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Mucinous cystic neoplasm of the liver: A rare case report 肝脏黏液囊性肿瘤:罕见病例报告
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.038
Tanya Prasad, Dipti Anu, Madhu Kumari, Kislay Kant
Mucinous cystic neoplasm of the liver is a rare cystic neoplasm accounting for approx. 5% of cystic liver in the liver parenchyma. We describe the histomorphology and immunophenotyping features of MCN-L in a 52-year-old woman who came to the surgical department with complaints of pain abdomen for 1.5 months. The ultrasonography showed a septated cyst located centrally in the liver. The CT abdomen showed a large hypodense multiloculated cystic lesion in the liver with thin enhancing septae and multiple small cysts involving the entire left lobe with extension into the right lobe and having a large infra-hepatic exophytic component. A provisional diagnosis of a Hydatid cyst was made. Drainage of the cyst with laparoscopic deroofing was done. Histopathology examination showed a cyst lined by cuboidal to columnar epithelium with mucinous cytoplasm and basally oriented nuclei. Subepithelium shows ovarian-like stroma. MCN-L has a lower frequency as compared to the counterpart of MCN in the pancreas, and further molecular studies are necessary to clarify the biology of MCN-L. The relevance of this rare entity's clinical and radiological suspicion, histological recognition and immunohistochemistry is emphasised.
肝脏黏液囊性肿瘤是一种罕见的囊性肿瘤,约占肝实质囊性肝脏的5%。我们描述了一名 52 岁女性 MCN-L 的组织形态学和免疫分型特征,该患者因腹痛 1 个半月前来外科就诊。超声波检查显示肝脏中央有一个隔膜囊肿。腹部 CT 显示,肝脏内有一个大的低密度多发囊性病变,其间有薄的强化隔膜和多个小囊肿,囊肿累及整个左叶,并向右叶延伸,且有一个大的肝内外生成分。初步诊断为包虫囊肿。通过腹腔镜进行了囊肿引流。组织病理学检查显示,囊肿内衬为立方体至柱状上皮,具有粘液性细胞质和基底定向的细胞核。上皮下显示卵巢样基质。与胰腺中的 MCN 相比,MCN-L 的发病率较低,因此有必要开展进一步的分子研究,以明确 MCN-L 的生物学特性。强调了临床和放射学怀疑、组织学识别和免疫组化对这一罕见实体的相关性。
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引用次数: 0
Oral squamous cell carcinoma: Histological grading and co relationship with cervical metastasis, depth of invasion and perineural invasion 口腔鳞状细胞癌:组织学分级及与宫颈转移、浸润深度和神经周围浸润的关系
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.030
Bazila Mansoor, Sheeba Parvez, Rimsha Ahmed, A. Khajuria
The aim of the study is to ascertain whether there happens to be any relation between the histological grading (according to broders system) of oral squamous cell carcinoma cases and their regional metastasis, depth of invasion and perineural invasion. Squamous cell carcinoma is known to be the most common malignancy of the oral cavity. Staging and grading of OSCC are established are the main requirements for management, because they influence risk stratification and are one of the first step towards personalized treatment. Histological grading was introduced for the first time by Broder’s for squamous cell carcinomas of lip.: This is a retrospective study of 53 patients who were diagnosed as oral squamous cell carcinomas from April 2021 to January 2023. The specimen of the cases were sent to our Department of Pathology, Acharya Shri Chandra college of medical sciences and hospital, Jammu for histopathological examination after resection.: Broder’s grading does co relate to the metastasis, depth of invasion and perineural invasion. There should be more studies at a larger level to ascertain the potential of Breslow grading.
本研究旨在确定口腔鳞状细胞癌病例的组织学分级(根据布鲁德系统)与其区域转移、浸润深度和神经周围浸润之间是否存在任何关系。众所周知,鳞状细胞癌是口腔最常见的恶性肿瘤。口腔鳞状细胞癌的分期和分级是治疗的主要要求,因为它们影响风险分层,也是实现个性化治疗的第一步。布罗德首次对唇部鳞状细胞癌进行了组织学分级:这是一项回顾性研究,研究对象是 2021 年 4 月至 2023 年 1 月期间确诊为口腔鳞状细胞癌的 53 名患者。病例标本在切除后送往查谟阿查里亚-什里-钱德拉医学院和医院病理科进行组织病理学检查:布罗德分级与转移、浸润深度和神经周围浸润无关。应在更大范围内开展更多研究,以确定布氏分级的潜力。
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引用次数: 0
The impact of knowledge, attitude, and perception of blood donation among college students 大学生对献血的认识、态度和感知的影响
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.025
Banushree C S
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引用次数: 0
Composite hemangioendothelioma of breast: A case report with review of literature 乳腺复合型血管内皮瘤:病例报告与文献综述
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.040
Kannar Vidyavathi, Akshatha Bissegowda, Dharmapalan Anantharaman, Haruvanahalli Basappa Kavyashri
Composite hemangioendothelioma (CHE) is an intermediate grade neoplastic tumor of vascular origin. It consists of a varied mixture of benign, intermediate and malignantvascular components. Only few cases of CHE occurring in different soft tissue areas of the body and rarely in internal organs have been reported in literature till now. We report a case of CHE presenting as lump in the breast in a 42 year old female. A review of literature is also presented to create awareness of this entity which can be misleading in breast where angiosarcoma is also known to occur.
复合型血管内皮瘤(CHE)是一种血管源性中级肿瘤。它由各种良性、中度和恶性血管成分混合而成。迄今为止,只有少数文献报道了发生在身体不同软组织部位的 CHE 病例,很少有发生在内脏器官的病例。我们报告了一例以乳房肿块为表现的 CHE 病例,患者为 42 岁女性。我们还对文献进行了回顾,以提高人们对乳腺血管肉瘤的认识。
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引用次数: 0
Cerebrospinal fluid cytology: A theragnostic and prognostic tool- Experience from a tertiary cancer care centre in central India 脑脊液细胞学:一种诊断和预后工具--来自印度中部一家三级癌症护理中心的经验
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.033
Shraddha Mahindra, Meena Pangarkar, Kishor Deshpande, Radhika Pagey, Shweta Deulkar
: CSF examination is the gold standard for diagnosing leptomeningeal metastases. Malignant cells may access the subarachnoid space by hematogenous dissemination, spreading directly from parenchymal brain lesions, or spreading along the spinal cord or cranial nerves. Cytological detection of malignant cells in CSF is still a crucial decision point for systemic and intrathecal chemotherapy, and it has prognostic significance even with improvements in biochemical analysis and CNS imaging.  Over the course of two years, a total of 397 patients—regardless of gender and age—were investigated. There were sixty-four cases with involvement of the central nervous system documented, comprising 42 hematologic malignancies and 22 solid tumors. Cell centrifugation (Cytospin) method were used to prepare smears and cell blocks where prepared, as feasible and indicated. : A cytological analysis of the cerebrospinal fluid showed that metastatic tumors were much more prevalent than primary central nervous system tumours. Lung tumors were the most frequent primary site in our analysis, with breast, gastrointestinal, and female genital tract malignancies following closely behind. CNS involvement has been reported in patients with Lymphoma (DLBCL) and Leukemia (most commonly ALL, but also AML and JMML) among hematological malignancies. Two cases of Retinoblastoma and one each of Medulloblastoma and an Atypical teratoid/rhabdoid tumor were observed in the pediatric age group.: Cerebrospinal fluid cytology is a simple and useful method, used as a primary diagnostic method in the evaluation of leptomeningeal metastases. This helps in the early detection of secondary CNS lesions and allows for timely intervention, prognosis, and prediction of overall survival.
:脑脊液检查是诊断脑转移的金标准。恶性细胞可能通过血行播散、从脑实质病变直接扩散或沿脊髓或颅神经扩散进入蛛网膜下腔。细胞学检测脑脊液中的恶性细胞仍是全身化疗和鞘内化疗的关键决策点,即使生化分析和中枢神经系统成像技术有所改进,恶性细胞仍具有预后意义。 在两年的时间里,共对 397 名患者(不分男女和年龄)进行了调查。其中有 64 例受累于中枢神经系统,包括 42 例血液系统恶性肿瘤和 22 例实体瘤。采用细胞离心法(Cytospin)制备涂片,并在可行和有指征的情况下制备细胞块。 脑脊液细胞学分析显示,转移性肿瘤比原发性中枢神经系统肿瘤更为常见。在我们的分析中,肺部肿瘤是最常见的原发部位,乳腺、胃肠道和女性生殖道恶性肿瘤紧随其后。在血液恶性肿瘤中,淋巴瘤(DLBCL)和白血病(最常见的是ALL,也有AML和JMML)患者的中枢神经系统也有受累的报道。在儿童年龄组中观察到两例视网膜母细胞瘤、一例髓母细胞瘤和一例非典型畸胎瘤/横纹肌瘤:脑脊液细胞学是一种简单实用的方法,可作为评估脑膜转移瘤的主要诊断方法。这有助于早期发现继发性中枢神经系统病变,并能及时进行干预、预后判断和总体生存率预测。
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引用次数: 0
Incidental detection of intrahepatic cholangiocarcinoma in an explant liver: An unforeseen encounter 在一个外取肝中意外发现肝内胆管癌:意外的遭遇
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.039
Srinivas Bheemanathi Hanuman, Soundarya Ravi, B. Pottakkat
Incidental intrahepatic cholangiocarcinoma (i-ICCA) is an uncommonly encountered malignancy in an explant liver. The presence of i-ICCA in an explant liver indicates poor prognosis and high chances of recurrence. Therefore, histopathological diagnosis of i-ICCA in an explant liver specimen is crucial for the patient. In this case report, we present a case of i-ICCA diagnosed in an explant liver showing features of alcoholic cirrhosis with a brief discussion on its salient features and relevant differential diagnoses.
偶发肝内胆管癌(i-ICCA)是外取肝中罕见的恶性肿瘤。外切肝中出现 iICCA 表明预后不良,复发几率高。因此,外取肝标本的组织病理学诊断对患者至关重要。在本病例报告中,我们介绍了一例在显示酒精性肝硬化特征的外取肝中诊断出的 i-ICCA,并简要讨论了其突出特征和相关鉴别诊断。
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引用次数: 0
Benign metastasizing tumor or benign epithelial inclusion in the node: A diagnostic dilemma 结节中的良性转移瘤或良性上皮内含物:诊断难题
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.048
D. Gochhait, Paruvathavarthini Thambiraj, Norton S. Stephen, N. Siddaraju
Generally metastasis implies malignancy, but there are some benign tumours which can also metastasize to lymph nodes, bone, and kidney. The benign tumours which can metastasize includes pleomorphic adenoma, leiomyoma, giant cell tumour of bone and meningioma. A 27 years old female presented to the cytology clinic with the submandibular swelling for past 3 months. Patient is a known case of pleomorphic adenoma post-surgery in the same region 6 years back. On examination two nodular swelling each measuring 1 x 1 which is firm mobile near scar site and left level III lymph node region. A non-guided fine needle aspiration cytology was performed from both the swelling. The Papanicolaou- and May-Grünwald Giemsa-stained smears from both sites showed features of pleomorphic adenoma. The interesting aspect of this article is cytological diagnosis of benign pleomorphic adenoma metastasizing to lymph nodes which is a rare entity.
一般来说,转移意味着恶性肿瘤,但有些良性肿瘤也会转移到淋巴结、骨骼和肾脏。可以转移的良性肿瘤包括多形性腺瘤、子宫肌瘤、骨巨细胞瘤和脑膜瘤。一名 27 岁的女性因颌下腺肿胀 3 个月前来细胞学门诊就诊。患者曾在 6 年前的同一部位做过多形性腺瘤手术。经检查,疤痕部位和左侧 III 级淋巴结区域附近有两个结节状肿物,大小各为 1 x 1,质地坚硬,可移动。对这两个肿物进行了无引导细针穿刺细胞学检查。两个部位的巴氏涂片和梅-格林瓦尔德吉氏涂片均显示为多形性腺瘤。这篇文章的有趣之处在于对转移到淋巴结的良性多形性腺瘤进行了细胞学诊断,而这种情况并不多见。
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引用次数: 0
Inflammatory fibroid polyps of small and large intestine: Report of two cases 小肠和大肠的炎性纤维息肉:两个病例的报告
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.036
Divya Gordhanbhai Patel, Pragati Atulbhai Shah, Raj D Shah, Minesh B Gandhi, Cherry K Shah
Inflammatory fibroid polyps (IFPs) are uncommon benign solitary mesenchymal neoplasms which may develop anywhere in the gastrointestinal tract. These submucosal lesions can occur in individuals of any age but are more frequently observed in the 6th or 7th decade of life. Although rarely associated with adenoma or adenocarcinoma, IFPs are typically managed through local excision. The clinical presentation varies depending on the anatomical location of the polyp. Gross examination typically reveals localized submucosal sessile polypoidal masses. Microscopically, IFPs are characterized by inflammatory cell infiltrate, spindle shaped cells and prominent capillaries. These benign lesions have unknown pathogenesis. Below mentioned are two case report of inflammatory fibroid polyps which lead to intussusception.
炎性纤维息肉(IFP)是一种不常见的良性单发间质肿瘤,可发生在胃肠道的任何部位。这些粘膜下病变可发生于任何年龄段的人,但更多见于六七十岁的人。虽然 IFPs 很少伴有腺瘤或腺癌,但通常通过局部切除术进行治疗。临床表现因息肉的解剖位置而异。大体检查通常会发现局部粘膜下无柄息肉状肿块。显微镜下,IFP 的特征是炎性细胞浸润、纺锤形细胞和突出的毛细血管。这些良性病变的发病机制不明。以下是两例导致肠套叠的炎性纤维息肉病例报告。
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引用次数: 0
Study of salivary gland cytopathological lesions and categorized according to Milan reporting system at tertiary care centre Rajkot 拉杰科特三级医疗中心涎腺细胞病理学病变研究及根据米兰报告系统进行的分类
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.032
Disha Bipinbhai Patel, Shilpa Gandhi, Gauravi H Dhruva
Classification of salivary gland lesions into 6 diagnostic categories by using Milan Reporting System. Calculate risk of malignancy (ROM) of each category in present study and compare with other similar study. : The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) developed in 2015, aims of MSRSGC to standardize the reporting of salivary gland cytology. It provides a uniform diagnostic terminology that enhances communication between pathologists and clinicians. Moreover, it facilitates the evaluation of data and ensures a precise cytologic and histologic correlation of cases. Ultimately, this system is designed to improve patient care by streamlining the diagnosis process and enabling more accurate treatment decisions. Clinical history and cytology smears of salivary gland lesions, which were diagnosed from October 2022 to September 2023, were retrieved in a P.D.U. medical hospital in Rajkot, Gujarat. The cytology smears were all meticulously reviewed and subsequently classified into one of the six categories as prescribed by MSRSGC. With HPE considered the gold standard, the sensitivity, specificity, positive predictive value, and negative predictive value of FNAC for detecting malignant lesions were meticulously calculated.: A total of 59 salivary gland lesions underwent examination, of which 38 (64.4%) were found in males, and 21 (35.6%) were identified in females. The patients had a median age of 45 years, with ages ranging from 10 to 80 years. It was revealed through statistical analysis that the sensitivity, specificity, positive predictive value, and negative predictive value were determined to be 80%, 100%, 100%, and 88%, respectively. : MSRSGC serves as an effective framework for the categorization of salivary gland tumors, be they benign or malignant. Our findings reflect the positive contribution of the MSRSGC towards accurately identifying the malignant lesions and thus further helping the clinicians regarding the specific management decisions.
利用米兰报告系统将唾液腺病变分为 6 个诊断类别。计算本研究中每个类别的恶性肿瘤风险(ROM),并与其他类似研究进行比较。 : 2015年开发的米兰唾液腺细胞病理学报告系统(MSRSGC)旨在规范唾液腺细胞学报告。它提供了统一的诊断术语,加强了病理学家和临床医生之间的交流。此外,该系统还有助于评估数据,确保病例的细胞学和组织学关联精确。最终,该系统可简化诊断过程,做出更准确的治疗决定,从而改善对患者的护理。我们在古吉拉特邦拉杰果特的一家 P.D.U. 医疗医院检索了 2022 年 10 月至 2023 年 9 月期间确诊的唾液腺病变的临床病史和细胞学涂片。所有细胞学涂片均经过仔细审查,随后按照 MSRSGC 的规定分为六类。由于 HPE 被认为是金标准,因此对 FNAC 检测恶性病变的敏感性、特异性、阳性预测值和阴性预测值进行了仔细计算。 共有 59 例唾液腺病变接受了检查,其中 38 例(64.4%)为男性,21 例(35.6%)为女性。患者的中位年龄为 45 岁,年龄从 10 岁到 80 岁不等。统计分析表明,MSRSGC 的灵敏度、特异性、阳性预测值和阴性预测值分别为 80%、100%、100% 和 88%。 结论:MSRSGC 是对唾液腺肿瘤(无论是良性还是恶性)进行分类的有效框架。我们的研究结果表明,MSRSGC 在准确识别恶性病变方面做出了积极贡献,从而进一步帮助临床医生做出具体的治疗决定。
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引用次数: 0
Gastrointestinal carcinomas in young adults- Case series 青壮年胃肠癌--病例系列
Pub Date : 2024-07-15 DOI: 10.18231/j.ijpo.2024.034
Ankita Yadav, Noorin Zaidi, Sumaiya Irfan, Nirupama Lal, Iqra Sheikh
Gastrointestinal (GI) carcinomas is a term for group of cancers that affect the digestive system. This includes oesophageal, gallbladder, liver, pancreatic, stomach, and bowel cancers. Young-onset colorectal cancer (CRC) is defined as CRC that manifests in people under the age of 50 years. The incidence of CRC in young people has increased by 2% to 8% annually. Small bowel cancer is one of the rare types of cancer as its incidence accounts for less than 1% of all other types of cancer in the United States. Most of these tumors occur in older adults; > 90% of cases occur in people older than 40 years. Here, we are presenting four cases of young onset GI carcinomas. GI carcinomas is now being reported in younger population, therefore it is important to be aware of symptoms and risk factors in them. Here, we are presenting four cases of young onset GI carcinomas in female patients aged 22 and 24 and two male patients aged 21 and 32.
胃肠癌是一组影响消化系统的癌症的总称。其中包括食道癌、胆囊癌、肝癌、胰腺癌、胃癌和肠癌。年轻发病的结直肠癌(CRC)是指 50 岁以下人群中出现的结直肠癌。年轻人的 CRC 发病率每年增加 2% 到 8%。小肠癌是罕见的癌症类型之一,其发病率不到美国所有其他类型癌症的 1%。这些肿瘤大多发生在老年人身上;90%以上的病例发生在 40 岁以上的人群中。在此,我们将介绍四例年轻发病的消化道癌病例。据报道,消化道癌目前在年轻人群中发病率较高,因此了解他们的症状和风险因素非常重要。在此,我们将介绍四例年轻发病的消化道癌病例,女性患者年龄分别为 22 岁和 24 岁,男性患者分别为 21 岁和 32 岁。
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引用次数: 0
期刊
Indian Journal of Pathology and Oncology
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