Volume : 7, Issue : 11, November - 2018

Subcutaneous Fungal Abscess Mimicking Benign Neoplasm : Series of Cases

Dr. L. Aruna, Dr. Mohammed Lmran Ali, Dr. J. Sheethal Chandra, Dr. Anwar Miya

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span lang="EN-IN" style="font-size:10.0pt;mso-bidi-font-size:14.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">BACKGROUND</span></i></b><i style="mso-bidi-font-style:normal"><span lang="EN-IN" style="font-size:10.0pt;&#10;mso-bidi-font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">: </span></i><span lang="EN-IN" style="font-size:10.0pt;mso-bidi-font-size:12.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Subcutaneous fungal lesions may clinically present as an abscess or Subcutaneous nodules. They usually present with history of trauma or thorn prick. We present 37 such fungal infections which were clinically suspected as benign<span style="mso-spacerun:yes">&nbsp; </span>neoplasm. FNAC plays an important role as first line investigation in the diagnosis and helps in early treatment</span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><i style="mso-bidi-font-style:normal"><span lang="EN-IN" style="font-size:10.0pt;mso-bidi-font-size:14.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">METHODS AND MATERIAL: </span></i></b><span lang="EN-IN" style="font-size:10.0pt;mso-bidi-font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">This is a retrospective and prospective study conducted for a period of 20 months between January 2017 to August 2018 in the Department of Pathology, KAKATIYA MEDICAL COLLEGE/MGM, Warangal.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span lang="EN-IN" style="font-size:10.0pt;mso-bidi-font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">All the cases were subjected for Fine Needle Aspiration Cytology and stained routinely with Hematoxylin and Eosin; special stains like PAS was done for all cases to demonstrate fungal elements; Material was sent for Microbiological culture<span style="mso-spacerun:yes">&nbsp; </span>and biopsied sections were processed and sent for Histopathological examination where ever feasible. We have analysed and tabulated the data based on clinical, occupational,<span style="mso-spacerun:yes">&nbsp; </span>cytomorphological features.</span><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:10.0pt;&#10;mso-bidi-font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">RESULTS</span></b><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">: Among the 37 cases studied, a slight female preponderance was observed. Age group ranged from 40-75<span style="mso-spacerun:yes">&nbsp; </span>years. Other details will be discussed later. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:8.0pt;text-align:justify;text-justify:&#10;inter-ideograph"><b style="mso-bidi-font-weight:normal"><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">CONCLUSION</span></b><span lang="EN-IN" style="font-size:10.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">: FNAC plays a very important role in the diagnosis of subcutaneous fungal infections.<o:p></o:p></span></p>