Candida Albicans Infection Masquerading as a Soft Tissue Tumour Diagnosed by Fine Needle Aspiration CytologyCorrespondence Address :
Dr. Krishnappa Amita,
Associate Professor, Department of Pathology, Adichunchanagiri Institue of Medical Sciences,
BG Nagara, Mandya, Karnataka, India.
A 60-year-old male, diabetic presented with a soft tissue mass over the right forearm of 15 days duration. The swelling was 5 x 3 cm and a clinical diagnosis of neurofibroma was made. Fine Needle Aspiration Cytology (FNAC) was done using standard technique. Smears showed predominantly suppurative inflammation, foreign body giant cells, granulomas and fungal hyphae. KOH mount, culture and germ tube test was positive. Final diagnosis of fungal granuloma was made. Fungal infections should be included in the differential diagnosis of a soft tissue mass lesion. All soft tissue suppurative inflammatory lesions should be diligently screened to look for pathogens if any. Diagnostics in medicine have taken a major leap with advent of molecular technologies. Despite this, simple old traditional methods like FNAC supplemented by other basic laboratory techniques like KOH mount and culture still form the cream of a diagnostic laboratory and can come as a savior for the pathologist, the clinicians and the patients.
Fungus, Germ tube test, Granuloma
Krishnappa Amita, Abhishek Mandya Govind Shetty, Tony Pechiat, Sanjay Manchaih, Shivshankar Vijay Shankar. CANDIDA ALBICANS INFECTION MASQUERADING AS A SOFT TISSUE TUMOUR DIAGNOSED BY FINE NEEDLE ASPIRATION CYTOLOGY. Journal of Clinical and Diagnostic Research [serial online] 2017 July [cited: 2017 Jul 20 ]; 11:ED18-ED20. Available from
Date of Submission: Nov 16, 2016
Date of Peer Review: Jan 10, 2017
Date of Acceptance: Jan 20, 2017
Date of Publishing: Jul 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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