Hi Doctor,
My mother is having inflammation and swelling in gall bladder with a bulge blocking the bile duct because of which she went through interventional radiology procedure.
She is admitted in hospital and doctors saying that she might be having malignant cancer but the second biopsy came tricky which says:
Smears are paucicellular and reveal few discretely scattered and loose clusters of
atypical cells having anisonucleosis, mild nucleomegaly and focally irregular nuclear
membrane. Dense nuclear chromatin and occasional nuclei revealing prominent nucleoli
are seen. Abundant cytoplasm giving plasmacytoid appearance is noted in few cells,
along with cytoplasmic vacuoles. Few benign epithelial cell clusters and inflammatory
cells are noted in a hemorrhagic background
IMPRESSION:
USG guided gall bladder FNAC : Atypical cells seen.
Any advise would be appreciated. Thanks
Answers (3)
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Atypical cells are seen in malignancy.
Since the test was an FNAC and not biopsy, the number of cells needed for pathologist to confirm malignancy are less( Paucicellular).
Nevertheless an atypical cell always favours cancer.
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do not neglect.
see a cancer surgeon immeidately
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need further evaluation to confirm
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