<p class="abstract">Chromoblastomycosis is a chronic progressive cutaneous fungal infection caused by several naturally pigmented fungi that is frequently misdiagnosed clinically because of its polymorphic clinical presentation. We present a case of cutaneous chromoblastomycosis in a 52 year male in the right leg that was mimicking mycetoma/cutaneous tuberculosis clinically. Later, it was diagnosed as chromoblastomycosis in histopathological examination on identification of characteristic sclerotic/medlar bodies. We found combination of chemotherapy and wide local excision was effective in the management of localized chromoblastomycosis with favorable outcome. To conclude, chromoblastomycosis should be considered in the differential diagnosis of chronic cutaneous infections and one has to look for sclerotic bodies particularly in granulomatous lesions as it has specific treatment<span lang="EN-IN">.</span></p>
<p>Rhinosporidiosis is a chronic granulomatous disease caused by <em>Rhinosporidium seeberi</em>. It primarily affects nasal cavity. Cutaneous manifestation of the disease is rare. Here we report a case of disseminated subcutaneous rhinosporidiosis, clinically and radiologically suspected to be a soft tissue tumor, which was diagnosed by FNAC and confirmed by histopathological examination. </p>
Xanthogranulomatous inflammation is a distinguished form of chronic inflammation affecting several organs, predominantly the kidney and gallbladder. Involvement of female genital tract is rare. So far only one case of xanthogranulomatous inflammation of cervix has been reported in Indian literature. We report a case of xanthogranulomatous cervicitis in a 38 year female who had undergone radiotherapy for carcinoma cervix. Probably this is the first case in Indian literature to be reported in the setting of carcinoma of cervix.
Anaplastic thyroid carcinoma (ATC) accounts for 5%–10% of primary thyroid malignancies. Cytodiagnosis of osteoclast-like giant cells (OLGCs) variant of ATC is very rare with only few cases reported in literature. We report a case of ATC with OLGC variant in an 85-year-old female who presented with swelling in the right lobe of thyroid and scalp nodule, which on radiological evaluation and subsequent fine-needle aspiration biopsy (FNAB) was diagnosed as ATC having numerous OLGC with metastases in skull bones. Cytologically, thyroid aspirate revealed sheets of epithelioid neoplastic cells admixed with many OLGC. Aspirate from the scalp nodule showed neoplastic cells with follicular differentiation. She also had radiological evidence of lung metastasis. Such a presentation of this rare variant being diagnosed by FNAB is rarely reported in literature and highlights the importance of this simple procedure in diagnosing and planning management of this rare condition.
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