Journal of Cytology
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CASE REPORT
Year : 2008  |  Volume : 25  |  Issue : 3  |  Page : 113-114

Fine needle aspiration cytology of cervicofacial actinomycosis


Department of Pathology, Kempegowda Institute of Medical Sciences, Bangalore - 560 004, India

Correspondence Address:
Monika Lamba Saini
Department of Pathology, Kempegowda Institute of Medical Sciences and Research Centre, Bangalore - 560 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.44050

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Actinomycosis is a chronic infection caused by Actinomyces israelii, usually seen in immunocompromised patients or in the background of tissue injury. Cervicofacial actinomycosis presenting as a fixed jaw swelling in an elderly individual can mimic malignancy and pose a diagnostic dilemma. We report here a case of cervicofacial actinomycosis diagnosed by fine needle aspiration, along with a review of the relevant literature. A 60 year-old man presented with a gradually increasing 6 5 cm swelling in the left side of his jaw. The swelling was fixed, without any apparent sinus or abscess. Fine needle aspiration was diagnostic as it revealed colonies of actinomyces surrounded by polymorphs and chronic inflammatory cells. The histopathological study of the excised specimen confirmed the cytological findings. Fine needle aspiration is an effective tool in the diagnosis of actinomycosis although its documentation is rare. Difficulties in the management can be avoided by early diagnosis using the fine needle aspiration technique.


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