Fine needle aspiration cytology of vulvar actinomycosis masquerading clinically as malignancy

Journal of Cytology
Rahul Parasram WanjariDilip S Sarate

Abstract

Actinomycosis is a chronic infection caused by Actinomyces israelii, usually seen in immunocompromised patients or in the background of tissue injury. Vulvar actinomycosis presenting as a fixed swelling in an elderly individual can mimic malignancy and pose a diagnostic dilemma. We report here a case of vulvar actinomycosis diagnosed by fine needle aspiration (FNA). A 60-year-old postmenopausal female presented with a gradually increasing 15 cm × 10 cm vulvar swelling involving the right mons and right labia majora. The swelling was nodular, fixed, and nonulcerated, with multiple healed and few active discharging sinus tracts draining serosanguineous fluid and yellowish sulfur granules. FNA was diagnostic, as it revealed colonies of Actinomyces surrounded by polymorphs. Histopathology of excised specimen confirmed the cytological findings. FNA 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 FNA technique.

References

Dec 20, 2005·Human Pathology·Torsten HansenAchim Weber
Aug 30, 2012·Revista Da Sociedade Brasileira De Medicina Tropical·Maria Isabela Alves RamosFernando Antônio Colares

❮ Previous
Next ❯

Citations

Sep 10, 2017·Diagnostic Cytopathology·Kelsey E McHughDaniel D Rhoads

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
biopsies
surgical resection

Related Concepts

Related Feeds

Actinomycosis

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces). The disease is characterised by the formation of painful abscesses in the mouth, lungs,breast or gastrointestinal tract. Discover the latest research on actinomycosis here.