Background: Fine Needle Aspiration Cytology (FNAC) is a simple, minimally invasive, cost effective, outpatient based and a rapid diagnostic method for breast lesions. The aim of the present study was to correlate cytological findings with histopathological findings and to determine the accuracy of FNAC in the diagnosis of breast lesions.
Meningioma is a common benign intracranial neoplasm. The incidence of an extracranial extension to other sites is rare. Due to the neglected intracranial component, the chances of an under diagnosis or a misdiagnosis of the extracranial component is there, which may adversely affect the management and therefore, the prognosis. Here, we are reporting a case of a 39 years old male patient with a preoperative probable diagnosis of a malignant bone tumour which involved the skull bone, which was made, based on the imaging studies , which was histopathologically found to be an invasive meningioma with an extensive extracranial skull vault involvement and was confirmed by immunohistochemistry. We have proposed a term, "carpet meningioma" for this extracranial invasive meningioma, because it had covered the skull vault like a carpet. The follow up studies after 1 year have revealed no evidence of a recurrence.
CASE REPORTA 39 year old male patient was referred to our hospital for the complaint of recurrent headache since 20years and progressive disfigurement of face since 15years.He had no other significant complaints. On examination there was presence of approximately 13x10x6cm sized swelling over scalp extending from frontal to occipital region with firm consistency. A CT scan was done which was inconclusive with remote possibility of malignant transformation to oestosarcoma was given. Then MRI was ordered.[Table/ Fig-1] MRI of the brain with contrast: There was an evidence of a large soft tissue intensity lesion which involved the scalp on the right side, which had an approximate size of 10x10x6cm. The lesion was hypointense on the T1W images and it showed an intense enhancement on the post contrast study. The lesion involved all the layers of the scalp and it extended to involve the skull vault, with widening and marrow replacement in the diploic space. A large intracranial extension was seen in the form of an enhancing epidural component in the right frontoparietal region, with a maximum width of 3.4cm. The possibility of a malignant degeneration of some primary bony pathology was given.
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