Fallopian Tube Prolapse after Hysterectomy: A Rare Entity |
Author : Jyoti Rajpoot, Sonam Sharma, Sachin Kolte, Poonam Khambra |
Abstract | Full Text |
Abstract :Prolapse of fallopian tube into the vaginal vault following hysterectomy is a rare
complication and an underreported clinical entity as well. Cumulative incidence of
fallopian tube prolapse is 0.5 and 0.06% with vaginal hysterectomy and abdominal
hysterectomy respectively. Histopathology along with good clinical correlation is the
only definite way to confirm its diagnosis. |
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Cysticercosis of the Breast Masquerading as Fibroadenoma |
Author : Sonam Sharma , Shipra Singhal , Rachit Sharma |
Abstract | Full Text |
Abstract :Cysticercosisin humans occurs due to larval infestation of the cestode Taenia solium.It
is a common parasitic public health problem especially in developing countries. It can
affect any part of the body and can have variety of clinical presentationsthat cancreate
diagnostic dilemmas. Herein we report one such unusual manifestation ofthis parasite
as breast lump in a 28-year-old female who was suspected as a case of fibroadenoma
breast |
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Pattern of Pap smear Cytology and Its Histopathological Correlation at a Tertiary Care Center |
Author : Rohan Gupta , SG Gupta , KB Mishra , Roma l Singh |
Abstract | Full Text |
Abstract :Background: Cancer cervix is a leading cause of mortality and morbidity in developing
countries like India. Developing countries accounted for about 80% of the global
burden. This study was conducted to highlight the importance of Pap smear in
differentiating premalignant and malignant lesions as well as to clinically correlate to
analyze sensitivity, specificity, and positive predictive value for Pap smear.
Materials and Methods: This cross-sectional study of 500 cervical Pap smears
performed, with cyto-histo correlation was done on 130 women with age group 20 to
75 years coming to the cytology and histology section of pathology department, L.N.
Medical College and Research Centre, Bhopal, during the time period of 1st Jan 2015 to
31st Dec 2015. All the smears were reported as per the 2014 Bethesda system.
Results and Conclusion: Cervix with discharge and bleeding was found to be a common
symptom in cervical lesion with other findings of vaginal burning and itching for which
Pap smear test was done which was found to be in agreement with sensitive and
specificity to histopathological examination for the early detection of different cervical
lesions as well as for malignancy with concordance of 75% for normal and infection and
55.5% for CIN1, 100% for CIN 2, 3 and 100% for malignant cases. Out of 500 cases,
maximum cases of Pap were negative for intraepithelial lesion or malignancy 377cases
(75.4%) followed by low-grade squamous intraepithelial lesion with 37 (cases (7.4%)
(followed by high-grade squamous intraepithelial lesion with 6 cases (1.2%) then and
minimum number of carcinoma cases 04 (0.8%-including 0.6% of squamous cell
carcinoma and 0.2% of adenocarcinoma).
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Book Review: Upcoming Book Release! |
Author : Preeti Sharma |
Abstract | Full Text |
Abstract :A sea change has occurred in the field of pathology over the past several years.
Evolution from a rather narrow discipline mainly concerned with the morphologic
expression of disease at the gross and light microscopic level to one encompassing a
wider view of how cells and tissues react at the molecular, genetic and immunologic
levels is rather fascinating. |
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A Comparison between Liquid-Based Cytology (LBC) and Cytospin Cytopreparatory Techniques in Urine Cytology |
Author : K Sevvanthi , Ramya S Vokuda, BH Srinivas , Surendra Kumar Verma |
Abstract | Full Text |
Abstract :Introduction: The simplest and non-invasive procedure for screening tumors of the
bladder is assessing urine cytology as it shows high sensitivity for detecting higher grade
urothelial lesions. Liquid based cytology (LBC), being a newer technique may be
promising in assessing these lesions over conventional cytospin technique.
Aim: In the present study, we have assessed and compared the utility of LBC and
cytospin preparations in urine cytology.
Methods: This study was carried out for a period of one year (June 2014-April 2015) in
the Department of Pathology, JIPMER. We have analyzed 150 samples received in the
cytology laboratory, which included hemorrhagic, turbid as well as, clear urine samples.
Each sample, was processed for both conventional cytospin (CCS) and SurePath LBC
techniques. The parameters analyzed were cellularity, cell distribution,
cytomorphology, smear background and staining quality. Kappa statistics was used to
study the parameters with a p value of <0.05 being taken as ‘significant’.
Results: Amongst the parameters studied, cellularity and smear background showed
good agreement between LBC and CCS techniques with a kappa value of 0.451 and
0.570 respectively, whereas cell distribution and staining quality showed poor
agreement between both methods with a kappa value of 0.044 and 0.008 respectively.
With regard to cytomorphology, cytospin method showed better cytomorphologic
details even in smaller cells which were darkly stained by LBC method.
Conclusion: Liquid based cytology provided an excellent distribution of cells with a
cleaner background, while the nuclear morphology is better appreciable with the
conventional cytospin technique. There was no significant difference between the two
techniques with respect to cellularity and smear background. Therefore, in our
experience, the conventional cytospin technique is a better method for routine
cytological examination of urine samples than the LBC techniques. |
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Preimplantation Genetic Diagnosis - A Review |
Author : Preeti Sharma , Purnima Paliwal |
Abstract | Full Text |
Abstract :Preimplantation genetic diagnosis(PGD) wasintroduced nearly a quarter-century ago.
Since then, it has been expanding in scope and applications. It is an evolving technique
that provides a practical alternative to prenatal diagnosis and preventstermination of
pregnancy in couples with a high risk for offspring affected by a sex-linked genetic
disease. Early protocols used blastomeres biopsied from cleavage-stage embryos.With
further advancements, improved results have started to be seen with biopsy from first
and second polar body or early trophectoderm.
Preimplantation genetic diagnosis wasfirst carried out using polymerase chainreaction
followed by fluorescence in situ hybridization. Now, newer molecular tools, such as
DNA microarrays and next-generation sequencing are being tested. This advancement
in the field of medicine has not only provided an insight into reproductive genetics and
early human development but has also raised important new ethical, legal and social
issues about assisted human reproduction in order to avoid inappropriate use of this
technology |
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