Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
Cysts in the upper neck region yielding fluid on aspiration are frequently given nonspecific re-ports on cytological examination. Noncellular structures may sometimes give a clue regard-ing their site of origin. We report here a case of a 60 year-old female patient with history of swelling...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sri Devaraj Urs Academy of Higher Education and Research
2018-03-01
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| Series: | Journal of Clinical and Biomedical Sciences |
| Online Access: | https://jcbsonline.ac.in/articles/amylase-crystalloids-in-parotid-salivary-gland-swelling-on-fine-needle-aspiration-cytology |
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| Summary: | Cysts in the upper neck region yielding fluid on aspiration are frequently given nonspecific re-ports on cytological examination. Noncellular structures may sometimes give a clue regard-ing their site of origin. We report here a case of a 60 year-old female patient with history of swelling in the left parotid region since 3days. History of fever and pain since 1 day. No histo-ry of cough, pain during swallowing or in-creased salivation. She was referred for fine needle aspiration (FNA) of a nodular swelling in the left parotid region for the diagnosis. Clin-ical Examination revealed a lemon -sized, firm nodule measuring 3x 2cm from which 2ml of yellowish, clear fluid was aspirated using 27 gauze needle. Smears were wet-fixed for Pa-panicolaou’s (Pap) staining and Haematoxylin and Eosin as well as air-dried for Giemsa stain-ing. The crystals appeared orange coloured in PAP stain and pink in H &E (fig 2) . On Giemsa stain the crystals appeared deep blue (Fig 1) . The present case showed cellular smears showing rectangular shaped non-birefringent crystalloids. Also seen were benign ductal epi-thelial cells and squamous metaplastic cells. Background showed abundant neutrophils ad-mixed with occasional lymphocytes. So a diag-nosis of Acute on chronic Sialadenitis was made. For definitive diagnosis histopathology examination is required. |
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| ISSN: | 2231-4180 2319-2453 |