Intraarticular Involvement By Synovial Sarcoma: First Diagnosed On Synovial Fluid Aspiration

Synovial Sarcoma is a soft tissue neoplasm having incidence 6%- 10%.Malignant cells in synovial fluid aspiration is extremely rare. Only 5%cases have been reported to have joint cavity involvement. We report a case of synovial fluid malignant effusion of knee joint in a 35 year old male who presented with a left popliteal fossa swelling. Synovial fluid aspiration revealed tumor cell clusters with anaplastic morphology .Subsequent biopsy showed spindle cell tumor consistent with synovial sarcoma. This is a rare presentation of synovial sarcoma with the presence of malignant cells in synovial fluid

Urine Analysis Revisited: A Review

Analysis of urine represents a basic test in the diagnostic battery for most of the systemic disorders and renal diseases in particular. Significant informations can be obtained by urinalysis as many disease processes invariably display urinary abnormalities. It offers a simple, often quick way of following response to treatment in these diseases, without putting the patient under much distress. For urinalysis to be maximally useful as a diagnostic tool, attention to details is necessary in the methodology of urine collection, timely sample processing and most importantly, a thorough knowledge on the various abnormalities that can be detected during the analysis. This article is a comprehensive review on urinalysis, including the intricacies of sample collection, various normal and abnormal physical and chemical parameters with an emphasis on the importance of a meticulous microscopic examination of urine sample to arrive at a diagnosis.