Diagnosis of malignant effusion using cell block and immunohistochemistry

The distinction between reactive mesothelial and adenocarcinoma cells specially signet ring type in serous effusions may be very difficult based only on morphological features particularly in early stage. Reactive mesothelial cells show varying degree of cytological atypia hence posing difficulty in differentiating it from adenocarcinoma cells. We report a case of 45 year old female patient presented with abdominal distension. Patient was an operated case of adenocarcinoma of stomach. Smears prepared from ascitic fluid and cell block shows large number of reactive mesothelial cells and few atypical cells. Atypical cells were immunoreactive for cytokeratin, epithelial membrane antigen and carcinoembryonic antigen. These confirmed the presence of malignant epithelial cells so we reported it as a malignant effusion

Carcinoma of breast with medullary features: a case report in 27 year old female

Medullary carcinoma of breast is a rare variant of invasive ductal carcinoma of breast and its incidence is less than 5% of invasive breast carcinomas. These tumours tend to occur in younger women, with the average age reported to range from 42 to 52 years. Authors are presenting this case in a 27 years old female having single, large, well circumscribed mass in right breast for 6 months. Fine needle aspiration cytology report was proliferative lesion with atypia Histopathology report was given as carcinoma with medullary features. Immunohistochemistry showed Estrogen Receptor (ER), Progesterone Receptor (PR) and Her-2 neu negative. Authors are presenting this case of Medullary carcinoma of breast for being a specific histopathological subtype

Catalytic transformations via metallocarbenes

This thesis describes a new catalytic activity of a commonly used metathesis catalyst and demonstrates the viability of directly coupling two powerful C-C bond forming strategies: cross-metathesis and ylide transformations, both proceeding via metal-catalysed carbene transfer. Catalytic C-C bond formation reactions are highly significant; my studies focus on such transformations involving metallocarbenes. Grubbs' 2nd generation Ru catalyst is the most commonly used catalyst in olefin metathesis to generate thermodynamically preferred trans-olefms. During the course of my studies, I established that Grubbs 2nd generation catalyst (0.5 mol%) can also dimerise diazoacetates to give cis-enediesters (maleates) in good to excellent yields (74-99%) with high stereoselectivity (Z:E>95:5). The reaction between two different diazoacetates, catalysed by Grubbs catalyst gave access to unsymmetrical cis-enediesters with high stereoselectivity (Z:E>95:5, generally 99:1). The catalyst was found to retain its alkene metathetical activity during diazo coupling; building on this latter observation a novel route to access dienyl dilactones by head-to-head dimerisation of unsaturated diazoacetates was developed. Cross-metathesis was found to be chemoselective in the presence of diazo functionality (when flanked by two carbonyl groups), allowing the functionalisation of tethered olefin. The elaborated diazocarbonyl olefms were subjected to Rh2(OAc)4 catalysed ylide formation and subsequent transformations. Significantly, one-pot cross-metathesis/ylide transformations (1,3-dipolar cycloaddition and [2,3]-simgatropic rearrangement) also proved to be viable, establishing that the spent Ru catalyst following metathesis does not affect the subsequent Rh(II)-catalysed transformation.</p