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: Dr.Preeti Utnal, Dr Shilpa MD, Dr Geetha S
Format: Article
Language:English
Published: Sri Devaraj Urs Academy of Higher Education and Research 2018-03-01
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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author Dr.Preeti Utnal
Dr Shilpa MD
Dr Geetha S
author_facet Dr.Preeti Utnal
Dr Shilpa MD
Dr Geetha S
author_sort Dr.Preeti Utnal
collection DOAJ
description 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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spelling doaj-art-265dbaf278174fcb80b82f6528cd46f52025-08-20T02:51:00ZengSri Devaraj Urs Academy of Higher Education and ResearchJournal of Clinical and Biomedical Sciences2231-41802319-24532018-03-01081343510.58739/jcbs/v08i1.7Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration CytologyDr.Preeti UtnalDr Shilpa MD Dr Geetha S 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.https://jcbsonline.ac.in/articles/amylase-crystalloids-in-parotid-salivary-gland-swelling-on-fine-needle-aspiration-cytology
spellingShingle Dr.Preeti Utnal
Dr Shilpa MD
Dr Geetha S
Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
Journal of Clinical and Biomedical Sciences
title Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
title_full Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
title_fullStr Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
title_full_unstemmed Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
title_short Amylase Crystalloids In Parotid Salivary Gland Swelling On Fine Needle Aspiration Cytology
title_sort amylase crystalloids in parotid salivary gland swelling on fine needle aspiration cytology
url https://jcbsonline.ac.in/articles/amylase-crystalloids-in-parotid-salivary-gland-swelling-on-fine-needle-aspiration-cytology
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AT drshilpamd amylasecrystalloidsinparotidsalivaryglandswellingonfineneedleaspirationcytology
AT drgeethas amylasecrystalloidsinparotidsalivaryglandswellingonfineneedleaspirationcytology