AMBA Diagnostic Center, Vijayawada

Balanitis xerotica obliterans.
Inflammation fibrosis and narrowing of prepuce
The normal is ( red line) showing loose dermal tissue and pigment in epidermis.
The abnormal part in green shows atrophic epidermis, hyperpigmentation, fibrosis and inflammatory cell collection.

48 yr old gentleman presenting with proximal ileal strictures with perforation.
The sections from only one area showed these epithelioid granulomas confirming the diagnosis of Tuberculosis. Demonstrates the importance of proper grossing of specimen and avoiding sampling errors. Pure pathology.

The origin of life. From the humblest to the greatest of humans, from the indigent to the most affluent, every human takes birth from this - the primary follicle in an o***y.

79 yr old gentleman with high PSA (150)
FNAC from prostate -
ADENOCARCINOMA

It is not always that we get to see architectural details such as stromal invasion in cytologic preparations.
In this case of Ca breast however it is unequivocally evident.
The blue lines point to fibroblasts while yellow indicate malignant cells.

Female 43. Papillary Carcinoma thyroid

Antibiotic sensitivity plates

35 yr old female.
Fever, fatigue and bleeding gums.
TWBC 51,230/cu.mm
Platelets 15,000/cu.mm
Myeloid blasts with Auer rod and monocytoid blasts.

Pemphigus vegetans with vegetative lesions in inguinal area with severe weight loss and emaciation

A low grade urinary bladder cancer.
Arrow points to a mitotic figure

Elderly male. Suspected Ca lung
Subcutaneous mass in chest wall.
Metastatic poorly differentiated Adenocarcinoma

A megakaryocyte and its brood of platelets

Adenomyosis uteri

Abnormal lipemic serum.
Lipid profile shows: high cholesterol, very high triglycerides and low HDL
High cardiac risk.

Thrombocytopenia with fever, young male.
Smear shows neoplastic promyelocytes with Auer rods.
AML M3

Bizarre atypical transformed lymphocytes in viral fever with severe thrombocytopenia.
One of the lymphocytes is in mitosis

Chylous ascitic fluid.

Post Induction AML - bone marrow
Giemsa stained smear showing remission status

Parotid swelling in 31 yr old lady.
FNAC from intra parotid lymph nodes
Dont ever forget Tuberculosis.

Frequently missed cause for cytopenia - Megaloblastosis.
Peripheral smear is very informative.
Macrocytes, macrovalocytes, hypersegmented neutrophils with thrombocytopenia

To the gynecologists: another routine hysterectomy.
To the pathologist: a visual treat under the microscope.

Papillary carcinoma, thyroid with radical neck dissection

Sputum for Acid Fast Bacilli :- POSITIVE

Hidradenitis suppurativa.
A peculiar chemical anomaly in sebaceous secretions coupled with obesity and poor personal hygiene makes a person susceptible to this condition.

60 year old lady. Carcinoma o***y. Ascitic fluid malignant cell deposits

62 year old lady, post COVID- nasal swab for Fungus Positive

A 41 yr old, health worker in a corporate hospital had long standing thyroid lump. Recent increase in size noted in an Ultrasound scan. Radiology as usual was noncommittal but Pathology was confirmatory.
Papillary carcinoma

A 55 year old gentleman with long standing tumour on p***s recently started growing rapidly. Bleeding on touch.
The red arrow is the cancer and green is normal skin