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Article: Comparative Study of Imprint Cytology and Histopathology of Soft Tissue Tumors.

Dutta, Sujit Kumar / Dasgupta, Senjuti / Bhattacharyya, Nirmal Kumar / Jain, Parul / Bose, Debdas / Biswas, Pranab Kumar

Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology

2018 Volume 38, Issue 4, Page(s) 461–465

Abstract: Background: The components of soft tissue are fibroblasts, collagen, vascular structures, fatty tissue, skeletal muscles, smooth muscles, and neural tissue. The real incidence of soft tissue tumors (STTs) is difficult to estimate because most of them ... ...

Abstract	Background: The components of soft tissue are fibroblasts, collagen, vascular structures, fatty tissue, skeletal muscles, smooth muscles, and neural tissue. The real incidence of soft tissue tumors (STTs) is difficult to estimate because most of them are benign (Benign: Malignant-100:1). Aims: The aim of the present study was undertaken to note the patterns of presentation of patients with STTs and to evaluate the findings of imprint cytology (IC) and histopathological examination (HPE) of STTs. Materials and methods: The present study was undertaken for 1 year. A total of 41 patients with clinically and radiologically diagnosed STTs were included in the study. Following surgery, imprint smear was taken for each tumor, before delivering the tissue to 10% formalin. HPE was subsequently performed. Results: The age of the patients ranged from 4 months to 80 years with a mean of 35.6 ± 17.5 years. The ratio of males to females was 1.05:1. HPE revealed that 21 (51.2%) tumors were benign and 20 (48.8%) malignant. Imprint smears revealed 16 (39%) tumors to be benign and 20 (48.8%) malignant. IC was inconclusive in 5 (12.2%) cases. The sensitivity of IC was found to be 89.5% and specificity 82.35%. The positive predictive value of IC was 85%. The accuracy of IC for diagnosis of both benign and malignant tumors was found to be 75%. Conclusion: IC of STTs is a rapid and simple method of intraoperative diagnosis, and it can serve as a viable alternative to frozen section biopsy, particularly in rural settings.
Language	English
Publishing date	2018-01-13
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2181724-8
ISSN	0975-2129 ; 0971-5851
ISSN (online)	0975-2129
ISSN	0971-5851
DOI	10.4103/ijmpo.ijmpo_132_16
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Article ; Online: Carcinosarcoma of ovary with its various immunohistochemical expression: Report of a rare case.

Dasgupta, Senjuti / Bose, Debdas / Bhattacharyya, Nirmal Kumar / Biswas, Pranab Kumar

Journal of cancer research and therapeutics

2015 Volume 11, Issue 4, Page(s) 1022

Abstract: Ovarian carcinosarcoma is an extremely rare tumor with an incidence of <2%. A report of such a rare case in a 40-year-old multiparous woman is being presented here. The patient complained of abdominal pain and distension. Abdominal computed tomography ... ...

Abstract	Ovarian carcinosarcoma is an extremely rare tumor with an incidence of <2%. A report of such a rare case in a 40-year-old multiparous woman is being presented here. The patient complained of abdominal pain and distension. Abdominal computed tomography revealed a variegated mass in the right adnexal region. The CA-125 level was 1635 U/ml. The patient underwent laparotomy and the tumor was removed. Microscopic examination of the tumor showed presence of both carcinomatous and sarcomatous elements. Immunohistochemical analysis revealed that the carcinomatous component was positive for cytokeratin and estrogen receptor and negative for progesterone receptor. The sarcomatous component was positive for vimentin. Ki-67 was positive in 60% cells. A final diagnosis of ovarian carcinosarcoma was rendered. This case is significant owing to extreme rarity of the tumor. Records of similar cases must be maintained for future reference with regard to impact of treatment protocol followed on prognosis.
MeSH term(s)	Adult ; Biomarkers, Tumor/metabolism ; Carcinosarcoma/metabolism ; Carcinosarcoma/pathology ; Female ; Humans ; Immunoenzyme Techniques ; Ovarian Neoplasms/metabolism ; Ovarian Neoplasms/pathology ; Prognosis ; Rare Diseases/metabolism ; Rare Diseases/pathology
Chemical Substances	Biomarkers, Tumor
Language	English
Publishing date	2015-10
Publishing country	India
Document type	Case Reports ; Letter
ZDB-ID	2187633-2
ISSN	1998-4138 ; 0973-1482
ISSN (online)	1998-4138
ISSN	0973-1482
DOI	10.4103/0973-1482.147390
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Article ; Online: Carcinosarcoma of ovary with its various immunohistochemical expression

Senjuti Dasgupta / Debdas Bose / Nirmal Kumar Bhattacharyya / Pranab Kumar Biswas

Journal of Cancer Research and Therapeutics, Vol 11, Iss 4, Pp 1022-

Report of a rare case

2015 Volume 1022

Abstract: Ovarian carcinosarcoma is an extremely rare tumor with an incidence of <2%. A report of such a rare case in a 40--year-old multiparous woman is being presented here. The patient complained of abdominal pain and distension. Abdominal computed tomography ... ...

Abstract	Ovarian carcinosarcoma is an extremely rare tumor with an incidence of <2%. A report of such a rare case in a 40--year-old multiparous woman is being presented here. The patient complained of abdominal pain and distension. Abdominal computed tomography revealed a variegated mass in the right adnexal region. The CA-125 level was 1635 U/ml. The patient underwent laparotomy and the tumor was removed. Microscopic examination of the tumor showed presence of both carcinomatous and sarcomatous elements. Immunohistochemical analysis revealed that the carcinomatous component was positive for cytokeratin and estrogen receptor and negative for progesterone receptor. The sarcomatous component was positive for vimentin. Ki-67 was positive in 60% cells. A final diagnosis of ovarian carcinosarcoma was rendered. This case is significant owing to extreme rarity of the tumor. Records of similar cases must be maintained for future reference with regard to impact of treatment protocol followed on prognosis.
Keywords	Carcinosarcoma ; immunohistochemistry ; ovary ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R
Subject code	616
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
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Article ; Online: Mature cystic teratoma with malignant transformation of teratomatous urothelial cells

Senjuti Dasgupta / Debdas Bose / Nirmal Kumar Bhattacharyya / Pranab Kumar Biswas

Clinical Cancer Investigation Journal, Vol 4, Iss 4, Pp 534-

Rare case presentation

2015 Volume 536

Abstract: The occurrence of malignancies in somatic elements of mature cystic teratoma of ovary is rare. The malignancies that may be encountered in dermoid cyst include squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma, melanoma, sarcoma, carcinoid, ...

Abstract	The occurrence of malignancies in somatic elements of mature cystic teratoma of ovary is rare. The malignancies that may be encountered in dermoid cyst include squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma, melanoma, sarcoma, carcinoid, and germ cell neoplasms. The development of transitional cell carcinoma (TCC) in dermoid cyst is extremely rare with only four such cases having been reported in literature so far. Here we report the fifth case of such an occurrence in a 50-year-old postmenopausal multiparous female patient. She presented with pain and gradual swelling of abdomen for 1 month. Abdominal computed tomography revealed a solid space occupying lesion with few cystic components at right pelvis, raising the possibility of an ovarian neoplasm. The level of CA-125 was slightly raised (56∙45 U/ml). Total abdominal hysterectomy and bilateral salpingo-oopherectomy was performed. Microscopic examination showed cyst wall lined by stratified squamous epithelium. Beneath the cyst wall, a tumor mass was present, histological features of which resembled that of high-grade TCC (stage pT1aNXMX). On immunohistochemical analysis, the tumor was found to be positive for CK7 and CK20 and negative for WT-1. These results were consistent with a diagnosis of TCC arising in urothelium of mature cystic teratoma. Reporting of such extremely rare cases is important for the assessment of prognostic factors and treatment protocols.
Keywords	Benign cystic teratoma ; immunohistochemistry ; transitional cell carcinoma ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R
Subject code	616
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
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Article ; Online: Primary splenic lymphoma masquerading as splenic abscess

Debdas Bose / Senjuti Dasgupta / Nirmal Kumar Bhattacharyya / Pranab Kumar Biswas

Clinical Cancer Investigation Journal, Vol 4, Iss 2, Pp 260-

A rare case

2015 Volume 262

Abstract: The incidence of primary splenic lymphoma (PSL) is <1%. Here we report a case of PSL in a 63-year-old female patient who had fever, night sweats, anorexia, and weight loss for 2 months. Abdominal contrast-enhanced computed tomography showed mild ... ...

Abstract	The incidence of primary splenic lymphoma (PSL) is <1%. Here we report a case of PSL in a 63-year-old female patient who had fever, night sweats, anorexia, and weight loss for 2 months. Abdominal contrast-enhanced computed tomography showed mild splenomegaly with multiple patchily enhancing splenic space occupying lesions (SOLs) along with multiple enlarged splenic hilar lymph nodes. A provisional diagnosis of splenic abscesses was made. Following splenectomy, histopathological examination and immunohistochemical analysis revealed this to be a case of splenic non-Hodgkin lymphoma - diffuse large B-cell - nongerminal center type. This case is significant since it was misdiagnosed as splenic abscess initially. Even though, PSL is an extremely rare tumor, this entity must be borne in mind when splenic SOL is detected radiologically. Documentation of such rare cases is of utmost importance to facilitate early diagnosis and treatment of similar cases in the future.
Keywords	Abscess ; Primary splenic lymphoma ; splenic space occupying lesion ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R
Language	English
Publishing date	2015-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
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Article: A study to correlate histopathology, biochemical marker and immunohistochemical expression of sex-steroid receptors in prostatic growth.

Naskar, Sukla / Kundu, Soumya Kanti / Bhattacharyya, Nirmal Kumar / Bhattacharyya, Pranab Kumar / Kundu, Anup Kumar

Indian journal of medical and paediatric oncology : official journal of Indian Society of Medical & Paediatric Oncology

2014 Volume 35, Issue 1, Page(s) 40–43

Abstract: Prostate gland is a fibromusculoglandular structure situated at the neck of urinary bladder. So, enlargement or growth of prostate due to nodular hyperplasia (NHP) or prostatic intraepithelial neoplasia (PIN) or adenocarcinoma may give rise to bladder ... ...

Abstract	Prostate gland is a fibromusculoglandular structure situated at the neck of urinary bladder. So, enlargement or growth of prostate due to nodular hyperplasia (NHP) or prostatic intraepithelial neoplasia (PIN) or adenocarcinoma may give rise to bladder outlet obstruction. Malignant growth i.e., PIN or adenocarcinoma cases are associated with increased blood level of prostate-specific antigen (PSA) and increased expression of different sex-steroid receptors because the growth is dependent on the interactions of androgen, progesterone and estrogen. The aim of our study is to correlate the histopathology, PSA levels and expression of different sex-steroid receptors by immunohistochemistry in different prostatic growth lesions. Among the total 50 cases received, inclusive of transurethral resection of prostate (TURP), transrectal ultrasound-guided biopsy and radical prostatectomy, 34 cases were diagnosed as NHP, 4 cases as PIN and 12 cases as adenocarcinoma histopathologically. Serum PSA values above 10 ng/ml were seen in 2 cases of PIN and 11 cases of adenocarcinoma and none of NHP. Estrogen receptor (ER) () expressions were negative in all cases. Progesterone receptor (PR) expressions were strongly positive in 35% cases of both NHP and adenocarcinoma, whereas androgen receptor (AR) expressions were strong among all cases of adenocarcinoma and only in four cases of NHP. By observing these findings it can be suggested that antiandrogen and antiprogesterone therapy simultaneously will do better than antiandrogen alone in treating prostatic growth lesions.
Language	English
Publishing date	2014-07-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2181724-8
ISSN	0975-2129 ; 0971-5851
ISSN (online)	0975-2129
ISSN	0971-5851
DOI	10.4103/0971-5851.133719
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Article ; Online: A clinicopathological study of mediastinal masses operated in a tertiary care hospital in Eastern India in 3 years with special reference to thymoma

Senjuti Dasgupta / Debdas Bose / Nirmal Kumar Bhattacharyya / Maitrayee Saha / Keya Biswas / Pranab Kumar Biswas

Indian Journal of Pathology and Microbiology, Vol 59, Iss 1, Pp 20-

2016 Volume 24

Abstract: Introduction: The mediastinum is the central portion of the thoracic cavity, limited by pleural cavities laterally, thoracic inlet superiorly, and the diaphragm inferiorly. Housing numerous organs, it is a veritable Pandora′s box, within which various ... ...

Abstract	Introduction: The mediastinum is the central portion of the thoracic cavity, limited by pleural cavities laterally, thoracic inlet superiorly, and the diaphragm inferiorly. Housing numerous organs, it is a veritable Pandora′s box, within which various lesions may develop. This study was conducted to assess the epidemiologic profile, clinicoradiological features, cytological, and histopathological findings in patients presenting with mediastinal masses in a tertiary care hospital over a period of 3 years. Materials and Methods: This is a retrospective study of cases presenting with mediastinal masses attending the Cardiothoracic Surgery Department of Medical College, Kolkata between May 2011 and April 2014. Detailed history, physical, and radiological findings were noted. Fine needle aspiration cytology (FNAC) was performed when feasible. Following surgery, histopathological, and immunohistochemical (IHC) examinations of the specimens were undertaken. Results: Of the 22 cases included in our study, ten were anterior, seven middle, and five posterior mediastinal masses. Fifteen cases were male and seven were female. Thymic pathology was detected in seven cases, lymphoma in five, extragonadal germ cell tumor (GCT) in three, schwannoma and pericardial cyst in two cases each and neurofibroma, ganglioneuroma, and retrosternal thyroid in one case each. The age group of the patients for each diagnostic category was found to be of significance. FNAC was done in 15 cases. IHC was required for classification of lymphoma cases (CD45, CD15, CD30, CD20, CD3, Tdt, CD34, and Ki-67). Conclusion: This study reflects the incidence of different mediastinal masses in West Bengal with their clinicopathologic correlation.
Keywords	Lymphoma ; mediastinum ; thymoma ; Pathology ; RB1-214 ; Medicine ; R ; Microbiology ; QR1-502 ; Science ; Q
Subject code	360
Language	English
Publishing date	2016-01-01T00:00:00Z
Publisher	Medknow Publications
Document type	Article ; Online
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Article ; Online: A clinicopathological study of mediastinal masses operated in a tertiary care hospital in Eastern India in 3 years with special reference to thymoma.

Dasgupta, Senjuti / Bose, Debdas / Bhattacharyya, Nirmal Kumar / Saha, Maitrayee / Biswas, Keya / Biswas, Pranab Kumar

Indian journal of pathology & microbiology

2016 Volume 59, Issue 1, Page(s) 20–24

Abstract	Introduction: The mediastinum is the central portion of the thoracic cavity, limited by pleural cavities laterally, thoracic inlet superiorly, and the diaphragm inferiorly. Housing numerous organs, it is a veritable Pandora's box, within which various lesions may develop. This study was conducted to assess the epidemiologic profile, clinicoradiological features, cytological, and histopathological findings in patients presenting with mediastinal masses in a tertiary care hospital over a period of 3 years. Materials and methods: This is a retrospective study of cases presenting with mediastinal masses attending the Cardiothoracic Surgery Department of Medical College, Kolkata between May 2011 and April 2014. Detailed history, physical, and radiological findings were noted. Fine needle aspiration cytology (FNAC) was performed when feasible. Following surgery, histopathological, and immunohistochemical (IHC) examinations of the specimens were undertaken. Results: Of the 22 cases included in our study, ten were anterior, seven middle, and five posterior mediastinal masses. Fifteen cases were male and seven were female. Thymic pathology was detected in seven cases, lymphoma in five, extragonadal germ cell tumor (GCT) in three, schwannoma and pericardial cyst in two cases each and neurofibroma, ganglioneuroma, and retrosternal thyroid in one case each. The age group of the patients for each diagnostic category was found to be of significance. FNAC was done in 15 cases. IHC was required for classification of lymphoma cases (CD45, CD15, CD30, CD20, CD3, Tdt, CD34, and Ki-67). Conclusion: This study reflects the incidence of different mediastinal masses in West Bengal with their clinicopathologic correlation.
MeSH term(s)	Adolescent ; Adult ; Animals ; Child ; Child, Preschool ; Cytological Techniques ; Female ; Histocytochemistry ; Humans ; Incidence ; India/epidemiology ; Infant ; Male ; Mediastinal Neoplasms/epidemiology ; Mediastinal Neoplasms/pathology ; Middle Aged ; Retrospective Studies ; Tertiary Care Centers ; Thymoma/epidemiology ; Thymoma/pathology ; Young Adult
Language	English
Publishing date	2016-01
Publishing country	India
Document type	Journal Article
ZDB-ID	197621-7
ISSN	0974-5130 ; 0377-4929
ISSN (online)	0974-5130
ISSN	0377-4929
DOI	10.4103/0377-4929.174818
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Article: Primary squamous cell carcinoma with mucormycosis in a diabetic foot ulcer.

Mandal, Palash Kumar / Bhattacharyya, Nirmal Kumar / Mookerjee, Sekhar Kumar / Chaudhuri, Bhaskarnarayan

Journal of the Indian Medical Association

2013 Volume 111, Issue 2, Page(s) 125–126

Abstract: The diabetic foot ulcer is one of the major complications of diabetes mellitus leading to prolonged hospital stay. Non-healing foot ulcers in diabetes may be due to peripheral neuropathy and/or vasculopathy. Non-healing occurs following a trivial trauma ... ...

Abstract	The diabetic foot ulcer is one of the major complications of diabetes mellitus leading to prolonged hospital stay. Non-healing foot ulcers in diabetes may be due to peripheral neuropathy and/or vasculopathy. Non-healing occurs following a trivial trauma due to loss of local immunity and increased infection by bacteria and fungus. Candida and mucormycosis are common fungal infection in diabetic foot ulcer. Squamous cell carcinoma in any non-healing ulcer is a common occurrence. But squamous cell carcinoma in non-healing diabetic foot ulcer is rarely reported. Here, mucormycosis in a diabetic foot ulcer which turned into squamous cell carcinoma is reported in a 62-year-old male with poor glycaemic control for last 21 years who presented with a non-healing ulcer of 8 months' duration over dorsum of left forefoot. Microbiological examination revealed presence of mucormycosis infection and histopathology of ulcer showed infiltrating well-differentiated squamous cell carcinoma. The clinicians and pathologists should be aware of these combinations because only eradication of mucormycosis may not cure the ulcer, rather presence of squamous cell carcinoma may be ignored that may be an immediate threat to the patient's life.
MeSH term(s)	Amputation ; Carcinoma, Squamous Cell/diagnosis ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Diabetic Foot/diagnosis ; Diabetic Foot/pathology ; Diabetic Foot/surgery ; Humans ; Male ; Middle Aged ; Mucormycosis/diagnosis ; Mucormycosis/pathology ; Mucormycosis/surgery ; Skin Neoplasms/diagnosis ; Skin Neoplasms/pathology ; Skin Neoplasms/surgery
Language	English
Publishing date	2013-02
Publishing country	India
Document type	Case Reports ; Journal Article
ZDB-ID	390814-8
ISSN	0019-5847
ISSN	0019-5847
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Article ; Online: Time and Motion Study of Blood Delivery System in a Regional Blood Transfusion Centre in West Bengal

Palash Kumar Monda / Subrata Pal / Nilanjana Ghosh (Chakrabarti) / Kalyan Khan / Indranil Chakrabarti / Nirmal Kumar Bhattacharyya

National Journal of Laboratory Medicine, Vol 7, Iss 4, Pp PO11-PO

A Pilot Study

2018 Volume 16

Abstract: Introduction: Delay in turnaround time (TAT) of blood delivery for transfusion is an important administrative problem in hospitals. Time and motion study for a definite root cause analysis (RCA) is valuable to identify the root causes of problems in the ... ...

Abstract	Introduction: Delay in turnaround time (TAT) of blood delivery for transfusion is an important administrative problem in hospitals. Time and motion study for a definite root cause analysis (RCA) is valuable to identify the root causes of problems in the operating events. Aim: The study was undertaken to observe TAT and the causes of increased TAT of blood delivery for transfusion to the admitted patients on an emergency basis at hospital and to formulate plans to rectify them. Materials and Methods: This descriptive longitudinal study was performed on 50 randomly selected admitted patients requiring emergency blood transfusion during a period of six months and were not assisted by volunteers. Another 50 control patients were incorporated, who were accompanied by volunteers who assisted them in getting the blood. RCA of the delays in TAT was done. Time intervals of TAT in the two groups were compared by 2 tailed t-tests for equality of means. The data was analysed using Epi-info 7 and SPSS version 16. A ‘p-value’ of less than 0.05 was taken to be statistically significant. Results: All the time intervals were high in the study group in comparison to the control group and in most cases they were statistically significant (p< 0.05) within a 95% confidence interval of the difference. The maximum time needed in both groups was in D7 (mean 89.70 and 83.50 minutes in cases and controls respectively) i.e. the interval between the relative reaching regional blood transfusion centre with blood sample and donor (T7) and patient’s blood sample being processed for grouping and cross matching (T8). Conclusion: The study revealed that certain easy to implement administrative steps would help to reduce the TAT significantly
Keywords	blood delivery system ; delay ; root cause analysis ; Microbiology ; QR1-502 ; Chemistry ; QD1-999
Subject code	610
Language	English
Publishing date	2018-10-01T00:00:00Z
Publisher	JCDR Research and Publications Pvt. Ltd.
Document type	Article ; Online
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