard for confirming the diagnosis. We report an unusual case of Grade II Chondrosarcoma in a 60 years old male, who complained of swelling and pain in left great toe for the past two years, which clinically mimicked Osteoclastoma. Imprint smear from swelling in the left great toe showed scattered mononucleated to binucleated oval to plump to polygonal cells with coarse chromatin and moderate eosinophilic cytoplasm in a chondromyxoid background suggestive of malignancy with differentials of Osteosarcoma and Chondrosarcoma. Histomorphology with immunohistochemistry led to the confirmation of diagnosis of this tumor at a rare site.
软骨肉瘤是一种软骨形成的肿瘤,多见于骨盆、股骨和肱骨。软骨肉瘤是罕见的足部和累及指骨是极其罕见的。它是一种在临床和影像学上与各种表面肿瘤相似的恶性肿瘤,因此组织病理学是确诊的金标准。我们报告一个不寻常的II级软骨肉瘤病例,60岁男性,在过去的两年里,他抱怨左大脚趾肿胀和疼痛,临床模拟破骨细胞瘤。左大脚趾肿胀的印迹涂片显示分散的单核到双核卵形到丰盈的多边形细胞,染色质粗,细胞浆嗜酸性适中,软骨粘液样背景提示恶性肿瘤,骨肉瘤和软骨肉瘤的鉴别。组织形态学和免疫组织化学证实了这个肿瘤在一个罕见的部位的诊断。
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引用次数: 0
Survivin and p53 expression in benign and malignant lesions of breast Survivin和p53在乳腺良恶性病变中的表达
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.054
S. Raj, Shristi Soni, D. Aden, Alka Yadav, Sameeksha Raj
Breast cancer is the most common malignancy in women, accounting for 14 % of all cancers in India; it accounts for < 1% of all cancer cases in men. Breast cancer is the leading cause of death worldwide. The study aims to assess the expression of p53 and Survivin in Fibroadenoma and Invasive carcinoma of no special type and its prognostic importance.A total number of 75 cases are included in the study, out of which 34 are reported by two histopathologists as invasive carcinoma NST (ductal) and 41 reported as Fibroadenoma. All the cases included in the study are females. Immunohistochemistry for p53 and Survivin performed in both the groups with positive and negative controls. Cytoplasmic or nuclear IHC expression for Survivin is considered to be positive. Whereas, nuclear positivity is considered for p53. A semi quantitative scoring system performed consisting of intensity and % of positive cells. The expression of Survivin and p53 is found to be high in IDC, 79% and 85% respectively. The correlation is found to be significant (p value = 0.002, Spearman Rho correlation). However, the expression of Survivin is seen in one third of all the cases of Fibroadenoma (37.5%) and p53 expression is expectedly low, seen in 12% cases. Over expression of Survivin in IDC patients compared to benign cases is found to be correlated with p53 expression. Though Survivin is likely to contribute to apoptosis resistance, its expression is found to confer resistance to chemotherapy and radiotherapy in IDC. Henceforth, Survivin over expression along with p53 in invasive breast carcinoma defining overall poor prognosis and low survival rates.
乳腺癌是女性中最常见的恶性肿瘤,占印度所有癌症的14%;它占男性所有癌症病例的不到1%。乳腺癌是世界范围内导致死亡的主要原因。本研究旨在探讨p53和Survivin在纤维腺瘤和非特殊类型浸润性癌中的表达及其预后意义。本研究共纳入75例,其中34例由2名组织病理学家报告为浸润性癌NST(导管),41例报告为纤维腺瘤。研究中包括的所有病例都是女性。在阳性对照组和阴性对照组中进行p53和Survivin的免疫组化检测。胞质或核IHC表达Survivin被认为是阳性的。然而,核阳性被认为是p53。半定量评分系统由阳性细胞的强度和百分比组成。Survivin和p53在IDC中的表达较高,分别为79%和85%。相关性发现是显著的(p值= 0.002,Spearman Rho相关)。然而,在所有纤维腺瘤病例中,有三分之一(37.5%)可见Survivin的表达,而p53的表达很低,在12%的病例中可见。与良性病例相比,IDC患者Survivin过表达与p53表达相关。虽然Survivin可能有助于细胞凋亡抵抗,但研究发现其表达可使IDC对化疗和放疗产生耐药性。此后,Survivin和p53在浸润性乳腺癌中的过表达定义了总体预后差和生存率低。
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引用次数: 0
Histopathological study of lesions of appendix 阑尾病变的组织病理学研究
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.055
S. Khan, Y. Momin, A. Gosavi, A. Waje
The human appendix is a supposedly funtionless organ, but can cause morbidity and mortality because it is likely to be infected. Acute Appendicitis being the most common surgical emergency. Appendicectomy specimens from suspected acute appendicitis often appear macroscopically normal but histological analysis reveal a more sinister underlying pathology.A three year study was performed to determine the incidence of various non-neoplastic and neoplastic lesions of appendix. To study the histopathology of various lesions of appendix.It is a retrospective study for a period of three years at Tertiary care hospital. The histopathological reports and clinical details were collected and slides were reviewed and evaluated. Special stains were used wherever required.The study included 1092 cases of lesions of appendix. The commonest lesion was chronic non-specific appendicitis (48.27%) followed by acute appendicitis with (47.80%). Other non neoplastic lesions found were fibrous obliteration of appendix (2.10%), chronic appendicitis with Enterobius vermicularis infestation (0.83), tuberculosis (0.18), xanthogranulomatous appendicitis (0.09%) and amoebic appendicitis (0.09%). Neoplastic lesions seen were low grade mucinous neoplasm (0.18) and serrated adenoma (0.09). Chronic non-specific appendicitis is the commonest appendiceal lesion. The various lesions of appendix clinically present as acute or chronic appendicitis but histology reveals the true nature of the lesion and hence remains the gold standard method.
人类的阑尾被认为是一个没有功能的器官,但由于它很可能被感染,因此会导致发病率和死亡率。急性阑尾炎是最常见的外科急症。疑似急性阑尾炎的阑尾切除术标本通常在宏观上看起来正常,但组织学分析显示了更险恶的潜在病理。我们进行了一项为期三年的研究,以确定阑尾各种非肿瘤性和肿瘤性病变的发生率。目的:探讨阑尾各种病变的组织病理学。这是一项在三级护理医院进行的为期三年的回顾性研究。收集组织病理学报告和临床细节,回顾和评估切片。在需要的地方使用特殊的污渍。本研究纳入1092例阑尾病变病例。最常见的病变是慢性非特异性阑尾炎(48.27%),其次是急性阑尾炎(47.80%)。其他非肿瘤性病变包括阑尾纤维闭塞(2.10%)、慢性阑尾炎伴蚓状肠虫感染(0.83%)、肺结核(0.18%)、黄色肉芽肿性阑尾炎(0.09%)和阿米巴阑尾炎(0.09%)。肿瘤病变为低级别黏液瘤(0.18)和锯齿状腺瘤(0.09)。慢性非特异性阑尾炎是最常见的阑尾病变。阑尾的各种病变在临床上表现为急性或慢性阑尾炎,但组织学揭示了病变的真实性质,因此仍然是金标准方法。
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引用次数: 0
Sino-nasal and pharyngeal mass- Immunohistochemistry cuts the gordian knot 鼻咽肿物-免疫组化能解决棘手的问题
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.057
Geethamala K, M. Jadhav, Sneha K, Nirmala BL, R. Haravi, Shirish Patil
Sinonasal and pharyngeal mass lesion of Extraskeletal Ewing sarcomas (EEWSs) are extremely rare. Herein we present a case of EEWSs of ethmoid sinus extending into nasal and pharyngeal spaces mimicking as angiofibroma clinically. Histopathological examination in conjunction with immunohistochemistry puzzled out the diagnostic dilemma.
骨外尤文氏肉瘤(EEWSs)的鼻咽肿块病变极为罕见。在此,我们报告一例筛窦的ewss延伸到鼻和咽间隙,临床模拟血管纤维瘤。组织病理学检查结合免疫组织化学解决了诊断困境。
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引用次数: 0
Characteristic yet unusual presentation of an odontogenic myxoma in the anterior mandible 下颌前牙源性黏液瘤的特征性但不寻常的表现
Pub Date : 2023-01-15 DOI: 10.18231/j.jdpo.2022.065
S. Sachdev, Kavita Wadde, Asha Chowdhar, Prachi Mathe
Odontogenic myxoma (OM) is a rare benign odontogenic tumor characterized by stellate and spindle-shaped cells dispersed in an abundant myxoid extracellular matrix. The bony invasion by the tumor imparts a characteristic ‘soap bubble’, ‘honeycomb’, or ‘tennis racquet’ radiographic appearance to the lesion. The decision of adopting a conservative or radical approach also depends on various factors such as location, size, and duration of the lesion, and age, gender, and expectations of the patient. Therefore, adequate treatment planning is crucial for the management of cases of OM and varies on an individual basis. The present case report described the management of a case of unusually large OM occurring in a 31-year-old Indian female in the mandibular anterior region crossing the midline.
牙源性黏液瘤(OM)是一种罕见的良性牙源性肿瘤,其特征是星形和梭形细胞分散在丰富的黏液样细胞外基质中。肿瘤对骨骼的侵袭使病灶呈现典型的“肥皂泡”、“蜂窝状”或“网球拍状”影像学表现。采用保守或根治性方法的决定也取决于各种因素,如病变的位置、大小和持续时间,以及患者的年龄、性别和期望。因此,充分的治疗计划对于OM病例的管理至关重要,并因个体而异。本病例报告描述了一例异常大的OM发生在一个31岁的印度女性在下颌前区越过中线的管理。
{"title":"Characteristic yet unusual presentation of an odontogenic myxoma in the anterior mandible","authors":"S. Sachdev, Kavita Wadde, Asha Chowdhar, Prachi Mathe","doi":"10.18231/j.jdpo.2022.065","DOIUrl":"https://doi.org/10.18231/j.jdpo.2022.065","url":null,"abstract":"Odontogenic myxoma (OM) is a rare benign odontogenic tumor characterized by stellate and spindle-shaped cells dispersed in an abundant myxoid extracellular matrix. The bony invasion by the tumor imparts a characteristic ‘soap bubble’, ‘honeycomb’, or ‘tennis racquet’ radiographic appearance to the lesion. The decision of adopting a conservative or radical approach also depends on various factors such as location, size, and duration of the lesion, and age, gender, and expectations of the patient. Therefore, adequate treatment planning is crucial for the management of cases of OM and varies on an individual basis. The present case report described the management of a case of unusually large OM occurring in a 31-year-old Indian female in the mandibular anterior region crossing the midline.","PeriodicalId":364340,"journal":{"name":"IP Journal of Diagnostic Pathology and Oncology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131480821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
IP Journal of Diagnostic Pathology and Oncology
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