Tuesday, 18 November 2014


3RD VENTRICLE COLLOID CYST 






Colloid cysts constitute about 3% of primary brain neoplasms and roughly about 1/5th  of intraventricular space occupying lesions. They are mostly located at the foramen of Monro 
They usually present in early middle age  and rarely in the paediatric population
They are mostly found incidentally . Owing to their critical position in the roof of the third ventricle they can on occasion dramatically present with sudden obstructive hydrocephalus and thunderclap headache or collapse and unconsciousness.  

Monday, 10 November 2014

? ODONTOGENIC FIBROMA WITH ISLANDS OF EPITHELIUM AND ORGANISING HEMATOMA

HISTOLOGY SHOWING FASCICLES OF SPINDLE CELLS WITH ISLANDS OF BENIGN LOOKING EPITHELIUM 




OPG SHOWING BICORTICAL EXPANSION AND MULTILOCULATION.


A cystic ameloblastoma needs to be ruled out but appears unlikely owing to the absence of characteristic histology like stellate reticulum cells etc.

THE patient was a middle aged male with Left mandible painless swelling. Bicortical expansion, multilocular lesion on OPG.


Saturday, 8 November 2014

RHINOSPORIDIOSIS

TISSUE TAKEN FROM BLEEDING NASAL POLYP IN A YOUNG MALE PATIENT



LOW POWER VIEW
                                                       



HIGH POWER VIEW SHOWING CHITINOUS WALLS AND SHEDDING SPORES

Thursday, 6 November 2014

FUN IN PATHOLOGY

TREE BARKS IN SEMEN.

SOUNDS RIDICULOUS?

I THOUGHT SO TOO. BUT LOOK  WHAT I FOUND IN A ROUTINE SEMEN ANALYSIS SLIDE. YOU CAN SEE FOR YOURSELF!



THE RESEMBLANCE TO THE SECTION THROUGH AN OLD TREE TRUNK IS UNCANNY!






Thursday, 23 October 2014

LIVER CANCER IN HIV POSITIVE PATIENT

HIV infection constitutes an important predisposition to a variety of malignancies.
While Lymphomas and Kaposi sarcoma are well known I recently encountered a malignant liver tumor in a patient who was HIV positive.
The cytologic picture is presented here.



Tuesday, 14 October 2014

TUBAL ENDOMETRIOSIS

Endometriosis of the Fallopian tube is one of the main causes of Pelvic Inflammatory disease, the others being tubal damage and peritubal scar tissue formation secondary to tuberculosis or pelvic surgery leading to adhesions. These constitute the tubal causes of infertility, abdominal pain etc



PLATELET COUNT IN VIRAL FEVERS


LOW PLATELET COUNT ON CELL COUNTER.  A COMMON PROBLEM IN VIRAL FEVERS. 


THE PERIPHERAL BLOOD FILM SOMETIMES SHOWS PLATELET CLUMPS WHICH WERE MISSED ON THE CELL COUNTER LEADING TO REPORT OF FALSE LOW PLATELET COUNT


TAIL OF BLOOD FILM SHOWING LARGE PLATELET CLUMPS. THE CELL COUNTER READING WAS 5000 PLATELETS PER CU.MM

Monday, 13 October 2014

                                FNAC THYROID - PAPILLARY CARCINOMA

Papillary carcinoma on FNAC presents rather classical cytologic appearances
45 X VIEW SHOWING CLASSICAL NUCLEAR OVERLAP AND PSEUDOINCLUSIONS

SCANNER VIEW 4X SHOWING LARGE PAPILLARY PROCESSES WITH WELL DEFINED BORDERS




                                   IDIOPATHIC RETROPERITONEAL FIBROSIS


LOW POWER VIEW SHOWING INFLAMMATION AND FIBROSIS ENCIRCLING BLOOD VESSELS AND INSINUATING BETWEEN FIBROUS TISSUE

10 X MAGNIFICATION. THE ANGIOCENTRIC NATURE OF THE INFILTRATE OS CLEARLY APPRECIATED

45 X. LYMPHOPLASMACYTIC INFILTRATE. VASCULAR ECTASIA