Slide SeminarDepartment of Cytopathology

Tata Memorial CentreMumbai

Case 1

• 28/Male• Ref to TMH as suspected c/o leukemia• O/E Oral thrush, white plaques, severe

mucositis & soft tissue swelling in Lt. cheek and tongue

• Clinical ? Fungal infection• Scraping from tongue

Opinion?

Case 2

• 44/Female• Abdominal discomfort & pain• CT – Diffuse thickening of gastric wall, RP

mass, enlarged adrenals• OGD Scopy – Ulcerated lesion ? Malignant• Gastric brushing collected for cytology

Opinion?

Case 3• 58/Female• C/o abdominal distension, constipation• CT- Moderate ascites, B/L enlarged

cystic ovaries, omental deposits• Endoscopy – Infiltrated lesion post wall

duodenum ? Ca ? Extrinsic pressure• Duodenal brushing

Opinion?

Case 4

• 37/Male• C/o persistent painful ulcers oral cavity• O/E ulceration entire oral mucosa• Scraping from mucosa• Peeling of mucosa on smear collection

Opinion?

Case 5

• 21/Male• C/o head ache, nausea & vomiting• MRI Brain – Dura based mass in Lt. parietal

region with leptomeningeal deposits• CSF collected for cytology• 1 ml of clear & watery sample• 2 Cytocentrifuged smears (1 Pap & 1 Giemsa)• Pap - acellular

Opinion?

Case 6

• 47/Female• C/o head ache, altered sensorium • MRI Brain- Supra tentorial extra-axial dural

based mass Rt. frontal & nodular lesions in Lt. parietal region ? Meningioma ??metastasis

• CSF sample collected for cytology

Opinion?