Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study
Introduction: Rhinosporidiosis is a chronic granulomatous infective disease caused by Rhinosporidium seeberi which primarily affects the mucosa of the nasal cavity. Cutaneous lesions are infrequent. However, disseminated cutaneous lesions with varied presentations are very rare in routine pathol...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Pvt. Ltd.
2021-04-01
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| Series: | National Journal of Laboratory Medicine |
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| Online Access: | http://www.njlm.net/articles/PDF/2469/43269_CE[Ra1]_F(SHU)_PF1(SS_OM)_PFA(Pr_SHU_OM)_PN(SHU).pdf |
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| author | Sunanda Nayak Swetalina Pandey |
| author_facet | Sunanda Nayak Swetalina Pandey |
| author_sort | Sunanda Nayak |
| collection | DOAJ |
| description | Introduction: Rhinosporidiosis is a chronic granulomatous
infective disease caused by Rhinosporidium seeberi which
primarily affects the mucosa of the nasal cavity. Cutaneous
lesions are infrequent. However, disseminated cutaneous lesions
with varied presentations are very rare in routine pathology
practice.
Aim: The study aimed to diagnose cutaneous lesions due to
rhinosporidiosis on Fine-Needle Aspiration Cytology (FNAC)
and to confirm the same by histology.
Materials and Methods: This was a cross-sectional study. A
total of 8 cases of disseminated cutaneous Rhinosporidiosis out
of 815 cutaneous lesions were observed over five years, from
September 2013 to October 2018, in Department of Pathology,
VIMSAR, Burla. FNAC and scrape cytology of the lesions were
performed and studied after Diff-Quik and H&E stain. The lesions
were excised and histopathological examination was done.
Result: It was observed that the overall incidence of cutaneous
rhinosporidiosis diagnosed on FNAC was very low (less than
0.1%) They were mainly seen in middle-aged males from
low socio-economic status and rural areas. The skin lesions
were mostly subcutaneous nodules, few wart-like growth and
ulcerative growth, some of which were initially diagnosed
as neurofibroma and squamous cell carcinoma. FNAC and
histopathological examination helped to confirm the diagnosis
of rhinosporidiosis in all cases.
Conclusion: Disseminated cutaneous rhinosporidiosis has
varied clinical presentations, mimicking other cutaneous lesions.
Hence, proper diagnosis of the patient is necessary which can
be achieved by FNAC & histopathology |
| first_indexed | 2024-12-19T16:54:24Z |
| format | Article |
| id | doaj.art-03be64891a784e3e8045e16c911e3e8e |
| institution | Directory Open Access Journal |
| issn | 2277-8551 2455-6882 |
| language | English |
| last_indexed | 2024-12-19T16:54:24Z |
| publishDate | 2021-04-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | National Journal of Laboratory Medicine |
| spelling | doaj.art-03be64891a784e3e8045e16c911e3e8e2022-12-21T20:13:26ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822021-04-01102PO25PO2810.7860/NJLM/2021/43269:2469Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological StudySunanda Nayak0Swetalina Pandey1Associate Professor, Department of Pathology, Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR), Sambalpur, Odisha, India.Senior Resident, Department of Pathology, Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR), Sambalpur, Odisha, India.Introduction: Rhinosporidiosis is a chronic granulomatous infective disease caused by Rhinosporidium seeberi which primarily affects the mucosa of the nasal cavity. Cutaneous lesions are infrequent. However, disseminated cutaneous lesions with varied presentations are very rare in routine pathology practice. Aim: The study aimed to diagnose cutaneous lesions due to rhinosporidiosis on Fine-Needle Aspiration Cytology (FNAC) and to confirm the same by histology. Materials and Methods: This was a cross-sectional study. A total of 8 cases of disseminated cutaneous Rhinosporidiosis out of 815 cutaneous lesions were observed over five years, from September 2013 to October 2018, in Department of Pathology, VIMSAR, Burla. FNAC and scrape cytology of the lesions were performed and studied after Diff-Quik and H&E stain. The lesions were excised and histopathological examination was done. Result: It was observed that the overall incidence of cutaneous rhinosporidiosis diagnosed on FNAC was very low (less than 0.1%) They were mainly seen in middle-aged males from low socio-economic status and rural areas. The skin lesions were mostly subcutaneous nodules, few wart-like growth and ulcerative growth, some of which were initially diagnosed as neurofibroma and squamous cell carcinoma. FNAC and histopathological examination helped to confirm the diagnosis of rhinosporidiosis in all cases. Conclusion: Disseminated cutaneous rhinosporidiosis has varied clinical presentations, mimicking other cutaneous lesions. Hence, proper diagnosis of the patient is necessary which can be achieved by FNAC & histopathologyhttp://www.njlm.net/articles/PDF/2469/43269_CE[Ra1]_F(SHU)_PF1(SS_OM)_PFA(Pr_SHU_OM)_PN(SHU).pdfgranulomatous infectionnasal cavityrhinosporidium seeberi |
| spellingShingle | Sunanda Nayak Swetalina Pandey Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study National Journal of Laboratory Medicine granulomatous infection nasal cavity rhinosporidium seeberi |
| title | Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study |
| title_full | Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study |
| title_fullStr | Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study |
| title_full_unstemmed | Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study |
| title_short | Unusual Presentations of Disseminated Cutaneous Rhinosporidiosis Masquerading as Tumour-Like Lesions of Skin: A Clinicopathological Study |
| title_sort | unusual presentations of disseminated cutaneous rhinosporidiosis masquerading as tumour like lesions of skin a clinicopathological study |
| topic | granulomatous infection nasal cavity rhinosporidium seeberi |
| url | http://www.njlm.net/articles/PDF/2469/43269_CE[Ra1]_F(SHU)_PF1(SS_OM)_PFA(Pr_SHU_OM)_PN(SHU).pdf |
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