Journal of Cytology
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   2010| April-June  | Volume 27 | Issue 2  
    Online since September 28, 2010

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Distinction of phyllodes tumor from fibroadenoma: Cytologists' perspective
Ranjana Bandyopadhyay, Dipanwita Nag, Santosh Kumar Mondal, Subhalakshmi Mukhopadhyay, Sumit Roy, Swapan Kumar Sinha
April-June 2010, 27(2):59-62
DOI:10.4103/0970-9371.70739  PMID:21157551
Background: Fibroadenomas and phyllodes tumors may have similar cytological appearances. However, a detailed study of cytomorphology of stromal elements may be helpful in differentiation. Aim: To evaluate the cytological features of phyllodes tumor in our study with special reference to features that can help distinguishing it from fibroadenoma. Materials and Methods: The archival materials of our hospital were searched from January 2006 to January 2009 for histopathologically-diagnosed cases of phyllodes tumor. The cases in which previous cytopathology smears were available were included in the study. The cytomorphology of 10 such cases were compared with 25 cytologically-diagnosed and histopathologically-confirmed cases of fibroadenoma. Results: The size, cellularity of stromal fragments, and the proportion of spindle cells in the background are important features in such differentiation.
  9,837 515 20
FNAC diagnosis of medullary carcinoma thyroid: A report of three cases with review of literature
Ghazala Mehdi, Veena Maheshwari, Hena A Ansari, Lubna Sadaf, Mohammad Amanullah Khan
April-June 2010, 27(2):66-68
DOI:10.4103/0970-9371.70745  PMID:21157553
Medullary carcinoma of the thyroid is an unusual neoplasm, which is associated with specific supportive diagnostic markers. Despite this, its cytological diagnosis is often difficult. We report herewith three cases of medullary thyroid carcinoma. The diagnosis was established on fine-needle aspiration cytology. Plasmacytoid cell pattern was observed in two cases and spindle cell pattern in the third case.
  8,640 300 9
Comparison of aspiration vs non-aspiration techniques in fine-needle cytology of thyroid lesions
Anil Kumar Maurya, Anurag Mehta, NS Mani, VS Nijhawan, Rajeev Batra
April-June 2010, 27(2):51-54
DOI:10.4103/0970-9371.70737  PMID:21157549
Aim: To compare the efficacy of fine-needle non-aspiration cytology (FNNAC) with that of fine-needle aspiration cytology (FNAC) of thyroid lesions. Materials and Methods: FNAC and FNNAC techniques were studied in 50 cases of thyroid lesions. All the needle-sampling procedures were done by a single operator. The samples were assessed cytologically and evaluated using five parameters, that is, background blood or clot, amount of cellular material, degree of cellular degeneration, and degree of cellular trauma and retention of appropriate architecture. Statistical Analysis: Wilcoxon signed rank test was performed using SPSS14 software. Differences between all the individual parameters as observed in FNAC and FNNAC smears were insignificant. Results and Conclusion: After evaluation of FNAC and FNNAC on the basis of these scores, greater numbers of diagnostically superior samples were obtained by FNNAC; however, by FNAC more number of diagnostically adequate smears were observed. The numbers of unsuitable smears were also more by FNNAC technique.
  7,530 444 11
Synovial sarcoma with relevant immunocytochemistry and special emphasis on the monophasic fibrous variant
Radhika Kottu, Aruna K Prayaga
April-June 2010, 27(2):47-50
DOI:10.4103/0970-9371.70736  PMID:21157548
Background: Monophasic fibrous synovial sarcoma (SS) is the most common variant of SS. Only a few cytological studies are available on this entity. Bcl-2 protein expression has been described as a characteristic marker of SS and is useful for its differentiation from other sarcomas. Cytokeratin and CD99 are also used in detecting SS. Aims: To evaluate synovial sarcoma and its variants cytomorphologically. Materials and Methods: During a period of 10 years 7 months, i.e. from January 1998 to July 2008, 12 cytologic specimens diagnosed as synovial sarcoma were reviewed. Ten cases were diagnosed as SS on aspiration alone but two cases required ancillary technique i.e., immunocytochemistry staining with bcl-2 and cytokeratin. The smears were stained with Papanicolaou and May-Grόnwald-Giemsa stains. Results: All cytologic specimens in our study had similar appearance. Most smears were highly cellular and were made up of densely packed tri-dimensional groups and singly scattered round to oval cells. Cellular monomorphism and vascular channels within the cell groups were the remarkable findings. Only one case showed cytologic evidence of epithelial differentiation. Bcl-2, cytokeratin, CD99 positivity was seen on immunohistochemistry staining. Results were categorized according to age, sex and morphologic variants. Conclusions: Although cytomorphologic features of synovial sarcomas are characteristic enough to permit its recognition, clinical correlation is necessary for accurate diagnosis. Monophasic variant is the most common entity observed in the present study.
  7,470 299 9
Cytological grading of breast cancers and comparative evaluation of two grading systems
Farooq Ahmed Wani, Subhash Bhardwaj, Dinesh Kumar, Pervez Katoch
April-June 2010, 27(2):55-58
DOI:10.4103/0970-9371.70738  PMID:21157550
Aim: To evaluate and compare the cytograding of breast cancers using Robinson's and Mouriquand's grading methods. Materials and Methods: A 5-year retrospective (from Oct 2000 to Sept 2005) and 1-year prospective study (from Oct 2005 to Oct 2006). A total of 110 fine-needle aspiration cytology (FNAC) cases of breast cancers were studied. These were graded according to Robinson's and Mouriquand's grading methods (grade I-III) followed by comparison of the two methods. Results: Of the 110 cases graded according to Robinson's method, 28 (25.45%) cases were grade I, 46 (41.81%) grade II, and 36 (32.72%) were grade III, whereas using Mouriquand's grading methods, 28 (25.45%), 42 (38.18%), and 40 (36.36%) cases were graded as grade I, II, and III, respectively. A high degree of concordance was observed between the two grading methods (90.9%). A highly significant relationship between the scores obtained by two methods was also observed (P=0.004). Conclusions: A comprehensive cytological grading of breast cancers is possible by using two different methods proposed by Robinson and Mouriquand. In spite of a high degree of concordance between the two methods, the Robinson's grading system has been found to be easier and better because of more objective set of criteria and easy reproducibility.
  6,816 406 10
Hyalinizing trabecular tumor of the thyroid gland
Sumiti Gupta, Shilpi Modi, Veena Gupta, Nisha Marwah
April-June 2010, 27(2):63-65
DOI:10.4103/0970-9371.70741  PMID:21157552
Hyalinizing trabecular tumor (HTT) is an unusual and controversial lesion of the thyroid gland. Some have considered it a unique entity, some have considered it a variant of papillary carcinoma, and still others have considered it a nonspecific pattern that may be seen with a variety of thyroid lesions. The histological and ultrastructural characteristics of this thyroid neoplasm are well documented; however, its cytological diagnosis by fine needle aspiration cytology (FNAC) remains challenging. The cytomorphological features of this entity overlap with both papillary and medullary carcinoma to a varying extent. We report a case of HTT with cytological evaluation by FNAC in a 28-year-old male.
  6,411 194 6
Cytological diagnosis of peritoneal endometriosis
Sudheer Arava, Venkateswaran K Iyer, Sandeep R Mathur
April-June 2010, 27(2):77-78
DOI:10.4103/0970-9371.70757  PMID:21157558
  5,913 151 4
The cytology of molluscum contagiosum mimicking skin adnexal tumor
Jayashree Krishnamurthy, Divya Kota Nagappa
April-June 2010, 27(2):74-75
DOI:10.4103/0970-9371.70753  PMID:21157556
Molluscum contagiosum is a cutaneous viral infection presenting as multiple, umbilicated papules and vesicles. The cytology of molluscum contagiosum in an 11-year-old boy, which presented atypically as a solitary nodule over the right cheek, mimicking a skin adnexal tumor is reported here. Fine needle aspiration cytology plays a vital role in establishing the correct diagnosis of clinically unsuspected cases, and hence, the proper management of such lesions. The cytology of molluscum contagiosum is characterized by the presence of numerous large intracytoplasmic basophilic bodies that push the host nucleus to the periphery, giving a signet ring appearance to the superficial epidermal cells.
  4,557 174 6
Adenoid cystic carcinoma of breast and the importance of differentiation from collagenous spherulosis by FNAC
Amrish N Pandya, Pinal Shah, RD Patel, Prashant R Patel
April-June 2010, 27(2):69-70
DOI:10.4103/0970-9371.70748  PMID:21157554
We are presenting a case of adenoid cystic carcinoma (ACC) of breast in a 66-year-old woman having lump in left breast, admitted to surgical ward of our institute. A diagnosis of ACC of breast was made and subsequently confirmed histopathologically and on immunohistochemistry.
  4,226 163 7
Microfilaria concomitant with metastatic deposits of adenocarcinoma in lymph node fine needle aspiration cytology: A chance finding
Sachin S Kolte, Rahul N Satarkar, Pratibha M Mane
April-June 2010, 27(2):78-80
DOI:10.4103/0970-9371.70759  PMID:21157559
  4,144 152 6
Cytological diagnosis of squamous cell carcinoma of renal pelvis
Rubi Bindra, Saurav Gupta, Neelam Gupta
April-June 2010, 27(2):76-77
DOI:10.4103/0970-9371.70756  PMID:21157557
  4,148 116 6
The cytology of micropapillary variant of colloid carcinoma of breast: A report of two cases
Jayashree Krishnamurthy, Divya Kota Nagappa
April-June 2010, 27(2):71-73
DOI:10.4103/0970-9371.70751  PMID:21157555
Colloid carcinoma (pure mucinous carcinoma) is an uncommon variant of breast carcinoma with distinctive cytological and histological features. These tumors are characterised by islands of tumor cells floating in a sea of abundant extracellular mucin. We present the cytology of two cases of colloid carcinoma occurring in 80-year-old and 45-year-old females. The fine-needle aspiration cytology helps to subcategorize the tumor type, thereby enhancing the knowledge about the distinctive cytological features of special and uncommon variants of breast carcinoma, their course and prognosis. A distinctive micropapillary variant of pure mucinous carcinoma which is rarely described, is represented in one of the cases. Also we report, here, colloid carcinoma in a female of reproductive age, a relatively uncommon occurrence.
  3,510 132 5
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