Page 12 - ACCF Essentia | Vol. III | Issue 3 | June 2024

Oncopathology in Hinterland:

A Potpourri of Cases from Barpeta Cancer Centre
A Potpourri of Cases from Barpeta Cancer Centre

Dr Abhijit Kalita
Dr Abhijit Kalita
Consultant Pathologist
Consultant Pathologist
C
Barpeta
Barpeta Cancer Centre
C
entr
e
ancer
Dr Abhijit Kalita has completed his MBBS from Gauhati Medical College and
Dr Abhijit Kalita has completed his MBBS from Gauhati Medical College and
Hospital, Guwahati and his post graduation in Pathology from JJM Medical
Hospital, Guwahati and his post graduation in Pathology from JJM Medical
College, Davangere, Karnataka. He has further done his Oncopathology training
College, Davangere, Karnataka. He has further done his Oncopathology training
from Amrita Institute of Medical Sciences, Kochi, Kerala. He has worked in various
from Amrita Institute of Medical Sciences, Kochi, Kerala. He has worked in various
prestigious hospitals and national reference laboratories and also worked as
prestigious hospitals and national reference laboratories and also worked as
faculty in Government Medical College. He has numerous creditable publications
faculty in Government Medical College. He has numerous creditable publications
and oral presentations projecting his academic inclination.
and oral presentations projecting his academic inclination.
he practice of oncopatholo
he practice of oncopathology is a rapid nodal metastasis. This patient presented with
y is a
rapid nodal metastasis. This patient presented with
g
g
job as the entire patient
persistent pain in lower abdomen. Cervix appeared
challen
g
in
Tchallenging job as the entire patient persistent pain in lower abdomen. Cervix appeared
mana ge ment rests on the nal histopatholo gy bulky with a lobulated lesion. Biopsy from the
bulky with a lobulated lesion. Biopsy from the
management rests on the nal histopathology
cervix showed small cells with indistinct borders
di ag nosis. Additional ancillary tests further cervix showed small cells with indistinct borders
diagnosis. Additional ancillary tests further
and nuclear moulding. The tumour cells expressed
direct the treatment modality with precise
direct the treatment modality with precise and nuclear moulding. The tumour cells expressed
g
ersonalised treatment (ta
p
Synaptophysin and Chromogranin A. Treatment
y)
personalised treatment (targeted therapy) Synaptophysin and Chromogranin A. Treatment
p
eted thera
p p
rg
was initiated for the patient.
developed for few types / subtypes of cancer.
developed for few types / subtypes of cancer. was initiated for the patient.
p
rovided
Assam Cancer Care Foundation has provided Angiomyolipoma of Kidney: An incidental ndin
Assam Cancer Care Foundation has
Angiomyolipoma of Kidney: An incidental ndingg
a platform for the comprehensive patient care
a
p
p
atient care
p
rehensive
latform for the com
A renal mass was detected incidentally in a patient
A renal mass was detected incidentally in a p atien t
i
in hinterland, in which the early and precise
n hinterland, in which the early and
p
recise
who was under treatment for breast carcinoma.
who was under treatment for breast carcinoma .
diagnosis of cancer remains the core.
diagnosis of cancer remains the core.
CT guided core needle biopsy from the renal
CT guided core needle biopsy from the renal
Many unusual cases have been encountered in
Many unusual cases have been encountered in mass showed class i c tr i ad morphology cons i st i ng
mass showed classic triad morphology consisting
Barpeta Cancer Centre – a few of which needs of myoid spindle cells, mature adipose tissue,
Barpeta Cancer Centre – a few of which needs
id spindle cells, mature adi
po
se tissue,
f
m
yo
o
mention in view of their rarity and atypical
mention in view of their rarity and atypical and dysmorphic blood vessels. There was co-
and dysmorphic blood vessels. There was co-
clinical presentation. A detailed evaluation and expression of melanocytic (Melan-A) and smooth
clinical presentation. A detailed evaluation and
expression of melanocytic (Melan-A) and smooth
discussion with a team of doctors of multiple muscle markers (SMA).
discussion with a team of doctors of multiple
muscle markers (SMA).
disciplines has contributed signi cantly to
disciplines has contributed signi cantly to
render a nal accurate diagnosis in these

render a nal accurate diagnosis in these
scenarios.
scenarios.
Following are few cases which have been
Following are few cases which have been
g
diagnosed in Barpeta Cancer Centre over
diagnosed in Barpeta Cancer Centre over
the last year (2023-24). Most of these are
the last year (2023-24). Most of these are
evaluated completely in needle biopsies with
evaluated completely in needle biopsies with
very limited tissue.
very limited tissue.
Small cell Neuroendocrine Carcinoma of
Small cell Neuroendocrine Carcinoma of
Cervix
Cervix
o
f
ur
e
oe
doc
n
ll n
Sm
Small cell neuroendocrine carcinoma of
a
ce
ll
rin
o
in
c

a
m

e
ca
r
cervix is rare (1-5% of all invasive cervical
cervix is rare (1-5% of all invasive cervical
carcinomas). It is an aggressive tumour with
carcinomas). It is an aggressive tumour with
World Cancer Da
y
World Cancer Day (2014) theme:(2014) theme:
12
“Debunk the Myths”
“Debunk the Myths”