IntroductionGlandular odontogenic cyst is a rare developmental odontogenic cyst, which often pose a challenge to diagnose it clinically.Presentation of a caseA 32 year old female patient was referred to the oral and maxillofacial surgery department with a chief complaint of a painless swelling in the anterior mandible, extending from mandibular left premolar to right first molar region, with fluctuancy and egg shell crackling at right premolar region. The associated teeth were firm. Radio graphically a large radiolucent lesion was seen extending from mandibular left premolar to right first molar region.DiscussionWe had many differential diagnoses including keratocystic odontogenic tumour, ameloblastoma and radicular cyst. Incisional biopsy was taken from the most fluctuant area, which was histopathologically suggestive of glandular odontogenic cyst. Enucleation of the cyst, peripheral ostectomy, extraction of teeth and Carnoy's solution application were done under general anaesthesia.ConclusionWe often neglect to include uncommon lesions in the differential diagnosis, which may lead to inadequacy in the management protocol. Whenever possible, incisional biopsy should be performed to confirm the lesion before surgical enucleation. Here we present a case in which we were fortunate enough to diagnose the lesion by an incisional biopsy and managed according to the standard protocol.
Rhinosporidiosis is a rare chronic granulomatous disease caused by Rhinosporidium seeberi. Diagnosis is made on clinicopathological features. The disease is endemic in India. In India highest number of cases are reported from southern states of Kerala and Tamil Nadu which are on either side of Western Ghats. This study was conducted to know the prevalence of this disease in Srikakulam district, Andhra Pradesh. So far there is no study which is documented from this area.
HOW TO CITE THIS ARTICLE:Prasad Uma. "Training of Postgraduate Students in Pathology, Current Scenario and how it can be improved: A Review". Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 40, May 18; Page: 7064-7070, DOI: 10.14260/jemds/2015/1026 ABSTRACT: There a wide variation in the competence of the postgraduates trained in pathology across the country. The curriculum and training methods vary from Government Medical Colleges to Autonomous Institutes. This results in strong disparities in the diagnostic, teaching, research and the managerial skills of the graduates. A uniform and better trained pathologist would be a great asset to the society. The Government Medical Colleges have the hub of budding pathologists, a proper curriculum planning and emphasis on learning of recent techniques with proper career planning would help pathology practice in a long way. In this article an effort was made to compile the various views of eminent educationists in the field of medicine, the current scenario and the methods needed to rectify at our level. KEYWORDS: Training, Pathology postgraduates, Current scenario, Rectification. INTRODUCTION:The past century has seen tremendous changes in the scope and practice of pathology laboratories in tandem with the development of the medical services. Major progress was made in the areas of training and specialization of pathologists and laboratory technical staff. Today the pathology laboratory services have entered the International arena, and are propelled along the wave of globalization. Many new challenges have emerged as have new players in the field. Landmark developments over the past decade include the establishment of national quality assurance programmers, the mushrooming of private pathology laboratories, the establishment of a National Accreditation Standard for medical testing laboratories. There exists a wide variation in the competence of the postgraduate residents trained in pathology in different institutions across India. This results in strong disparities in the clinical diagnostic skills, teaching skills, research capabilities and the managerial skills of the graduates. The end users of this training, namely the community, clinicians and health care institutions would benefit from a more uniform and better trained pathologist.
Background: Paediatric lesions are worrisome and need immediate attention with early diagnosis. Fine needle aspiration cytology (FNAC) is safe, cost effective, minimally invasive method which helps in diagnosis and guides for treatment of various paediatric lesions.Methods: This was an observational study done during the pandemic of COVID-19 at department of pathology in Andhra Medical College, Visakhapatnam from March 2020 to October 2020 .The total number of cases were 91 who underwent fine needle aspiration (FNA) during this period. USG guided aspiration and fluids are also included in the study. Slides were fixed in 95% isopropyl alcohol and stained with Haematoxylin and Eosin. May Grunwald Giemsa stain, CBNAAT for acid fast bacilli and correlation with histopathology was done wherever required and results were tabulated.Results: In the present study the lesions were more common in female children (68.13%) and in the age group of 11-15 years (35.16%).Benign lesions (80.91%) were more common than malignant lesions. Majority of benign lesions were reactive lymphadenitis (32.5%) followed by tuberculous lymphadenitis (23.75%). The common malignant lesions were lymphoblastic and Hodgkin’s lymphoma, metastatic nasopharyngeal carcinoma, malignant peripheral nerve sheath tumour (MPNST), Langerhans cell Histiocytosis and Ewing’s sarcoma.Conclusions: Extra pulmonary tuberculosis in children is highly variable in severity and rate of progression with long term sequelae. The spectrum of malignancies in children is variable and region based. FNAC helped in early diagnosis and management of these cases.
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