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Case Report
 
Diagnosis of a case of papillary-cystic variant of acinic-cell carcinoma on fine needle aspiration cytology: Myriad of cytomorphological features
Suma Mysore Narayan1, Jeyachandran Padmini2, Raja Parthiban3, Jena Madhusmita3, Gandhi Natarajan2, Parappa Sangappa Revadi1
1MBBS, MD, DNB, Assistant Professor, Department of Pathology, MVJ MC & RH, Bangalore, Karnataka, India.
2MBBS, MD, Professor, Department of Pathology, MVJ MC & RH, Bangalore, Karnataka, India.
3MBBS, MD, Associate Professor, Department of Pathology, MVJ MC & RH, Bangalore, Karnataka, India.

doi:10.5348/ijcri-2014-01-431-CR-4

Address correspondence to:
Dr. Suma Mysore Narayan
Department of Pathology, MVJ Medical College and Research Hospital
Kolathur Post, Hosakote
Bangalore
India - 562114
Phone: 09945206945
Fax: 08027931645
Email: sumasheshuvision2000@yahoo.co.in

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How to cite this article
Narayan SM, Padmini J, Parthiban R, Madhusmita J, Natarajan G, Revadi PS. Diagnosis of a case of papillary-cystic variant of acinic-cell carcinoma on fine needle aspiration cytology: Myriad of cytomorphological features. International Journal of Case Reports and Images 2014;5(1):18–22.


Abstract
Introduction: The diagnosis of papillary-cystic variant of acinic-cell carcinoma (ACC-PCV) is easy on histology. However, the diagnosis on cytology usually poses a problem because of the cytoarchitecture which is different from classic type.
Case Report: A 39-year-old male presented with left parotid swelling for last four months. Fine needle aspiration cytological smears revealed papillary fragments and tumor cells with varied morphological features. Cell block prepared from the fluid aspirates confirmed the diagnosis of papillary-cystic variant of acinic- cell carcinoma. Histological study of the excised specimen confirmed the diagnosis of acinic cell carcinoma, papillary cystic variant.
Conclusion: This case describes papillary-cystic variant of acinic-cell carcinoma and discusses the myriad of cytological features exhibited by it.

Keywords: Salivary gland neoplasm, Papillary-cystic variant of acinic-cell carcinoma (ACC-PCV), Fine needle aspiration cytology (FNAC)


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Author Contributions
Suma Mysore Narayan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jeyachandran Padmini – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Raja Parthiban – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jena Madhusmita – ubstantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gandhi Natarajan – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Parappa Sangappa Revadi – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Suma Mysore Narayan et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)



About The Authors

Suma Mysore Narayan is Assistant professor of Pathology at Kidwai memorial Institute of Oncology, Bangalore, Karnataka, India. At the time of submitting the Article, She was with MV Jayaraman Medical College and Research Hospital affiliated to Rajiv Gandhi University, Hoskote, Bangalore. Her research interest includes Cytopathology Haematooncology and immunohaematology. She intends to pursue fellowship in haemato-oncology. She has published six research papers in academic journals



Padmini Jeyachandran is former professor of Pathology retired from MVJ Medical College and Research Hospital. Her research interest includes Histopathology, molecular pathology and Immunology. She has published 10 research articles in academic journals



Madhusmita Jena is Professor in Department of Pathology at MVJ Medical College & Research Hospital, Bangalore, India. Her research interests include Oncocytopathology and Surgical Pathology. He/she has published twelve research papers in academic journals.



Raja Parthiban SR is Professor in Department of Pathologicak MVJ Medical College & Research Hospital/Rajiv Gandhi University of health Sciences/Bangalore/India). His research interests include Infectious disease pathology, oncopathology morphometry in cytopathology, disease pathophysiology. He intends to pursue Diagnostic molecular pathology in future. He has published 9 research papers in International and national indexed academic journals.



N Gandhi is Professor in Department of Pathology at MVJ Medical College & Research Hospital, Bangalore, India. His research interests include Surgical Pathology. He has published five research papers in academic journals.



P S Revadi is Assistant Professor in Department of Pathology at MVJ Medical College & Research Hospital, Bangalore, India. His research interests include Haematology and Surgical Pathology. He has published five research papers in academic journals.