5 research outputs found

    Histopathological Spectrum of Appendicular Lesions: A Cross-sectional Study

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    Introduction: Multiple pathologies, ranging from non neoplastic to neoplastic tumours that may or may not obstruct the lumen, might result in appendicitis. Uncommon neoplastic appendix lesions show diverse morphologies, resembling adenomas to colorectal carcinoma. Identifying these traits is vital to differentiate them from non neoplastic mucinous lesions, as they require varied management approaches, including followup and chemotherapy. Aim: To assess the histopathological patterns in patients undergoing appendicectomy and to study the detailed morphological features of different non neoplastic and neoplastic lesions. Materials and Methods: This cross-sectional study was conducted in western part of Maharashtra for 3 years. It involved surgically removed specimens of appendix received for histopathological evaluation of the appendix from January 2019 to December 2022. A detailed gross examination of the appendicectomy specimens was carried out. Data were analysed using Statistical Package for the Social Sciences (SPSS) software, version 22.0. Categorical data such as sex, clinical presentation, gross presentation of the appendix, and histopathological findings were presented as n (%), whereas quantitative data such as age were presented as mean±SD. A p-value<0.05 was considered statistically significant. Results: A total of 716 patients were included in this study. The median age of the patients was 25.0 years. The majority of the population belonged to the 21-45 years age group, with 406 (56.7%) patients. The number of males were higher 236 (32.9%) than females 170 (23.4%). The number of patients with inflammatory or non neoplastic lesions was higher than those with neoplastic lesions, with 709 (99.02%) and 7 (0.98%) respectively. The highest number of patients had chronic appendicitis (284;39.66%), followed by acute on chronic appendicitis (216;30.16%) and acute appendicitis (188; 26.25%). Conclusion: In cases of appendicitis, histopathological examination of the appendix should be performed as it provides crucial clinical information in addition to operative findings. Hence, it is a benchmark in diagnosing acute appendicitis

    Scar site metastasis of renal cell carcinoma diagnosed on-site cytology: a case report

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    Abstract Background Renal cell carcinomas (RCCs) have a propensity for widespread metastases and a wide range of survival rates. They can spread into adjacent organs by direct extension and can invade local or distant sites by lymphatic, hematogenous or lympho-hematogeneous pathways. Scar site metastasis is very rare. Case presentation We report a rare case of scar site RCC metastasis in a patient who underwent left radical nephrectomy 10 months ago. Conclusion FNAC is a simple and easy technique that can help in the definitive diagnosis of subcutaneous lesions. A correct early stage diagnosis of metastatic RCC can considerably improve the survival rates

    Radicular cyst associated with maxillary anterior tooth treated with conservative surgical approch: A case study

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    Radicular cyst is that the most typical of all odontogenic cyst of the jaws and that they arise from the epithelial residues within the periodontal ligament after necrosis of the pulp as results of periapical periodontitis. A 15­year­old male patient reported to the department of oral and maxillofacial surgery with the chief complaint of broken tooth. 9 years ago, within the upper anterior region together with pain within the gums. Radiographic examination revealed a well corticated unilocular radiolucency with sclerotic border with relation to left maxillary central incisor. Because the patient belongs to a awfully young cohort, he was advised for complete enucleation of the cyst to scale back the post­operative complications
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