Introduction: Cancer of uterine cervix is the most common genital tract malignancy. Pap smear though widely used screening test for cervical cancer has the disadvantage of low sensitivity. Colposcopy has higher sensitivity compared to Pap smear. Concurrent screening with Pap smear and colposcopy can overcome this problem. Aim: The aim of the study was correlation of Pap smear and colposcopic finding with directed biopsy in detection of cervical neoplasm. Methods: The Present study was conducted in the
in pathology department at SRTR Ambejogai. It includes specimens and reference material submitted to department of pathology in the form of biopsy specimens and hysterectomy specimens. Data was obtained from hospital records and specimens sent from various departments. All the lesions of cervix involving ectocervix and endocervix were included. Various lesions arising from the uterus, vulva, vagina and parametrium were excluded. Also the lesions arising from neighbouring organs extending to the cervical canal but not involving the cervical tissue were excluded. Every patient was evaluated by using a preformed proforma.Gross examination was done and features such as size, consistency, external appearance and appearance of cut surface were noted. The specimens were allowed to fix in 10% formalin for 24 -48 hours. The sections were dehydrated in alcohol, cleared in xylol and embedded in paraffin wax to prepare the paraffin blocks. ABSTRACTBackground: Aim of the study was to know various histopathological variants in cervical lesion, its incidence with respect to age in Bhuj city of Gujarat. Materials & Methods:A total of 618 cases of cervical lesions were analysed prospectively in a period of 2 years to assess various pattern of cervical lesion. Cases were studied in detail about history, clinical examination and other findings. Results:Of the total 618 cases, 516 (83.50%) were non neoplastic all of which were inflammatory and 102(16.5%) were neoplastic of which cervical malignancies, benign lesions and cervical intraepithelial neoplasia (CIN) constituted 80(12.94%), 12(1.94%) and 10(1.62%) respectively. Amongst inflammatory lesions, the commonest lesion was chronic nonspecific cervicitis 428(82.95%) followed by papillary endocervicitis 88(17.05%). The associated changes of chronic nonspecific cervicitis were nabothian cyst (11.92%), squamous metaplasia (11.68%), and koilocytic change (22.43%). Inflammatory lesions were commonly found in the sexually active period of women i.e. 31-50 years with a peak incidence in the age group of 31-40 years. Cervical malignancies were common in the age group of 40-60 years and presented most commonly with bleeding per vagina. CIN was most common in the age group of 41-50 years with CINII as the predominant grade having white discharge as the most common symptom. Conclusion:Non-neoplastic were the commonest lesions of the cervix. Women in the older age group with bleeding per vagina should be suspected for cervical malignancy and should be examined for the same
Background: Lung cancer is the leading cause of death in developed countries and is increasing at alarming rates in developing countries also.1 This study is designed to determine accuracy of bronchoalveolar lavage (BAL) as compare to the gold standard histology examination of lung biopsy. Materials and Methods: A retrospective study was conducted,total 46 cases of BAL which were suspected for lung carcinoma and 17 cases of lung biopsy (cases who need confirmation after BAL) were received at G.K general hospital, Bhuj from a period of 2.5 years. Conclusion: Our study conclude that BAL cytology has diagnostic yield of 50%,sensitive of 66.67%,specificity of 100% and efficacy of 64%.
Background and Aim: Fine Needle Aspiration Cytology (FNAC) is a simple, quick and inexpensive method that is used to sample superficialmasses like cervical lymph node found in the neck and is usually performed in the outpatient clinic. Cervically mphadenopathy is a common clinical presentation across patients of all age group. The aetiology may range from a benign nonspecificin flammation to lymphoproliferative disorders and metastatic malignancy. The present study was undertaken to study non neoplastic and neoplastic lesions of enlarged lymph nodes by Fine needle aspiration cytology (FNAC) in patients presenting with cervical lymphadenopathy referred to pathology department from the Gujarat Adani Institute of medical science, Bhuj, Kutch over a period of two years. Methods: Total of 850 patients were subjected to FNAC of cervical lymph nodes over two years period. Since in 35 patients, the aspirate was inadequate the remaining 815 cases were analyzed. Results: Overall tuberculous lymphadenitis was the most common finding (42.45%), followed by reactive hyperplasia (35.09%). Malignant pathology accounted for 20.24% of cervical lymph node enlargement, most of which was due to metastaticsquamous cell carcinoma (65.4%). Conclusion: This study highlights the usefulness of FNAC as a reliable method for diagnosis of cervical lymphadenopathy
The carcinoids are the most frequent tumors arising from the appendix, in majority of the cases, these are asymptomatic and are discovered after appendectomy. The lipid-rich carcinoid, also known as clear cell carcinoid; is histologically characterized by the presence of clear vacuoles in the cytoplasm of tumor cells. Only 24 cases of lipid-rich carcinoid of the appendix are described in the English literature, and there is no report of this entity in the Indian literature. In this report we describe a first case of lipid-rich carcinoid of the appendix in India and also present a review of the literature.
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