Retiform hemangioendothelioma (RH) is a rare, recently described, unique kind of low grade angiosarcoma. The tumor is characterized by distinctive arborizing blood vessels that mimic the appearance of rete testis. The tumor chiefly originates from the skin and subcutaneous tissue and has a tendency to recur locally. Only one case with lymph node metastasis has been reported previously. Another such rare case of RH is being reported in an adult female who presented with a subcutaneous nodule, underwent multiple recurrences and uniquely metastasized to regional lymph node.

Sarcoma-like mural nodule is a very rare occurrence in a mucinous tumour of the ovary. Two such nodules having morphologically benign features with osteoclastic giant cells, in the wall of mucinous cystadenoma are described. In addition, these nodules exhibited reactive vascular proliferations. The sarcoma-like nodules are associated with a favourable outcome and must be distinguished from other malignant nodules composed of sarcoma or anaplastic carcinoma that may also occur in the wall of mucinous ovarian tumours.

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BACKGROUND: Tuberculous lymphadenitis (TBL) is the commonest form of extra pulmonary tuberculosis. Fine Needle Aspiration Cytology (FNAC) is a simple outpatient diagnostic procedure used in the diagnosis of TBL and all stages of Human Immunodeficiency Virus (HIV) infection are associated with increased risk of tuberculosis (TB). AIM & OBJECTIVE: To correlate different cytomorphologies of FNAC smears and presence or absence of Acid fast bacilli (AFB) in the Ziehl Neelsen (ZN) stained smear prepared from the same aspirate. Association of HIV infection are also to be evaluated. METHOD: An observational cross-sectional study was conducted at department of pathology in collaboration with department of pulmonary medicine, Medical College & Hospital, Kolkata from January 2015 to June 2016.It included 305 cases with enlarged palpable lymph nodes. FNAC done; aspirated smears were stained with papanicolaou, Leishman-Giemsa and ZN stains. HIV status were also noted. RESULTS: 251 aspirates were reported on cytomorphology as suggestive of TBL with 117 (47.01 %) AFB positivity in ZN stained smears. Cervical lymph node were most commonly involved site (86.84 %) and females (63.75%) were affected more than males (36.25%).Most cases of AFB positive smears were associated with caseation necrosis only (71.8 %). 17 (6.77 %) out of 251 cases were co infected with HIV. CONCLUSION: Special stains should be done in all suspected cases of TB lymphadenitis and most common cytomorphology associated with AFB positivity is caseation necrosis without granuloma. Also it can be concluded that TB/HIV co infection is not predominant in India.