Diagnosis of Cysticercosis in post auricular swelling on FNAC- A case report
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 1
Abstract
Introduction Cysticercosis a parasitic tissue infection is caused by larva of Taenia solium Cysticercus cellulosae Fine needle aspiration cytology FNAC provides direct specific simplest and early diagnosis of cysticercosis and remains one of the ideal diagnostic procedure wherever the lesion can be approached easilyCase Report We present a case of 21 year old female presented with swelling on left postauricular area for one month which was 21 cm firm tender and mobile USG was suggestive of infective aetiology FNAC was done using 24gauge needle Whitish blood mixed aspirate was seen Smears were wet fixed with 95 ethyl alcohol and stained with Papanicolaou stain Cytology smears showed fragments of bluish fibrillary material with interspersed small nuclei which were seen against background of mixed inflammatory infiltrate of neutrophils histiocytes lymphocytes and eosinophils Essential for diagnosis of cysticercosis are identification of parasitic fragments which may comprise bluish fibrillary structures sometimes with honeycombing calcospherules teguments scolex with hooklets and hyaline membrane surrounding itConclusion Fine needle aspiration cytology is a low cost outpatient procedure which helps in early diagnosis of cysticercosis A careful search for parasitic fragments is to be made in presence of polymorphous inflammatory infiltrate composed predominantly of neutrophils histiocytes and eosinophilsKeywords Cysticercosis Cytology Inflammation Fibrillary material
Authors and Affiliations
Prashant V. Kumavat, Anjali Mahajan, Chetan S Chaudhari, Ganesh Kshirsagar, Poorva Rane
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