SPECTRUM OF POSTERIOR CRANIAL FOSSA SPACE OCCUPYING LESIONS- OUR EXPERIENCE AT A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 36
Abstract
BACKGROUND Posterior cranial fossa is located between the Foramen Magnum and Tentorium Cerebelli. It contains cerebellum, pons and medulla oblongata. Tumours of posterior cranial fossa can affect any of the above structures and can lead to pressure symptoms, neurological deficits or sometimes even death. This study has been conducted at our tertiary care centre. Aims and Objectives- To know the usefulness of intraoperative squash cytology and its diagnostic accuracy in differentiating posterior fossa lesions in correlation with clinical, radiological and histopathological diagnosis. Newer diagnostic modalities like MRI help in detecting these tumours early. Squash cytology and histopathological study diagnose these lesions accurately, which may benefit the patient for further treatment. MATERIALS AND METHODS This is a retrospective descriptive study. A total of 28 cases of posterior cranial fossa lesions were analysed with squash cytology and histopathology correlation. RESULTS Among the 28 cases analysed, 27 cases (96.4%) showed squash cytology with histopathologic correlation. A case of ependymoma was misdiagnosed as embryonal tumour/ medulloblastoma on squash cytology. Male preponderance was noted. The commonest age group was first decade in this study. Cerebellopontine angle was the most common site of the tumours in our study. CONCLUSION Analysing the posterior fossa tumours by squash cytology along with radioimaging in tumour localising and patient’s demographics helped in correct histopathological diagnosis for further management and follow-up.
Authors and Affiliations
Sri Lakshmi Gollapalli, Mohmed Chand Moula, Shriram Shriram, K. Durga
Keywords
Related Articles
- EP ID EP545151
- DOI 10.14260/jemds/2018/898
- Views 67
- Downloads 0
AWARENESS OF 3RD SEMESTER MBBS STUDENTS REGARDING THE MEDICO-LEGAL ISSUES IN OUR SOCIETY AND THE NEED FOR TRAINING IN FORENSIC MEDICINE- A DESCRIPTIVE CROSS-SECTIONAL STUDY
BACKGROUND The instructional programmes in medical education field are aimed at developing a competent medical officer. However, the current student community gives importance only to cognitive domain, which is essential...
CLINICAL EVALUATION AND MANAGEMENT OF PERITONITIS SECONDARY TO HOLLOW VISCUS PERFORATION
BACKGROUND Peritonitis is often caused by introduction of an infection into the otherwise sterile peritoneal environment through perforation of bowel, introduction of a chemically irritating material, such as g...
ROLE OF ENDOMETRIAL BIOPSY IN THE EVALUATION OF ABNORMAL UTERINE BLEEDING- A RETROSPECTIVE ANALYSIS OF 150 CASES
BACKGROUND Abnormal uterine bleeding is an important symptom of both benign and serious gynaecological disease. Early evaluation of abnormal uterine bleeding in the perimenopausal and postmenopausal women is essential to...
VISCERAL LEISHMANIASIS IN A NON-ENDEMIC REGION OF INDIA- INVESTIGATION OF AN OUTBREAK
BACKGROUND Visceral Leishmaniasis (VL) is seen commonly in eastern parts of India, while occurrences of cutaneous forms of the disease have been reported recently from Western Ghats of southern India. The clinical manife...
A COMPARATIVE STUDY OF HAEMODYNAMIC EFFECTS AND INTUBATION CONDITIONS OF ROCURONIUM BROMIDE VERSUS SUXAMETHONIUM
BACKGROUND Suxamethonium chloride was a time-tested depolarising muscle relaxant with quick onset of action and produced excellent intubating conditions, but it is contraindicated and hazardous in certain situations. Roc...