JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Cysts in the upper neck region yielding fluid on aspiration are frequently given nonspecific re-ports on cytological examination. Noncellular structures may sometimes give a clue regard-ing their site of origin. We report here a case of a 60 year-old female patient with history of swelling in the left parotid region since 3days. History of fever and pain since 1 day. No histo-ry of cough, pain during swallowing or in-creased salivation. She was referred for fine needle aspiration (FNA) of a nodular swelling in the left parotid region for the diagnosis. Clin-ical Examination revealed a lemon -sized, firm nodule measuring 3x 2cm from which 2ml of yellowish, clear fluid was aspirated using 27 gauze needle. Smears were wet-fixed for Pa-panicolaou’s (Pap) staining and Haematoxylin and Eosin as well as air-dried for Giemsa stain-ing. The crystals appeared orange coloured in PAP stain and pink in H &E (fig 2) . On Giemsa stain the crystals appeared deep blue (Fig 1) . The present case showed cellular smears showing rectangular shaped non-birefringent crystalloids. Also seen were benign ductal epi-thelial cells and squamous metaplastic cells. Background showed abundant neutrophils ad-mixed with occasional lymphocytes. So a diag-nosis of Acute on chronic Sialadenitis was made. For definitive diagnosis histopathology examination is required.