Journal of Cytology
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CASE REPORT
Year : 2003  |  Volume : 20  |  Issue : 1  |  Page : 40-42

Myositis ossificans - A potential pitfall in the cytologic diagnosis of soft tissue lesions


1 Associate Professor, Department of Cytology and Gynaecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Senior Resident, Department of Cytology and Gynaecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
3 Professor, Department of Pathlogy, Christian Medical College, Ludhiana, India
4 Consultant Neurosurgeon, Christian Medical College, Ludhiana, India

Correspondence Address:
Radhika Srinivasan
Associate Professor, Department of Pathology, Research A Block, 4th Floor, Post graduate Institute of Medical Education and Research, Chandigarh 160 012
India
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Source of Support: None, Conflict of Interest: None


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We report here a case of myositis ossificans who underwent fine needle aspiration cytology as the first line of investigation. Cytology suggested a benign proliferating soft tissue lesion. CT scan and MRI of the neck done subsequently localized the lesion to the left levator scapulae muscle. Excision and histopathology revealed myositis ossificans. The proliferating osteoblasts with large pleomorphic nuclei and prominent nucleoli in the smears may mimic carcinoma cells and are a potential diagnostic pitfall. Mature bony trabeculae, the hallmark of myositis ossificans on histology may not be represented in FNA smears and so an accurate diagnosis may not be possible cytologically.


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