Punam Prasad Bhadani

Abstract

Epidermal inclusion cysts (EIC) are benign lesions that can be encountered throughout the body, but with a low incidence in the head and neck region. (1.6 to 7%) The various locations in this region where the cyst can arise are sublingual, submental, submandibular and buccal mucosa. EIC present in the tonsils are extremely rare and reported less than 0.01% in published English literature. We report a rare and incidental finding of epidermal inclusion cyst with actinomycetes in tonsil in a 57 year old male who presented with sore throat and difficulty in swallowing.   Keywords: IAC Yokohama, Breast FNA, Histopathological correlation, Risk of Malignancy, p-value

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Abstract

Granular cell tumors (GCTs) are uncommon benign lesions which usually occur in head and neck region, with tongue being the most common site. Lesions involving nasal and paranasal areas are extremely rare. We report a case of GCT arising from left nasal cavity in a 15 year old female who presented with unilateral epistaxis since 4-5 months. Keywords: Granular cell tumors (GCTs).

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Abstract

A 46 year old multiparous female belonging to lower socioeconomic strata came to the Gynaecology outpatient department with complaint of something bulging out from vagina since last 4 months, which used to bleed on touch. Local examination revealed presence of a polypoidal structure in vagina. The patient underwent polypectomy surgery, which was uneventful. Excised polyp was sent for histopathological examination. Microscopic examination showed presence of chorionic villi having retained RBC’s with cistern formation in few along with polar trophoblastic proliferation. Patient gave history of expulsion of grape like structure at home two years back without follow up, when she was asked a leading question after microscopic examination. The case was reported as metastatic hydatidiform mole after consultation with the concerned clinician with advice of follow up and see the status of other organs. The reported unusual case highlights the importance of dialogue between clinician and pathologist, relevant history taking for a correct diagnosis, appropriate treatment approach, and follow up of the patient for prognostication. This unusual presentation of metastatic hydatidiform mole is sparsely reported in the English literature. Keywords: Hydatidiform mole, Vaginal, Polyp, Metastatic.

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Abstract

Fibroadenoma is the most commonly diagnosed benign tumour in adolescents and young women. Squamous metaplasia and prominent myxoid degeneation with associated ischaemia infarction is not a common finding without history of trauma in fibroadenoma. We report a 16 year old unmarried female which posed a diagnostic dilemma due to presence of unusual histopathological findings, which is sparsly reported in English literature. Keywords: Breast, Fibroadenoma, Infarction, Squamous metaplasia, Myxoid degeneration.

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