Priyanka S Murgod, P. Doshi, A. Nisal, R. Nimbargi
{"title":"Histomorphological Mimickers of benign prostatic lesions with prostatic adenocarcinoma","authors":"Priyanka S Murgod, P. Doshi, A. Nisal, R. Nimbargi","doi":"10.3126/jpn.v10i2.29009","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.29009","url":null,"abstract":"Background: The prostate is a walnut-sized organ that surrounds the urethra. More than 99% of prostate cancers are prostatic adenocarcinoma. It is the second most commonly occurring cancer in men and the fourth most commonly occurring cancer in India and all over the world. Numerous lesion of the prostate are very similar to prostate cancer, hence awareness is very important. This study aimed to determine the histopathological features of prostate adenocarcinoma and its common mimickers.Materials and Methods: A retrospective study of histopathological features of radical prostatectomy and transurethral resection of the prostate specimens, sent to the department of pathology for a period of one year. A brief clinical history and serum prostate-specific antigen levels were noted.Results: The surgical specimens of 303 cases of prostatic diseases were studied. Benign prostatic hyperplasia was the most frequent diagnosis in 192 patients followed by Prostate adenocarcinoma seen in 80 patients. Prostatic intraepithelial neoplasia formed the predominant mimicker (5.9%), followed by basal cell hyperplasia (3.0%). Serum prostate-specific antigen was seen in the range of 1.73 - 100 ng/ml in the cases of adenocarcinoma. In the mimics, prostate-specific antigen was in the range of 1.2- 18ng/ml.Conclusions: Biopsy remains a gold standard for the diagnosis of adenocarcinoma and its mimickers. The lesions in this study were diagnosed on hematoxylin and eosin staining.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91192240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Upadhyaya Kafle, Mrinalini Singh, N. Kafle, A. Sinha
{"title":"Hemogram components and platelets count variation in anemic patients attending Birat Medical College and Teaching Hospital, Morang, Nepal","authors":"S. Upadhyaya Kafle, Mrinalini Singh, N. Kafle, A. Sinha","doi":"10.3126/jpn.v11i1.30385","DOIUrl":"https://doi.org/10.3126/jpn.v11i1.30385","url":null,"abstract":"Background: Anemia being the expression of the underlying disease is a global public health problemaffecting both developing as well as developed countries. The RBC indices and platelet count variationamong anemic patients are important to know their association for clinical implications.Materials and Methods: A hospital-based cross-sectional study among anemic patients with hemoglobin<10 gm%, attending Birat Medical College Teaching Hospital, Nepal from 15 May to 15 July 2020 wereanalyzed for RBC indices and platelet count variation. Demographic data, RBC indices, platelet countvariation, and types of anemia were evaluated. Pearson’s correlation coefficient was used for correlatingthe platelet count with RBC indices. A Chi-square test was used to know about the association betweenthe types of anemia and platelet count variation.Results: Out of 150 anemic patients, the female to male ratio was 1.5:1, with the most common agegroup between 40-49 years. There exist high differences between minimum and maximum individualRBC indices (Hb, MCV, MCH, MCH) and platelet count values. The platelet count variation with RBCvalues and MCV had a statistically significant positive and negative correlation respectively. However,the correlation between platelet count variation with hemoglobin concentration level and type of anemiawas positive but statistically not significant.Conclusion: Findings suggest that platelet count variation with RBC indices and types of anemiacorrelated well among anemic patients. Such association will enable the clinicians for diagnosing andtreatment purposes. \u0000 ","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88778957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inherited bone marrow failure syndromes. An overview","authors":"S. Karki","doi":"10.3126/jpn.v11i1.31635","DOIUrl":"https://doi.org/10.3126/jpn.v11i1.31635","url":null,"abstract":"Inherited bone marrow failure syndromes are a diverse set of genetic disorders characterized by insufficient blood cell production leading to cytopenias/pancytopenia. Bone marrow failure can be restricted to one or two blood cell lineages, with symptoms specific to the particular cell lineage or it can affect all cell lineages, causing clinical symptoms similar to aplastic anemia. Inherited bone marrow failure syndromes are genetically heterogeneous diseases resulting from germline mutations that affect key cellular pathways namely ribosomal biogenesis, telomerase biology, DNA repair, and structural proteins. Common Inherited bone marrow failure syndromes are Diamond-Blackfan anemia, Fanconi anemia, Dyskeratosis Congenita, and Shwachman-Diamond syndrome. These different syndromes have variable prognoses and risks of developing hematological or solid malignancies. Thus the accurate diagnosis of these diseases differentiating it from other Inherited bone marrow failure syndromes and other causes of bone marrow failure is of utmost importance for management and surveillance of long-term squeal of the disease. Other causes of BMF can be acquired. The most common forms of Bone marrow failure can occur from chemicals, radiation, drugs, viral infections, immune disorders, myelodysplastic syndrome, paroxysmal nocturnal hemoglobinuria, or large granular lymphocytic leukemia. Moreover, these Inherited bone marrow failure syndromes are often heritable, affecting other family members, thus requiring insightful genetic counseling. This review discusses the frequent Inherited bone marrow failure syndromes along with their differential diagnosis.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83963905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analogous feature of cemento-ossifying fibroma and bone pathology: a clinico-pathological correlation","authors":"T. Raut, S. Keshwar, A. Pradhan, A. Shrestha","doi":"10.3126/jpn.v10i2.31217","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.31217","url":null,"abstract":"Intra-osseous pathology of the craniofacial region is microscopically characterized by hypercellular fibroblastic stroma with a variable amount of bone or cementum like calcified structures. The overlapping histopathological features are not limited to lesions under one classification of similar origin rather it imbricates the lesions of entirely different origin as well. The only possible way out then becomes the clinicopathological correlation. Hence, in an out of entire clinical, a radiographic, surgical, and histopathological feature reframes the building block for confirmatory diagnosis of a bone lesion.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86294842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital education amidst global pandemic: A virtual reality for an academic Pathologist!","authors":"P. Sherpa","doi":"10.3126/jpn.v10i2.33026","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.33026","url":null,"abstract":"","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79408068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small cell neuroendocrine carcinoma coexisting with adenocarcinoma of the uterine cervix - a rare entity","authors":"Mukta Meel, A. Jindal, Mukesh Kumar, A. Mittal","doi":"10.3126/jpn.v10i2.28736","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.28736","url":null,"abstract":"Squamous cell carcinoma and adenocarcinoma are the most common histological types of cervical cancer. The co-existence of two histological types is rare. Here we report a case of a 65-year-old woman with a complaint of postmenopausal bleeding and a history of foul-smelling discharge per vagina for 8 months. On examination cervix flared up with growth, bled on touch, parametrium was involved and adherent anteriorly with bladder & posteriorly with the rectum. Cervical biopsy revealed small cell carcinoma coexisting with Adenocarcinoma. Later it was confirmed by immunohistochemistry. ABSTRACT Mukta Meel1, Arpita Jindal1, Mukesh Kumar1, Alka Mittal1","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"255 1","pages":"1783-1785"},"PeriodicalIF":0.0,"publicationDate":"2020-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82773967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Thapa, Arnab Ghosh, Dilasma Ghartmagar, S. Regmi, O. Talwar
{"title":"Utility of fine needle aspiration cytology in head and neck lesions and its correlation with histopathology- a study in tertiary care hospital","authors":"S. Thapa, Arnab Ghosh, Dilasma Ghartmagar, S. Regmi, O. Talwar","doi":"10.3126/jpn.v10i2.30255","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.30255","url":null,"abstract":"Fine Needle Aspiration Cytology; Head and neck lesions; Thyroid; Background: Fine Needle Aspiration Cytology has rapidly gained acceptance due to the easy accessibility of target sites and minimally invasive nature. It is a very simple, quick, cost-effective method of sampling alternative to the time-consuming complicated, and invasive excision biopsy. The study aimed to access the utility of fine-needle aspiration cytology in the diagnosis of various head and neck lesions and also to establish the diagnostic accuracy between the cytological and histopathological diagnosis.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"24 1","pages":"1733-1741"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81238457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of immunohistochemistry for detection of Epidermal growth factor receptor mutation status in lung adenocarcinoma","authors":"N. Shah, H. Popper, S. Karki, D. R. Mishra","doi":"10.3126/jpn.v10i2.30170","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.30170","url":null,"abstract":"Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background: Since the advent of targeted therapy in lung cancer, in settings where it is not possible to send for molecular testing of lung adenocarcinoma, immunohistochemistry for EGFR mutation-specific antibodies can be used as an alternative for detection of EGFR mutation.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"21 1","pages":"1706-1710"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88457086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Primary synovial sarcoma thyroid: an unusual presentation","authors":"P. Srivastava, N. Anand, N. Husain","doi":"10.3126/jpn.v10i2.28358","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.28358","url":null,"abstract":"Epithelial membrane antigen; Synovial sarcoma; Thyroid; Transducin-like enhancer of split-1; Primary Synovial sarcoma of the thyroid gland is a rare sarcoma. We report a case of synovial sarcoma of the thyroid gland in a 2-yr-old boy presenting with a palpable progressively increasing neck mass, high resolution ultrasound revealed a heterogeneous lesion measuring 5 x 4 cm identified in the right lobe compressing the left lobe. A total thyroidectomy was performed and grossly both the lobes were involved. Histologically, the tumor was a biphasic synovial sarcoma which was confirmed by immunohistochemical markers showing positive expression for vimentin, Epithelial membrane antigen &Transducin-like enhancer of split-1. This is an unusual location for the occurrence of primary synovial sarcoma and aggressive nature the early diagnosis is difficult, and no definite treatment regimens are being defined due to the rarity of neoplasm. ABSTRACT Pallavi Srivastava1, Nidhi Anand1, Nuzhat Husain1 1Department of Pathology, Dr Ram Manohar Lohia Institute of Medical Science, Uttar Pradesh, India","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"5 1","pages":"1776-1778"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75644354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of training session in improving the knowledge of blood transfusion practices among undergraduates- a hospital based study.","authors":"P. Vasavi, M. Usha, Anurag Yadav","doi":"10.3126/jpn.v10i2.29827","DOIUrl":"https://doi.org/10.3126/jpn.v10i2.29827","url":null,"abstract":"Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background: Blood is a vital and limited resource with a lifesaving therapeutic benefit. Knowledge of standard transfusion practices to be followed is important in delivering quality transfusion services. The present study aims at assessing the knowledge of transfusion practices among undergraduate medical students, train them, and to assess the impact of this type of training sessions in improving the outcome.","PeriodicalId":31517,"journal":{"name":"Journal of Pathology of Nepal","volume":"27 1","pages":"1702-1705"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83330110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}