Fine Needle aspiration Cytologic Diagnosis of the Thyroid Nodule in Srinagarind Hospital

 The cytopathology results of 698 fine needle aspirations (FNA) of thyroid nodules from the patients who visited Srinagarind Hospital from January 1984 to July 1990 were analyzed.  Five hundred FNA (71.6%) were cytologically benign, 40 FNA (5.7%) were suspicious for malignacy, 21 FNA (30%) were malignant, and 137 FNA (19.6%) were unsatisfactory.  The histologic diagnosis in 101 cases were compared with cytologic diagnosis to determine the accuracy of Fna cytology of thyroid lesions.  From 24 diagnosis of malignancy reported by histology, 14 malignancies, 1 suspicious lesion, 2 benign lesions and 7 cystic lesions were found by FNA. No false positive were recorded.  Sensitivity, specificity and accuracy of FNA diagnoses were 87.5%, 100% and 96.15%, respectively.

Return of ovulation at first post partum visit

 During the period from December 1986 to Agust 1987, 224 women who attended the post partum clinic, at Srinagarind Hospital were-studies.  Their ages ranged from 15-40 years old with the majority between 21-25 years, Most of them were primipara, farmers and had less than primary school education Endometrial samplings were taken at the first post partum visit.  Most of them were lactating and had adequate mount of breast milk.  However 19.64 percents of them already had menstruation and 30.80 percents had sexual intercourse before post partum check up.  Sexual intercourse mostly began at 1 month post parturition.  Endometrial biopsy revealed ovulation in only 1 case which was at 43 days after delivery.

Hemangiopericytoma of Soft Tissue with Hepatic Metastasis : A Case Report and Review of the Literature.

Background : Hemangiopericytoma is the one type of soft tissue sarcomas. This is very rare and uncommon type of tumor. So The surgeon and another doctor should be reminded  to  keep  in  mind.Objective : To  report  a  case  of metastastic hemangiopericytoma metastasized from  the  right  inguinal  region  to  the  liver  in  12  years.Design : Retrospective study by review of  170,000 cases  medical records and pathological study.Setting : Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon   Kaen province.Result : We reported a case of a 68-year old female who was initially diagnosed with hemangioperocytoma of soft tissue at her right  inguinal  region  which was surgically excised. However twelve years later in July 2003, a tumor mass was discovered in her liver which the histology  is  characterized  mostly similar to the earlier right inguinal  tumor. Thus we diagnosed the patient  with metastatic hemangiopericytoma in the liver. Two years after the removal of the tumor, she has no  evidence of the other metastasis or recurrence. Twenty two cases of extracranial metastasis of hemangiopericytomatous meningioma  to  the  liver, lung, kidney, and stomach have been reported in the literature, but hepatic resections of this metastasizing tumor have been very rare.Conclusion : We  reported  the  very  rare  case  of  histopathologically – proven  metastasized  hemangiopericytoma  from  the  right  inguinal  region  to  the  liver.Key words : Hemangiopericytoma ; Hepatic metastasis ; Spindle cell tumor ; Liver tumor. liver