Pure XXXX diagnosed by fine needle aspiration cytology.

@entity43 @entity1 @entity7132 @entity548 @entity1466 @entity5 @entity3566 @entity3
Pure @entity43 is extremely rare and can develop as a germ cell @entity5 or as a @entity3 from uterine or tubal @entity7132 or rarely from an @entity43 . The cytomorphologic findings have been reported previously in different sites. However, this is the first case of pure @entity43 diagnosed on cytology to the best of our knowledge. The distinction between a gestational and @entity1466 is difficult. A 19-year-old female @entity1 presented with an irregular per-vaginal @entity548 and a mass in lower abdomen. Fine needle aspiration cytology smears of the mass were hypocellular and showed large, multinucleated giant cells and malignant mononucleated cells. Background was hemorrhagic. Serum beta @entity3566 level was 3,80,000 mIU/ml. A diagnosis of @entity1466 was offered which was later confirmed by histopathology. The diagnosis of @entity1466 on fine needle aspiration cytology is based on the presence of large, multinucleated giant cells and malignant mononucleated cells. A high index of suspicion should be maintained and estimation of serum beta @entity3566 plays a key role in supporting the diagnosis.
