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Adnexal masses pose a diagnostic dilemma to the gynaecologist as well as radiologist because of their varied spectrum. The most important thing that needs to be determined is that whether the lesion is benign or malignant, so that the patient gets the appropriate treatment based on the pathology. Hence, the aim of the present study was to determine the accuracy of MRI in diagnosing benign and malignant adnexal lesions and its correlation with histopathological findings. Materials and Methods: The present study was a prospective cross-sectional study which was conducted in the Department of Imaging and interventional Radiology of Meenakshi Mission Hospital and Research Centre, Madurai. Patients presented with history and clinical symptoms of adnexal tumours and patients with ultrasonography (USG) detected indeterminate adnexal masses were included in the study. Results: In this study, the accuracy of MRI was about 93% in identifying the benign and malignant lesions. The cystic characterization of lesion was detected in majority of the subjects 60 (66.7%) with the help of MRI compared to USG, where only 30 (33.3%) of the subjects were identified. The solid lesions were also better identified with the help of MRI i.e. 19(21.1%) cases, compared to USG in which 13(14.4%) cases were only assessed. Conclusion: In the present study, MRI was found to be highly specific (95%) and accurate (93%) in diagnosis of benign and malignant lesions.

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Thyroglossal duct cysts are most commonly occurring congentinal midline swellling of the neck. Usually carcinomas in thyroglossal duct cysts is extremely rare, commonly known as papillary carcinomas. However, the diagnosis is only made postoperatively after excision of the cyst. Although the Sistrunk procedure is often regarded as adequate but controversies exist, the need for thyroidectomy is based on histopathological findings. This is a case report of 43-year-old male presenting with swelling in the midline of the neck for one year. On examination, a cystic swelling was present in the midline of the anterior aspect of the neck. Ultrasonography (USG) neck revealed heteroechoic cystic lesion with solid component and microcalcifications present within the cyst suggestive of thyroglossal duct cyst probably neoplastic. The mass was surgically excised and sent for histopathological examination and reported as thyroglossal duct cyst with papillary carcinoma of thyroid. Appropriate history, clinical examination and investigation leads to the correct diagnosis and treatment. Incomplete removal of the mass leads to recurrence. Histopathological examination is a must postoperatively. The patient is still on follow-up and no recurrence have been noted.

Tonsillectomy is a frequently performed surgical procedure in otolaryngology. The most common indication being chronic tonsillitis. Routine histopathological examinations of the resected tonsillar tissue is a gray area with no formal consensus among otolaryngologists. The description in literature of accidental discovery of underlying malignancy in the resected tonsillar specimens adds to the conundrum whether it is mandatory to examine all tonsillar tissue. AIMS AND OBJECTIVES:To retrospectively analyze histopathological reports of tonsillar tissue resected under the specific indication of chronic tonsillitis and document the major histological features in chronic tonsillitis. PATIENTS AND METHODS:One hundred and fifty eight tonsillar specimens from seventy nine patients were retrospectively analyzed and the major histopathological features documented. Majority of patients were in the 11-20 years age group (37.97%). A slight male predominance (51.90%) was seen over females (48.10). CONCLUSIONS: A tetrad of histopathological findings constitute chronic tonsillitis with reactive lymphoid hyperplasia seen in hundred percent of tonsillar specimens. No tonsillar specimen demonstrated underlying malignancy. It is our contention that subjecting a case of chronic tonsillitis to histopathological examination is unnecessary irrespective of the age group.