ABSTRACT
Sertoli cell tumors (SCTs) are rare tumors accounting for <1% of all testicular tumors. Here, we report a rare case of SCT in a 60-year-old man presenting as a painless swelling in the right groin since childhood. Clinically, he presented with right-sided inguinal hernia with absence of the right testis. He had normal left testis and had no gynecomastia or infertility. The specimen of hernial sac showed testis with a 1.6 cm × 1.5 cm nodular mass having gray tan-cut surface. Histopathologically, the testis showed atrophy and the nodular portion showed tumor cells arranged in tubular and microcystic pattern, with no solid pattern or necrosis. The diagnosis of SCT was confirmed with immunohistochemical staining for inhibin which showed fine granular cytoplasmic positivity. Cryptorchid testis having SCT and presenting as a content of inguinal hernia is a rare occurrence.
Subject(s)
Hernia, Inguinal/diagnosis , Hernia, Inguinal/pathology , Sertoli Cell Tumor/diagnosis , Sertoli Cell Tumor/pathology , Testicular Neoplasms/diagnosis , Testicular Neoplasms/pathology , Biomarkers, Tumor/analysis , Hernia, Inguinal/complications , Histocytochemistry , Humans , Immunohistochemistry , Inguinal Canal/pathology , Inhibins/analysis , Male , Microscopy , Middle Aged , Sertoli Cell Tumor/complications , Testicular Neoplasms/complications , Testis/pathologyABSTRACT
BACKGROUND: Hibernoma, a benign neoplasm of the brown fat, clinically and radiologically can mimic a lipoma or liposarcoma, especially in the retroperitoneum. As treatment modalities vary, an accurate preoperative diagnosis may help the surgeon to plan treatment. Hence cytologic features of 2 cases of hibernoma are described. CASES: Two middle-aged men diagnosed clinically as having lipomas were subjected to fine needle aspiration (FNA). Smears revealed typical hibernoma cells with a minor percentage of eosinophilic cells and mature adipocytes. CONCLUSION: FNA is a highly sensitive and specific tool for the diagnosis of hibernoma.
Subject(s)
Lipoma/pathology , Adult , Eosinophils/pathology , Humans , Male , Middle Aged , Vacuoles/pathologyABSTRACT
Mycetoma and actinomycosis are common in tropical countries and are increasingly diagnosed in other parts of the world due to rapid mobilization of the population. They are usually diagnosed on histopathology. There is very limited data on the role of fine-needle aspiration cytology (FNAC) in diagnosing these lesions. We report here two cases: one of eumycetoma and the other of an actinomycosis that were reliably diagnosed with FNAC. The cytological features were similar to histopathology features and differentiated eumycetoma and actinomycosis. FNAC is a rapid, simple and inexpensive outpatient procedure that helps in rapid diagnosis.
