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A curious case of benign ovarian teratoma with multiple malignant tranformations: A histopathologists quagmire 一例良性卵巢畸胎瘤伴多发性恶变的奇特病例:组织病理学家的困惑
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.092
Ruchi Rastogi, Gunmala Bhatnagar, D. Kalita
Mature cystic teratomas of ovary are common benign germ cell tumors that constitute about 20% of all the ovarian tumors. These tumors however have a rare potential for malignant transformation 0.17-2% and therefore there is a requirement for intraoperative diagnosis to establish an appropriate line of treatment. Incidence of mature cystic teratoma undergoing multiple types of malignant transformation in the same patient is extremely rare and only a small number of such cases have been published in literature. Histopathology and immunohistochemistry are the gold standard for diagnosis and remains the mainstay for defining the treatment course and prognosis.
卵巢成熟囊性畸胎瘤是常见的良性生殖细胞肿瘤,约占所有卵巢肿瘤的 20%。然而,这些肿瘤有 0.17%-2% 的恶变可能性,因此需要进行术中诊断,以确定适当的治疗方案。成熟囊性畸胎瘤在同一患者中发生多种恶性转化的情况极为罕见,目前仅有少量此类病例发表在文献中。组织病理学和免疫组化是诊断的金标准,也是确定治疗方案和预后的主要依据。
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引用次数: 0
Rare pathological lesions of appendix – A case series 阑尾的罕见病变--病例系列
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.086
Aneesha Asok, Akhil Chandran M, Jayalakshmy P. S, Nisha T. G
Acute appendicitis is the most common disease of appendix. Here we are introducing 6 rare lesions of appendix from a tertiary care centre North Kerala. These incidental findings reveals the importance of extensive sampling of appendicectomy specimens.
急性阑尾炎是阑尾最常见的疾病。在此,我们将介绍来自北喀拉拉邦一家三级医疗中心的 6 例罕见阑尾病变。这些偶然发现揭示了阑尾切除术标本广泛取样的重要性。
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引用次数: 0
Pleomorphic adenoma with lipometaplasia: Rare histology finding of a common entity 伴有脂肪增生的多形性腺瘤:常见实体的罕见组织学发现
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.087
Nikhil Sanjay Deshpande, Anil B. Munemane, R. Karle
We report a rare case of a pleomorphic adenoma with lipometaplasia. A 32-year-old woman presented with intraoral swelling over right side of palate. Computed tomography revealed a heterogeneously enhancing right hard palatal mass without bony erosions. Preoperative diagnosis was offered with intraoral fine needle aspiration cytology following which excision was performed. On histopatholgy, final diagnosis of pleomorphic adenoma with lipometaplasia offered. Though rare it must be kept in mind as differential in cases of fat containing salivary gland lesions.
我们报告了一例罕见的伴有脂肪增生的多形性腺瘤。一名 32 岁的女性因上颚右侧口内肿物就诊。计算机断层扫描显示右侧硬腭肿块呈异质性增强,无骨性侵蚀。术前通过口腔内细针穿刺细胞学检查进行了诊断,随后进行了切除术。经组织病理学检查,最终诊断为多形性腺瘤伴脂肪增生。这种病虽然罕见,但在含脂肪唾液腺病变的病例中必须注意鉴别。
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引用次数: 0
Plexiform fibrohistiocytic tumor of elbow: A rare case report 肘部丛状纤维组织细胞瘤:罕见病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.090
S. Usman, Avadh Vihari Lal Sharma, Veena Maheshwari, Murad Ahmad, Zeeshan Nahid
Plexiform fibrohistiocytic tumor is a very rare tumor of soft tissue that affects usually adolescents and children. On histopathological examination it shows multiple small nodules or fascicles that are arranged in plexiform pattern, hence its name. Here we are presenting a case of occurrence of PFT in bilateral elbows. Patient presented with gradually increasing in size and painless swellings for 7 years. Excision was done and on the basis of histopathological and immunohistochemical examination diagnosis of PFT was reached.
丛状纤维组织细胞瘤是一种非常罕见的软组织肿瘤,多发于青少年和儿童。在组织病理学检查中,它表现为多个小结节或束状体,呈丛状排列,因此得名。在此,我们将介绍一例双侧肘部发生 PFT 的病例。患者的肿物逐渐增大且无痛,已有 7 年之久。手术切除后,根据组织病理学和免疫组化检查确诊为 PFT。
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引用次数: 0
FIP1L1– PDGFRA positive chronic eosinophilic leukemia: A case report FIP1L1- PDGFRA 阳性慢性嗜酸性粒细胞白血病:病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.089
Richa Bhartiya, Sujata Agrawal, Poornakala S, Nina G Desai
Chronic eosinophilic leukemia (CEL) is a rare type of leukemia which is characterized by persistently increased number of eosinophils in peripheral blood and bone-marrow alongwith evidence of clonal proliferation of eosinophils with tissue infiltration by eosinophils leading to organ damage and causing systemic manifestations. An accurate diagnosis of CEL is essential as these patients show excellent response to imatinib mesylate. Use of technique like FISH (fluorescent in-situ hybridization) & RTPCR (Reverse Transcriptase) helps in proving the clonality of eosinophils. We report a case of CEL with FIP1L1 (Fip1-Like-1) PDGFRA (Platelet Derived Growth Factor Receptor – Alpha Gene) mutation in 29-year old male presenting with persistent eosinophilia. Rarity of this entity definitely needs a space in literature.
慢性嗜酸性粒细胞白血病(CEL)是一种罕见的白血病,其特征是外周血和骨髓中嗜酸性粒细胞数量持续增加,并伴有嗜酸性粒细胞克隆性增殖的证据,嗜酸性粒细胞对组织的浸润导致器官损伤并引起全身表现。准确诊断 CEL 至关重要,因为这些患者对甲磺酸伊马替尼的反应极佳。使用 FISH(荧光原位杂交)和 RTPCR(逆转录酶)等技术有助于证明嗜酸性粒细胞的克隆性。我们报告了一例 FIP1L1(Fip1-Like-1)PDGFRA(血小板生长因子受体-α基因)突变的 CEL 病例,患者为 29 岁男性,表现为持续性嗜酸性粒细胞增多。这种罕见的病例无疑需要在文献中占有一席之地。
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引用次数: 0
Insights of hematological parameters in dengue virus-infected patients 对登革热病毒感染者血液学参数的认识
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.077
T. Thapa, B. R. Bhattarai, S. Maharjan, Sushant Pokhrel, M. Sapkota
: Early and accurate diagnosis of dengue is critical for prompt treatment and avoiding severe complications. Thus, the present study aimed to evaluate the serological and hematological parameters for predicting the dengue virus infection. : A laboratory-based cross-sectional study was conducted among the patients who visited Sumeru Hospital, Lalitpur, Nepal, from July 2022 to June 2023. Blood samples were collected from suspected dengue cases and tested using the rapid diagnostic immunochromatography (ICT) method, and hematological parameters were also assessed. The Mann-Whitney U test compared continuous variables between dengue-infected and non-infected groups. A binary logistic regression analysis was done to evaluate the association of variables for dengue positivity.: When compared to dengue-negative cases, dengue-positive cases had thrombocytopenia, leucopenia, erythrocytosis, high hemoconcentration, low mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). However, binary logistic regression predicted platelet count, total leucocyte count, MCH, MCHC, neutrophil count and lymphocyte count as significant predictors of dengue positivity.: This study revealed the characteristics and demographics of dengue-positive cases and their associations with hematological parameters. Furthermore, the identified predictive markers can help healthcare professionals diagnose and manage dengue cases more promptly, potentially reducing the disease's burden.
:登革热的早期准确诊断对于及时治疗和避免严重并发症至关重要。因此,本研究旨在评估预测登革热病毒感染的血清学和血液学参数。 研究对象:本研究对 2022 年 7 月至 2023 年 6 月到尼泊尔拉利德布尔 Sumeru 医院就诊的患者进行了实验室横断面研究。研究人员从登革热疑似病例中采集了血液样本,并使用快速诊断免疫层析(ICT)方法进行了检测,同时还评估了血液学参数。曼-惠特尼 U 检验比较了登革热感染组和非感染组之间的连续变量。二元逻辑回归分析评估了各变量与登革热阳性的相关性:与登革热阴性病例相比,登革热阳性病例有血小板减少、白细胞减少、红细胞增多、高血液浓缩、低平均血红蛋白(MCH)和平均血红蛋白浓度(MCHC)。然而,二元逻辑回归预测血小板计数、白细胞总数、MCH、MCHC、中性粒细胞计数和淋巴细胞计数是登革热阳性的重要预测因子:这项研究揭示了登革热阳性病例的特征和人口统计学特征及其与血液学参数的关系。此外,已确定的预测指标可帮助医护人员更及时地诊断和管理登革热病例,从而减轻疾病负担。
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引用次数: 0
Gastric mucormycosis in an immunocompetent host: A case report 免疫功能正常宿主的胃粘液瘤病:病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.093
Deepti Gupta, N. Trivedi, Abhimanyu Kapoor, Shefali Agarwal, A. Tewari
Mucormycosis is rare but emerging fungal infection. In the past decade, it has emerged as an important lethal infection in diabetics and immunocompromised patients. Rhinosinusitis, pansinusitis, rhino-orbital and rhino cerebral forms constitute the classic manifestations of this fungus. Gastrointestinal mucormycosis is an uncommon disease with high mortality most often affecting patients with immunocompromised state. A very few cases of this disease have been described among patients with no risk factors and no known comorbidites. Our study attributes to one such case of invasive gastric mucormycosis diagnosed incidentally on histopathologic examination.
粘孢子菌病是一种罕见但新出现的真菌感染。在过去十年中,它已成为糖尿病患者和免疫力低下患者的一种重要致命感染。鼻炎、泛鼻炎、鼻眶炎和鼻脑炎是这种真菌的典型表现。胃肠道粘孢子菌病是一种不常见的疾病,死亡率很高,多发于免疫力低下的患者。在没有危险因素和已知合并症的患者中,只有极少数病例描述了这种疾病。我们的研究就属于这样一例在组织病理学检查中偶然诊断出的侵袭性胃粘液瘤病。
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引用次数: 0
Scrape cytology – Diagnostic tool in large intestinal tumors 刮片细胞学--大肠肿瘤的诊断工具
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.085
Shashirekha Patil, Nagarekha Kulkarni, Shanthi Manickyam, Shridevi S Hulikeri
: Gastrointestinal tumors, mainly esophagogastric and colorectal carcinomas constitute one of the major causes of morbidity and mortality worldwide. The early detection and treatment of gastrointestinal tumors has been shown to improve patient's survival significantly. The current study is carried out to know the efficiency of scrape cytology in diagnosis of large intestinal tumors by comparing with histopathological diagnosisThirty surgically removed large intestinal tumor specimens were studied. Scrapings were taken from representative areas of each specimen, spread on slides, stained with H/E and reported. The specimens were fixed in 10% formalin, grossed and routine histopathological processing was carried out, followed by staining with H/E, examined and reported. The diagnosis obtained by scrape cytology and histopathology was correlated and analyzedTotal 30 specimens were received and majority of them were of rectal tumors(20%) and sigmund colon tumors(20%), followed by rectosigmoid region tumors (17%). Over all the scrape cytology diagnosis showed concordance for 28 cases with histopathology diagnosis having diagnostic accuracy of 93.3%.:Scrape cytology is simple, rapid and economically feasible technique and can be useful as an adjunct for frozen section in intraoperative consultation.
:胃肠道肿瘤,主要是食管胃癌和结肠直肠癌,是全球发病率和死亡率的主要原因之一。胃肠道肿瘤的早期发现和治疗可显著提高患者的生存率。本研究旨在通过与组织病理学诊断的比较,了解刮片细胞学诊断大肠肿瘤的效率。从每个标本的代表性区域取下刮片,平铺在载玻片上,用 H/E 染色并报告。将标本固定在 10% 福尔马林中,进行大体检查和常规组织病理学处理,然后用 H/E 染色、检查和报告。共收到 30 份标本,其中大部分是直肠肿瘤(20%)和西格蒙德结肠肿瘤(20%),其次是直乙状结肠区域肿瘤(17%)。刮片细胞学诊断显示,28 例病例与组织病理学诊断一致,诊断准确率达 93.3%。
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引用次数: 0
Nodular hidradenoma of eyelid – A rare case with cyto-histo corelation 眼睑结节状赘生物--一例罕见的细胞-组织核心化病例
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.098
Shushruta Mohanty, Sujata Panda, Samskruti Patnaik, Sheetal Sabat
Nodular hidradenomas is an uncommon benign adnexal tumor that arises as nodules from eccrine sweat glands. Although it can appear at various sites, its occurrence in eyelids is extremely rare. The diagnosis is usually confirmed on histopathology, and the lesion poses a diagnostic challenge for cytopathologist and is rarely diagnosed on fine aspiration needle cytology (FNAC), which prompted us to report. Here we report a rare case of Nodular Hidradenoma in a 50-year male, that was initially diagnosed on FNAC and later confirmed on histopathology and IHC. Thus, our study emphasizes that FNAC can be used as a first line diagnostic modality for nodular lesions of skin.
结节性大汗腺瘤是一种不常见的良性附件肿瘤,它是从大汗腺中产生的结节。虽然它可以出现在不同部位,但发生在眼睑的情况极为罕见。这种病变给细胞病理学家带来了诊断上的挑战,很少能通过细吸针细胞学检查(FNAC)确诊。我们在此报告了一例罕见的结节状赘生物,患者为 50 岁男性,最初通过 FNAC 诊断,后经组织病理学和 IHC 确诊。因此,我们的研究强调,FNAC 可作为皮肤结节性病变的一线诊断方法。
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引用次数: 0
Invasive solid papillary carcinoma of breast mimicking as a benign condition: Rare case report 乳腺浸润性实性乳头状癌疑似良性病变罕见病例报告
Pub Date : 2023-12-15 DOI: 10.18231/j.ijpo.2023.099
Krishna Ramavath, G. Singh L., Reshmi Sultana, Sumitra Sivakoti, Adarsha A M, Harikrishna B, Siddharth S Rao
Invasive papillary carcinomas of breast are rare tumors. They account for approximately 0.5% of all Invasive breast carcinomas. Invasive papillary carcinomas are commonly present in post-menopause women. These tumors lack the myoepithelial cell layer (MCL) within the papillae or at the periphery of the tumor. The diagnosis is difficult due to different clinical and radiological features. Immunohistochemistry (IHC) is really essential to confirming the diagnosis. We are here presenting one index case of a rare variety of invasive papillary carcinoma of the left breast. We present a case of invasive papillary carcinoma of the left breast in a 55-year-old female presented with a retroareolar lump without nipple discharge. Preoperative core biopsy showed fibroadenoma with a papillary configuration.But post-operative histopathological examination revealed it was an invasive papillary carcinoma. Invasive papillary carcinoma of breast even though a rare entity, making a diagnosis is very challenging. Thorough preoperative clinical and radiological examination should be done, so that timely management as well as proper treatment is possible.
乳腺浸润性乳头状癌是一种罕见肿瘤。它们约占所有浸润性乳腺癌的 0.5%。浸润性乳头状癌常见于绝经后妇女。这些肿瘤在乳头内或肿瘤外围缺乏肌上皮细胞层(MCL)。由于临床和放射学特征各不相同,诊断十分困难。免疫组织化学(IHC)对确诊至关重要。我们在此介绍一例罕见的左乳腺浸润性乳头状癌病例。我们报告了一例左乳腺浸润性乳头状癌病例,患者是一名 55 岁女性,因乳晕后肿块就诊,无乳头溢液。术前核心活检显示为乳头状结构的纤维腺瘤,但术后组织病理学检查显示为浸润性乳头状癌。乳腺浸润性乳头状癌虽然罕见,但诊断却非常困难。术前应进行全面的临床和放射学检查,以便及时处理和正确治疗。
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引用次数: 0
期刊
Indian Journal of Pathology and Oncology
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