Monthly Archives: April, 2013

Ovarian SeroMucinous Cyst

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Ovarian cyst form 40 years old lady. it was 18 C.M in diameter, unilocular and filled with serous fluid.

on Aspirate you can see :

– Simple columnar epithelium ( the red spindly cells ” lets say pseudo-spindly always remember this is not a cross section “).

– the dispersed round cells in between on might think  they may represent the intercalated cells and then the diagnosis will be serous cyst But at high magnification you will see that they are full of foamy mucin with pushed nucleus typical of goblet cells.

– the foamy macrophages   ” last pic ” indicating the cystic nature of this aspirate

so we have 2 components the serous and mucinous and the proper diagnosis will be seromucinous cyst

please note that we can’t commet on the malignancy of such neoplasm unless we have H & E sections to asses invasion

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Testicular Seminoma

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    40 years old male patient with testicular mass, the patient underwent radical orchidectomy and this is a smear from the tumor. you can see here the typical features of the germ cell tumor Seminoma classical variant, which are :

– highly cellular smears

– multiple bizarre nucleoli seen in side the nuclei

-infiltrating reactive lymphocytes ” smaller and darker in color ”

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Liver Cyst

 

 

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Cytology of the cystic fluid revealed many Hooks and scolex typical  of  Hydatid Cyst ”  Echinococcus Granulosus infestation”

 

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Unexpected Vistor

 

 

 

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Dilation and curettage specimen , you can see the bizarre looking nuclei and how they stain positively for  BetaHCG immunostain that prove their trophoblastic origin and so the diagnosis is Placental Site Nodule, this patient has remote pregnancy history.

 

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Smears from facial ulcer ,Leishman’s stain, Case of Leishmania

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IntraCranial Xanthogranuloma

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