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Dermatomyositis, analysis of FNAC test - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
User :   Hi, may I
Doctor :   Hi
Doctor :   Dr XXX here
User :   hi my name is XXX. i am being treated for dermetomyositis
Doctor :   Please proceed with your query
Doctor :   Ok
Doctor :   May i know your age?
User :   few days ago i asked for test for abnormal muscle swelling
User :   40
User :   can i post you my report some email
Doctor :   Ok
User :   at which address
Doctor :   You can e mail at YYYY@YYYY
User :   i think i have already send email at this address
Doctor :   When did you send?
User :   yesterday ishall do it again just now
Doctor :   Ok
User :   i have again emailed it just now
User :   i shall try to write what it says
Doctor :   I am checking
Doctor :   Have not received yet
User :   it is sending
User :   yes u can check it its from YYYY@YYYY
Doctor :   I am already checking, it has not been received yet.
User :   FNAC from 2. Lump in right upper arm 3. Lump right side posterior abdominal wall 4. Lump right side anterior abdominal wall All the above mentioned sites were aspirated. All seemed fibrotic with sparse aspirate. Microscopic examina tion: 1. FNA smears from the right upper arm show an eosinophilic granular fluid in the background with sparse cellularity. Occasional fragments resembling a parasitic wall are seen along with few mixed inflammatory cells including a single multinucleate giant cell. and structures suspicious of booklets. Skeletal tissue fragments are also seen. 2. Smears from right posterior abdominal wall show scanty cellularity with few macro phages, occasional inflammatory cells and scattered structures resembling hooklets. Many crystal like structures and some cholesterol clefts are also seen. 3. Smears from right side anterior abdominal wall show predominantly hemorrhage with an occasional multinucleate giant cell and a stromal fragment with entrapped plump spindle nuclei. IMPRESSION: FNA smears from soft tissue lumps in right upper arm, right side posterior abdominal wall and right side anterior abdominal wall are suggestive of a fibrotic chronic inflammatory lesion, with suspicion of an organized/ healed parasitic cyst. Adv: excision biopsy for confirmation of diagnosis.
User :   its ocr of report
Doctor :   Let me read
Doctor :   Ok
User :   what does this means
Doctor :   It suggest that the areas for which the FNAC was done has some chronic infection.
User :   whome i shall further contact for treatment
Doctor :   Also there may be some cyst( closed fluid filled cavity) which could be due to previous bacterial or viral infection and for confirmation you require a biopsy in which a tissue is taken from that area and studied
Doctor :   You should see a dermatologist itself and he may advise you to meet surgeon.
Doctor :   If biopsy and excision is required that will be confirmed by examination
User :   i have been to several dermatologists here they said if its not paining there is nothing wrong
User :   do you have any reference
Doctor :   You can see a General Surgeon.
User :   for biopsy or treatment
Doctor :   You can see for treatment. If biopsy is required that will be done by Pathologist
User :   ok thanks a lot
Doctor :   Are you there?
Doctor :   It seems you have moved out of window. Please log in back for any medical query

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