Rajesh Singh Laishram1, Tlangte Zothanmawii2, Padi Yasung3, Ruokuovinuo Rachel4, Gubbala Durga Devi5, Debanjan Ghosh6
Epididymal nodules are frequently encountered in surgical practice. They are easily accessible to fine needle aspiration cytology (FNAC). Clinically, these nodules present as worrisome nodules to the patients as well to the patients. This study was conducted to study the clinico-pathological profile of patients presenting with epididymal nodule using fine needle aspiration cytology (FNAC).
A retrospective study was done by critically analysing the FNAC reports of palpable epididymal swellings in last five years (January 2010 to December 2015) at the Department of Pathology, Regional Institute of Medical Sciences (RIMS) Hospital, Imphal, Manipur. Review of all the reports were done and diagnosis was made according to standard guidelines and correlated with patient’s age, sex, and side of involvement to explore the disease pattern.
A total of 71 cases were retrieved and divided as follows: Tuberculous epididymitis 20(28.17%), spermatocoele 11(15.49%), non-specific chronic epididymitis 10(14.08%), spermatic granulomas 6(8.45%), acute epididymitis 6(8.45%), hydrocoele 5 (7.04%), adenomatoid tumour 4(6.63%) and microfilaria 1(1.41%). FNAC material was inadequate for opinion in 8 cases (11.28%) cases.
FNAC has a definite important role in the differential diagnosis of epididymal nodules as it can identify neoplastic and non-neoplastic conditions. FNAC can thus be used to segregate the group of patients requiring a surgical intervention and a biopsy.