Clinicopathological spectrum of Fungal and Parasitic Infections on Fine Needle Aspiration Cytology: A tertiary care center Experience

Krishna Murari Prasad; Pallavi Agrawal; N K Bariar

Volume : VIII, Issue : I, January - 2019

Clinicopathological spectrum of Fungal and Parasitic Infections on Fine Needle Aspiration Cytology: A tertiary care center Experience

Krishna Murari Prasad, Pallavi Agrawal, N K Bariar

Abstract :

Background: The incidence many fungal and parasitic lesions are on the rise over the decades. In this study, we have analyzed the spectrum of fungal and parasitic lesions diagnosed on fine needle aspiration cytology (FNAC) in a tertiary health care center. Aims: To study the clinicopathological spectrum of fungal and parasitic infections Methods: This is a retrospectively over a 3.5 year period from June 2015 to December 2018.The clinical details were obtained from the biopsy request forms. The study included all aspirations of superficial and deep fungal and parasitic lesions in various parts of the body. Special stains including periodic acid Schiff (PAS), and Grocott‘s methenamine silver (GMS) were done for identification of parasite and fungus. Results: In this study we had a total of 58 cases comprising of 46 parasitic cases and 12 fungal infections. Table I and II show detailed clinicopathological spectrum of these cases. The parasitic category included 26 cases of filariasis, 12 cases of leishmaniasis, 6 cases of Hydatid and 2 of cysticercosis. The fungal infections were dominated by 6 cases of candidiasis followed by 2 cases each of aspergillosis, mucormycosis and histoplasmosis. Conclusions: FNAC is an easy, reliable, and minimally invasive method to diagnose and categorize the various fungal and parasitic lesions in the body for early and definitive treatment