ABSTRACT
The present study was undertaken to evaluate the histological patterns in the various pathological lesions of the fallopian tube. Histology slides of 200 gynaecological specimens containing one or both the fallopian tubes were studied retrospectively and the morphological patterns observed in different tubal pathologies were documented. Tubal pathology was observed in 31% (62/200) of the cases studied. Salpingitis, accounting for 12% (24/200) of the cases was the most common lesion followed by ectopic tubal gestation (10.5%), paratubal cysts (4%), haematosalpinx (1.5%), endometriosis (1%) and torsion of the tube (1%) in decreasing order of frequency. No primary neoplasm of the fallopian tube was observed, however, there were two cases of secondary involvement of the tube by a dysgerminoma ovary and a squamous cell carcinoma of the cervix respectively. Fallopian tubes are primarily involved by inflammatory pathology which manifests either as infertility or as ectopic tubal pregnancy. Recently, the fimbrial end of the tube has been recognized as the site of origin of high grade serous ovarian and peritoneal cancers. Hence, a thorough examination of the fallopian tubes in each gynaecologic specimen is essential for early detection and treatment of these conditions.
ABSTRACT
Warthin's tumors are the second most frequent benign tumors of the parotid gland representing 6-10% of all tumors of the salivary glands. Multicentric Warthin's tumors are more common than any other salivary gland tumor. Most of the multifocal Warthin's tumors are unilateral, whereas bilateral Warthin's tumors are much more uncommon; bilateral Warthin's tumors are metachronous with few synchronous cases having been described in the literature.
ABSTRACT
Ameloblastoma is the most common tumor of odontogenic origin. It is more common in the mandible than in the maxilla. It often presents as a slow growing, painless swelling. There is often delay in its diagnosis because of its slow growing nature. Fine needle aspiration cytology (FNAC) of jaw lesions is a rapid and non-invasive procedure for the initial evaluation of these lesions. It provides helpful information about them and avoids hasty and unnecessary surgical biopsy. Here we present a case of ameloblastoma diagnosed by fine needle aspiration cytology.
ABSTRACT
Leishmaniasis, though widely prevalent in South Asia, is not seen in the Kashmir valley where the cold climatic conditions create a hostile environment for the growth of the parasite or its vector, the sandfly. However, a few cases of cutaneous leishmaniasis have been documented from the hot and arid Uri belt of Kashmir. We present a case of visceral leishmaniasis in a boy hailing from Uri, a rarity in this region.
ABSTRACT
Squamous cell carcinoma metastatic to the spleen is a rare occurrence and has been reported mostly in autopsy series. Only two cases of carcinoma cervix with solitary metastasis to the spleen have been reported in living patients. Among these, the tumour was confined to the spleen in only one case, where as in the other it had extended to involve the pancreas and the left kidney and adrenal. We present a case of a 50 year old patient with carcinoma cervix, treated with radiotherapy in 1997. Four years after completion of primary treatment, she presented with a painful mass in the left hypochondrium. Exploratory laparotomy revealed a splenic cyst which on pathological examination was diagnosed as metastatic squamous cell carcinoma. The patient received chemotherapy and was alive four years later, at the time of writing of this report.
ABSTRACT
True malignant mixed tumours (carcinosarcoma) of the salivary gland origin are very rare and demonstrate both malignant epithelial and stromal components. We report a case of parotid gland carcinosarcoma which showed foci of squamous cell carcinoma and chondrosarcoma without a clinical or histological evidence of pre-existing pleomorphic adenoma.