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