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JHC 2023 January v7 i1 s5

Original Contribution

Evaluation of Stromal CD10 Expression and its Correlation with other Clinicopathological Factors in Invasive Breast Carcinoma

1.*Dr. Farah Imrana, MD (Histopathology), Assistant Professor, BIHS General Hospital. 125/1Darus
Salam, Mirpur, Dhaka. farahdr02@gmail.com
2. Dr. Md. Shahriar Mamun, Assistant Professor (cc), Department of Pathology, Satkhira Medical College.
3. Dr. SM Moshadeq Hossain, Assistant Professor, Pathology, Rajshahi Medical College.
4. Dr. Alimul Hassan, Lecturer, Department of Pathology, Pabna Medical College.
*For correspondence

Abstract
Background: Expression of stromal CD10 was considerably remarked with metastasis of lymph
node and higher tumor grade. CD10 is a useful independent prognostic indicator which is
necessary to include in routine histopathology report
Objective: The intent of the study was to investigate the expression of stromal CD10 in invasive
breast carcinoma.
Methods: This cross sectional study was carried out in the department of Pathology, Rajshahi
Medical College, Rajshahi, during July 2017 to December 2018, to evaluate the expression of
stromal CD10 in invasive breast carcinoma and to correlate with ER, PR status in mastectomy
specimen. A total of 50 cases of mastectomy or lumpectomy specimens will be taken that are
received in the Department. Samples were selected by the purposive sampling technique.
Result: In the present study, out of 50 cases stromal CD 10 was found to be strong positive in
13(36.1%), weak positive in 9(25%) and negative in 14(38.9%) cases. Regarding the association
between tumor grade with stromal CD10 it was observed that 9 (56.3%) out of total 16 CD 10
strong positive cases, 3 (60.0%) out of five CD10 weak positive and 26 (89.7%) out of 29 CD 10
negative were grade I tumor. Seven (43.8%) were grade II tumor in the strong positive group, 2
(40.0%) in weak positive group and none in negative group. In this series it was observed that
maximum 38 (76.0%) cases were grade II tumors followed by 09 (18.0%) cases were grade I and
03 (6.0%) cases were grade III tumor. The difference was statistically significant (p<0.05) between
tumor grade with stromal CD 10 expression.
Conclusion: This study was undertaken to detect the expression of stromal CD10 in invasive
breast carcinoma in mastectomy specimen. Tumor grade was significantly (p<0.05) associated with
stromal CD 10.

[Journal of Histopathology and Cytopathology, 2023 Jan; 7 (1):27-35]
Keywords: Stromal, CD10, Carcinoma

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JHC 2023 January v7 i1 s4

Original Contribution

Role of FNAC and Core Needle Biopsy in the Diagnosis of Breast Lesions

1.*Dr. Anindita Sarkar, MD (Pathology), Assistant Professor (C.C), Pathology Department, Rajshahi Medical
College. abantica.16@gmail.com.
2. Prof. Dr. S. M. Asafudullah, MD (Pathology), Professor and Head of Department of Pathology, Rajshahi Medical
College.
3. Dr. Khadiza Khanam, MD (Pathology), Professor, Pathology Department, Rajshahi Medical College.
4. Dr. Rukhshana Akhter Jahan, MD (Pathology), Associate Professor, Pathology Department, Rajshahi Medical
College.
5. Dr. Tanshina Afrin, MD (Pathology), Assistant Professor (C.C), Pathology Department, Rajshahi Medical College.
6. Dr. Rebeka Sultana, MD (Pathology), Consultant, Islami Bank Hospital, Rajshahi.
*For correspondence

Abstract
Background: Though excision biopsy of breast lump is considered to be the gold standard method
for diagnosis, there should be an improved and definitive method for establishing an accurate
diagnosis of breast lesions prior to surgery. This study was carried out to evaluate the efficacy and
diagnostic performance of fine needle aspiration cytology (FNAC) and core needle biopsy (CNB)
in the preoperative assessment of breast lesions.
Methods: This cross-sectional study was conducted in the private diagnostic center in Rajshahi,
Bangladesh over a period of one year from January 2022 to December 2022.A total of 60 cases
were subjected to both FNAC and CNB from the same breast lesions included in this study.
Result: The age range of total 60 patients was 22-85 years with mean age of 42.18 ±SD 12.15
years. 38 patients had benign lesions and 22 had malignant tumors. Sensitivity, specificity, positive
predictive value, negative predictive value, and diagnostic accuracy for FNAC were 89.4%, 100%,
100%, 84.6%, and 93.3%, respectively in diagnosing carcinoma. CNB had sensitivity, specificity,
positive predictive value, negative predictive value, and diagnostic accuracy of 94.7%, 100%,
100%, 91.6% and 91.6% respectively. Both FNAC and CNB showed statistically significant
association.
Conclusion: Taking into account the benefits and outcomes, combined approach of FNAC and
CNB can provide accurate preoperative diagnosis of breast lesions and provide important
information for appropriate treatment

[Journal of Histopathology and Cytopathology, 2023 Jan; 7 (1):21-26]
Keywords: FNAC, Core needle biopsy (CNB), Breast lesion

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JHC 2023 January v7i 1s3

Original Contribution

Histopathological Analysis of Uterine Lesions in Hysterectomy Specimen at a Tertiary Hospital

1.*Dr. Md. Shahadat Hossain, Associate Professor& Head, Department of Pathology, AWMC,
Dhaka.dr.shossain@yahoo.com.
2. Dr. SK Salowa Sultana, Assistant professor, Department of Pathology, AWMC, Dhaka.
3. Dr. Shaikh Alamgir Hossain, Senior Consultant(Pathology), Bangladesh Secretariat Clinic, Dhaka
*For correspondence

Abstract
Background: The female genital tract is a hormone responsive system to a degree unmatched by
any other system in the body. The gross configuration of uterus changes dramatically throughout
life.The gynecological specimen forms the substantial proportion of work load in histopathology
laboratory. Hysterectomy is the most common major gynecological operation in the world which
can be done through either abdominal or vaginal routes.
Objective: To find the histopathological features of various lesions of uterine body and cervix,
their profile and distribution of different lesion in relation to age.
Method: This descriptive type of study was carried out with 808 patients who undergone
hysterectomy operation through either abdominal or vaginal routes. After fixation, necessary
blocks were obtained from the uterus that includes endometrium, myometrium, lower uterine
segment and cervix. The tissue pieces were then processed manually and histopathological slides
were made using hematoxylin and eosin stain.
Results: All of 808 cases, the most common type of hysterectomy was abdominal hysterectomy
comprising of 651 cases (80.57%) followed by vaginal hysterectomy comprising 157 cases
(19.43%). Most of the abdominal hysterectomy was done in 36-45 years age group and in older age
group most of the hysterectomy was done by vaginal route. Chronic cervicitis is the most common
cervical pathology in this study which was 58.42 %. Cervical intraepithelial neoplasia (CIN), mild
and moderate were 31(3.84%) cases and 10(1.24%) cases respectively and cervical cancer
(invasive squamous cell carcinoma) was found 11(1.35%) cases in which most of the cases
7(63.64%) were in between 46-50 years age group. Pathological lesion of body of uterus shows
most of the cases adenomyosis and leiomyoma which were 297(36.76 %) cases and 309 (38.24 %)
cases respectively and 7 (0.87%) patients had endometrial adenocarcinoma.
Conclusion: Uterine fibroids and adenomyosis were the most common benign conditions in
hysterectomy specimens in our community with peak incidence at fourth decade while cervical
cancer peaked at the same age group and endometrial adenocarcinoma peaked at fifth decade. At
the same time, vaginal hysterectomy was performed exclusively for utero-vaginal prolapse

[Journal of Histopathology and Cytopathology, 2023 Jan; 7 (1):12-20]
Keywords: Histopathology, Hysterectomy, chronic cervicitis

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