Journal of Cytology
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 29  |  Issue : 4  |  Page : 246-249

Clinicopathological study of rhinosporidiosis with special reference to cytodiagnosis


1 Department of Pathology, Bankura Sammilani Medical College, Bankura, India
2 Department of Pathology, R. G. Kar Medical College, Kolkata, West Bengal, India

Correspondence Address:
Jyoti P Phukan
Department of Pathology, Bankura Sammilani Medical College, P. O. Kenduadihi, Bankura, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.103943

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Background: Rhinosporidiosis is a chronic infective disorder caused by Rhinosporidium seeberi. It usually presents as a soft polypoidal pedunculated or sessile mass. Nose and nasopharynx are the commonest sites, followed by conjunctiva, maxillary sinuses, penis, urethra. Aims: The aim of this study is to present the clinicopathological features of rhinosporidiosis in a large series of cases and to asses the role of cytology in diagnosis. Materials and Methods: 63 cases were included in the study group. Diagnosis of rhinosporidiosis was confirmed in all cases by histology with or without cytological evaluation. May-Grünwald-Giemsa and hematoxylin and eosin (H and E) staining was used in all cases, and special stains like periodic acid Schiff and mucicarmine were used in a few cases. Detailed clinical history of all the cases was noted. Routine hematological investigations including ABO blood grouping were done in all possible cases. Results: Evaluation of the clinical data in our series demonstrated male predominance (36 out of 63; 56%). Nose and nasopharynx were the commonest sites involved (74.6%). Routine hematology tests did not show any significant change in most of the cases. However, a significant proportion of the study population (18 out of 41; 44%) had blood group "O." Cytodiagnosis attempted in 17 cases out of 63 cases achieved 100% correlation with histology. Conclusion: Morphological appearance alone in a few cases failed to give diagnosis of rhinosporidiosis. Cytology can be very helpful in diagnosis in these cases, but histology is the mainstay of diagnosis.


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