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Cystosarcoma phyllodes.  [cached]
Deodhar S,Joshi S,Khubchandani S
Journal of Postgraduate Medicine , 1989,
Abstract: Ten cases of cystosarcoma phyllodes are reported along with review of literature. The pathological features are outlined and principles of management are discussed.
A RARE CASE OF CYSTOSARCOMA PHYLLODES WITH PLEURAL EFFUSION : MASTECTOMY DONE UNDER SURFACE ANAESTHESIA
Venkat Krishna B R,Shashi Rekha C A,Naveen T K,Harendra Kumar
International Journal of Biomedical Research , 2012, DOI: 10.7439/ijbr.v3i6.538
Abstract: Cystosarcomaphyllodes or generally known as phyllodes tumour, is a rare breast tumour accounting for less than 1% of all breast neoplasms.Very rarely, malignant transformation with metastatic potential. Phyllodes tumors resemble fibroadenomas, account for 1%of breast malignancies, and usually occur in women from 30 to 70 years old. We report a case of a 44-year-old lady who presented with a painless right breast lump for 3 months duration. The mass was initially 3cm in diameter and firm in consistency. Fine-needle aspiration cytology showed a benign breast lesion. Ultrasonography of breast revealed bilateral pleural effusion. As general anesthesia was deferred due to pleural effusion simple mastectomy was done under surface anesthesia with local application of prilocaine jelly .
A RARE CASE OF CYSTOSARCOMA PHYLLODES WITH PLEURAL EFFUSION : MASTECTOMY DONE UNDER SURFACE ANAESTHESIA
Venkat Krishna B R,Shashi Rekha C A,Naveen T K,Harendra Kumar
International Journal of Biomedical Research , 2013, DOI: 10.7439/ijbr.v3i6.538
Abstract: Cystosarcomaphyllodes or generally known as phyllodes tumour, is a rare breast tumour accounting for less than 1% of all breast neoplasms.Very rarely, malignant transformation with metastatic potential. Phyllodes tumors resemble fibroadenomas, account for 1%of breast malignancies, and usually occur in women from 30 to 70 years old. We report a case of a 44-year-old lady who presented with a painless right breast lump for 3 months duration. The mass was initially 3cm in diameter and firm in consistency. Fine-needle aspiration cytology showed a benign breast lesion. Ultrasonography of breast revealed bilateral pleural effusion. As general anesthesia was deferred due to pleural effusion simple mastectomy was done under surface anesthesia with local application of prilocaine jelly .
Giant cystosarcoma phyllodes tumor of prostate: Case report of a rare entity  [cached]
Bhat Dharitri,Poflee S,Kotwal M,Pangarkar M
Indian Journal of Cancer , 2004,
Abstract: Although glandular and stromal proliferations of prostate are very common in adult men, neoplastic proliferations of prostatic stroma are distinctly uncommon. These tumors are now grouped as Prostatic Stromal Proliferations of Uncertain Malignant Potential (PSPUMP). Phyllodes tumor of the prostate is a rare neoplasm in this group with cellular, sarcomatoid stroma and benign hyperplastic glands. It is a locally expansile tumor with clinical course varying from benign to aggressive. We report a case of a 45-year-old man presented with retention of urine and abdominal lump. On laparotomy it was a huge tumor of 4 kg and was histologicaly characterized by cellular pleomorphic stroma and hyperplastic epithelium. Immunohistochemistry demonstrated prostate specific antigen in the glands. It was diagnosed as cystosarcoma phyllodes tumor of prostate. This is extremely uncommon tumor similar in histology to that of breast and it′s clinical course varies with the grade. The patient was without recurrence one year after surgery.
Cystosarcoma Phyllodes of the Seminal Vesicle: A Case Report and Literature Review  [PDF]
Lucio Olivetti,Francesco Laffranchi,Vincenzo De Luca
Case Reports in Urology , 2014, DOI: 10.1155/2014/302708
Abstract: Cystosarcoma of the seminal vesicle is a very rare malignant tumor; in the literature only four cases are reported. We present a case of cystosarcoma phyllodes arising in the right seminal vesicle of a 49-year-old man without any urinary symptom but with persistent constipation. Ultrasound examination showed a mass at the right superior base of the prostate subsequently studied with CT and MRI. The patient underwent vesiculectomy; his postoperative course was uneventful. The patient is still well, without evidence of recurrent disease. 1. Introduction The seminal vesicle is involved more frequently by tumors originating elsewhere, particularly prostatic carcinoma. Primary malignant seminal vesicle neoplasms are extremely uncommon: in addition to carcinomas and even more rare pure sarcomas, there is a distinctive group of mixed epithelial-stromal tumors that includes the cystosarcoma phyllodes reported in this case, exhaustively studied with ultrasound, computed tomography, and magnetic resonance. 2. Case Report A 49-year-old man was admitted with two months persistent constipation, incoercible with medical therapy. He did not report any urinary symptom, only a mild erectile dysfunction. On digital rectal examination his prostate was regular in size and consistency but with an extrinsic compression on the right-posterior wall by a mass. Transabdominal ultrasonography showed a localized cystic mass of about 7,3 × 5?cm, probably of the right seminal vesicle, characterized by multiple endoluminal septa. Transrectal US confirmed the origin of the lesion from the right seminal vesicle without infiltration of rectum, bladder, or prostate (Figure 1). Figure 1: Transrectal ultrasound. Multiloculated solid mass of the right seminal vesicle. Routine blood exams, including PSA and prostatic acid phosphatase, were normal. Magnetic resonance (MR) was performed and reported a 56 × 63 × 59?mm lesion of the right seminal vesicle with a fluid content and endoluminal central solid tissue caracterized by a sepimentated structure with enhancement after Gadolinium-DTPA. On T1 weighted images, some hyperintensities in small cavities, caused probably by past hemorrhages, were observed. Prostate and bladder were normal, without signs of infiltration. No local adenopathies were found (Figure 2). Figure 2: MRI of the pelvis. Axial (a) and sagittal (b) T2 sequence. Large mixed solid-fluid mass of the right seminal vesicle (arrows) without infiltration of adjacent structures. Colonoscopy confirmed a delayed fecal transit through the rectum and cystoscopy showed compression on the
FINE NEEDLE ASPIRATION CYTOLOGY
ABDUL BARI
The Professional Medical Journal , 2007,
Abstract: Introduction: Lymph nodes are frequently enlarged in children in a widespectrum of diseases, some are of great concern while others are trivial from clinical or diagnostic point of view.Objectives: To evaluate the diagnostic role of fine needle aspiration cytology in lymphadenopathy in pediatric agegroup. Period: Jan 2001 to Aug 2005. Material & Methods: The material was obtained by FNA from children of theregion, stained with H & E, Papaniculau, giemsa and Z.N Stain. History, physical examination and other pertinentclinicopathological parameters were noted before the FNA procedure. The biopsy material where available wassubsequently correlated with FNA diagnosis. Results: A total number of 120 cases were included in the study. Out ofthese 64 were females and 56 were males. Out of non malignant cases the most common diagnosis in our cases wasreactive lymphadenitis. Conclusions: Fine needle aspiration cytology is a reliable easy and economic technique ofdiagnosis. It should particularly be adopted in children to avoid unnecessary step of surgery and mental trauma as fairlyaccurate cytodiagnosis is possible especially when majority of the cases of lymphadenopathy are inflammatory innature.
Osteogenic sarcoma of the breast arising in a cystosarcoma phyllodes: a case report and review of the literature
Vinay Singhal, Chintamani, John M Cosgrove
Journal of Medical Case Reports , 2011, DOI: 10.1186/1752-1947-5-293
Abstract: A 40-year-old Indian woman presented with a breast mass which was diagnosed as osteosarcoma of the breast on biopsy. Our patient was treated with a simple mastectomy after excluding the presence of skeletal primary and extra-mammary metastases. Final pathology showed a cystosarcoma phyllodes with signs of osteogenic sarcoma.Although osteogenic sarcomas of the breast are rare, they need to be distinguished from carcinosarcomas and metaplastic carcinomas as the management of the two differ.Carcinoma is the most common malignancy of the breast. Sarcomas form a minority of breast neoplasms. Extra-skeletal osteosarcomas have been reported in many tissues of the body including thyroid gland, kidneys, bladder, colon, heart, testes and penis. In the breast it either occurs as a metaplastic differentiation of a pre-existing benign or malignant tumor; or de novo from normal breast tissue. We present a case of osteogenic sarcoma arising in a cystosarcoma phyllodes of the breast.A 40-year-old Indian woman presented to our outpatient department with complaints of a lump in her left breast noted four months prior to presentation. The lump gradually increased in size and was non-tender. There was no history of nipple discharge. The patient denied any hormonal therapy or family history of breast disease. A physical examination found our patient to be obese and in no acute distress. A breast examination showed her left breast to be pendulous with a 6 cm × 5 cm × 6 cm irregular, firm mass fixed to the overlying skin in the midline above her left nipple. There was no nipple discharge or skin dimpling. There were no palpable axillary lymph nodes. Her right breast and axilla were found to be normal. The remainder of the physical examination was noncontributory. A mammogram of her breast showed a well-defined mass measuring 5 cm with lobulated margins and areas of calcification closely resembling bone. In addition, fine egg shell calcification around the tumor was also noted. A core need
Cistosarcoma phyllodes bilateral un raro caso
Liuzzi S,Juan Francisco; Fernández,Amparo; Velásquez,Yazmín; Rincón,Nilyán;
Revista Venezolana de Oncología , 2010,
Abstract: the cystosarcoma phyllodes is a less frequent breast mixed tumor, that containing both: the epithelial and the connective tissue elements. the bilateral cystosarcoma phyllodes tumors are rare and only 7 cases are recorded in the literature. we report a case of a 48 years old female patient with bilateral cystosarcoma phyllodes.
FINE NEEDLE ASPIRATION CYTOLOGY (FNAC)
Shahida Niazi
The Professional Medical Journal , 2000,
Abstract: OBJECTIVES: To evaluate the diagnostic role of aspiration cytology in the preoperative management ofpatients with palpable breast lumps PATENTS & METHOD: A total of 510 Fine Needle Aspirations wereperformed on palpable breast masses. PERIOD: Jan - Dec 1999. SETTING: Department of Pathology,King Edward Medical College and Department of Pathology Allama Iqbal Medical College, Lahore.RESULTS: These included 497 (97.45%) female and 13 (2.54%) male patients. 148 aspirations (29.01%)were classified as malignant, 334 (65.49%) as benign, 11(2.15%) as suspicious and 17(3.33%) aspirates wereconsidered unsatisfactory for cytological diagnosis. 145 (29.17%) out of the total 497 female breastaspirations, and 3 (23.07%) out of 13(23.07%) male breast aspirations were classified as malignant.Fibrocystic Disease (24.54%) and Fibroadenoma (20.12%) were the most common benign female breastlesions followed by Pyogenic mastitis, tuberculous mastitis, galactocoele, traumatic fat necrosis etc. Benignmale breast lesions diagnosed by aspiration cytology included gynaecomastia, lipomas and tuberculousmastitis. CONCLUSION: FNAC is a simple sensitive & specific test for discriminating between benign& malignant lesions.
Fine needle aspiration cytology of pilomatrixoma  [cached]
Bansal Cherry,Handa Uma,Mohan Harsh
Journal of Cytology , 2011,
Abstract: Aim : To delineate and characterize the cytomorphologic features of pilomatrixoma (PMX) helpful in correct diagnosis of the lesion on fine needle aspiration cytology (FNAC). Materials and Methods : Archival records of clinical findings, FNAC and histopathological reports of PMX cases were analyzed. Aspirate findings in 14 cases of PMX were correlated with detailed clinical data and subsequent histopathology on excisional biopsy. Different morphological findings were graded semiquantitatively from 0 to 3+. Results : The series showed female preponderance, with head and neck being the commonest site. Majority patients had a single tumor with mean size of 1.6 cm. Out of 14 biopsy proven cases of PMX, cytology findings revealed PMX in 7 cases on the basis of ghost cells, groups of basaloid cells, squamous cells in combination with multinucleated giant cells and calcium deposits in a background of debris. The main reasons for erroneous diagnosis were predominance of one component over the others and non-representative aspirated material. Conclusions : The cytological features of PMX are characteristic and allow a conclusive diagnosis provided the smears are examined keenly bearing in mind the diagnostic traps that can mislead a cytopathologist.
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