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Cysticercosis of tongue: Cytohistologic approach to diagnosis.

Koteeswaran G, Mangala G, Kotasthane DS, Tirou AT - J Oral Maxillofac Pathol (2013)

Bottom Line: Cysticercosis is continuing to be a major health problem in developing countries.Radiological and serological techniques are routinely used for pre-operative diagnosis of cysticercosis.We present a case of cysticercosis of tongue, which accounts for only 34 cases in the world literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam, Pondicherry, India.

ABSTRACT
Cysticercosis is continuing to be a major health problem in developing countries. Radiological and serological techniques are routinely used for pre-operative diagnosis of cysticercosis. But fine needle aspiration cytology (FNAC) is cost effective and simple procedure, so it is important to be aware of diagnostic pitfalls in the cytomorphologic diagnosis of cysticercosis. We present a case of cysticercosis of tongue, which accounts for only 34 cases in the world literature.

No MeSH data available.


Related in: MedlinePlus

(a) Section showing tongue muscles with central cystic space surrounded by fibrous wall. (H&E stain, ×40). (b) Section showing cysticercus larva in cystic space. (H&E stain, ×40). (c) Section shows thick tegument with absence of calcareous corpuscles in the mesenchyme (H&E stain, ×400). (d) Section shows mixed infiltrate of acute and chronic inflammatory cells admixed with foreign body giant cells and epitheliod macrophages (H&E stain, ×100) and inset (H&E stain, ×400)
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Figure 2: (a) Section showing tongue muscles with central cystic space surrounded by fibrous wall. (H&E stain, ×40). (b) Section showing cysticercus larva in cystic space. (H&E stain, ×40). (c) Section shows thick tegument with absence of calcareous corpuscles in the mesenchyme (H&E stain, ×400). (d) Section shows mixed infiltrate of acute and chronic inflammatory cells admixed with foreign body giant cells and epitheliod macrophages (H&E stain, ×100) and inset (H&E stain, ×400)

Mentions: A 23-year-male patient came with a painless, slowly progressive swelling over the lateral border of tongue for the past 2 years. On oral examination, a solitary nodule mass of 2 × 1 cm was noted on left lateral border of tongue. [Figure 1] a On fine needle aspiration, 1.6 ml of colorless clear watery fluid was aspirated. Amorphous acellular fragments were seen on cytology smear along with scattered squamous cells and hooklets. [Figure 1b and c] Since benign cystic lesions like mucocele, mucus retention cyst and lipoma are common in this location, excision biopsy was done. Gross examination revealed a single gray-brown nodule measuring 1.5 × 1 cm. Cystic cavity with thick wall and focal gray white solid area was seen on cut-section. [Figure 1d] Microscopy showed tongue musculature with central cystic space surrounded by dense fibrous capsule infiltrated by lymphocytes, plasma cells and foreign body type giant cells. [Figure 2a–d]. Cysticercus cellulosae was seen in cystic space, however, calcareous corpuscles could not be appreciated in the sections.


Cysticercosis of tongue: Cytohistologic approach to diagnosis.

Koteeswaran G, Mangala G, Kotasthane DS, Tirou AT - J Oral Maxillofac Pathol (2013)

(a) Section showing tongue muscles with central cystic space surrounded by fibrous wall. (H&E stain, ×40). (b) Section showing cysticercus larva in cystic space. (H&E stain, ×40). (c) Section shows thick tegument with absence of calcareous corpuscles in the mesenchyme (H&E stain, ×400). (d) Section shows mixed infiltrate of acute and chronic inflammatory cells admixed with foreign body giant cells and epitheliod macrophages (H&E stain, ×100) and inset (H&E stain, ×400)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3927367&req=5

Figure 2: (a) Section showing tongue muscles with central cystic space surrounded by fibrous wall. (H&E stain, ×40). (b) Section showing cysticercus larva in cystic space. (H&E stain, ×40). (c) Section shows thick tegument with absence of calcareous corpuscles in the mesenchyme (H&E stain, ×400). (d) Section shows mixed infiltrate of acute and chronic inflammatory cells admixed with foreign body giant cells and epitheliod macrophages (H&E stain, ×100) and inset (H&E stain, ×400)
Mentions: A 23-year-male patient came with a painless, slowly progressive swelling over the lateral border of tongue for the past 2 years. On oral examination, a solitary nodule mass of 2 × 1 cm was noted on left lateral border of tongue. [Figure 1] a On fine needle aspiration, 1.6 ml of colorless clear watery fluid was aspirated. Amorphous acellular fragments were seen on cytology smear along with scattered squamous cells and hooklets. [Figure 1b and c] Since benign cystic lesions like mucocele, mucus retention cyst and lipoma are common in this location, excision biopsy was done. Gross examination revealed a single gray-brown nodule measuring 1.5 × 1 cm. Cystic cavity with thick wall and focal gray white solid area was seen on cut-section. [Figure 1d] Microscopy showed tongue musculature with central cystic space surrounded by dense fibrous capsule infiltrated by lymphocytes, plasma cells and foreign body type giant cells. [Figure 2a–d]. Cysticercus cellulosae was seen in cystic space, however, calcareous corpuscles could not be appreciated in the sections.

Bottom Line: Cysticercosis is continuing to be a major health problem in developing countries.Radiological and serological techniques are routinely used for pre-operative diagnosis of cysticercosis.We present a case of cysticercosis of tongue, which accounts for only 34 cases in the world literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Pillayarkuppam, Pondicherry, India.

ABSTRACT
Cysticercosis is continuing to be a major health problem in developing countries. Radiological and serological techniques are routinely used for pre-operative diagnosis of cysticercosis. But fine needle aspiration cytology (FNAC) is cost effective and simple procedure, so it is important to be aware of diagnostic pitfalls in the cytomorphologic diagnosis of cysticercosis. We present a case of cysticercosis of tongue, which accounts for only 34 cases in the world literature.

No MeSH data available.


Related in: MedlinePlus