Publications by authors named "Divya Bansal"

Introduction: Blood banks are responsible for notification and counseling of the reactive donors besides screening for transfusion-transmitted infections (TTIs). Donor notification and counseling is essential to protect the health of the donor by early clinical intervention and to prevent secondary transmission of infection.

Aim: The aim of this study was to determine the effectiveness of human immunodeficiency virus (HIV)-reactive donor notification and counseling in a tertiary care center.

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Renal cell carcinoma (RCC) accounts for 2% of all cancer cases worldwide, and majority are sporadic. The latest World Health Organization (WHO) classification of renal cell tumors (fifth edition, 2022) has molecularly defined renal tumor entities, which includes fumarate hydratase (FH)-deficient RCC. FH-deficient RCC is an aggressive carcinoma caused by pathogenic alterations in FH gene, seen in 15% of patients with hereditary leiomyomatosis and renal cell cancer syndrome (HLRCC) syndrome.

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Melanocytic lesions involving the central nervous system are extremely rare and pose a diagnostic challenge owing melanoma being the third most common malignancy metastasizing to the spine. Morphology and immunohistochemistry are identical in both primary and secondary cases, and hence may not help in rendering a final diagnosis. Molecular alterations involving melanomas of the spine and melanomas elsewhere are distinct and help establish the appropriate diagnosis.

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Distinguishing T-lymphoblastic leukemia/lymphoma (T-ALL/T-LBL) from thymomas (especially B1 or B2 type) can be challenging particularly in limited trucut biopsy material where appreciating architecture is difficult or the background epithelial component does not provide tangible evidence for definite diagnosis. As a pathologist, it is important to accurately diagnose these neoplasms because they have entirely distinct management protocols. Recent studies have reported that LIM Domain Only 2 (LMO2) is expressed in neoplastic lymphoblasts of T-ALL/T-LBL and is absent in thymocytes of normal thymuses or thymomas.

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Introduction: Fumarate hydratase (FH) deficient uterine leiomyomas account for only 0.4 % of all uterine leiomyomas. They are characterized by some distinct histological features and may be associated with Hereditary leiomyomatosis and renal cell carcinoma (HLRCC) syndrome.

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Article Synopsis
  • NUT midline carcinoma (NMC) is a rare and aggressive tumor primarily affecting young adults and children, especially in midline areas.
  • Primary pulmonary NMC is particularly poorly understood in the literature and requires specific management due to its high fatality rate.
  • Recent clinical trials have shown promising results for targeted therapies like BET inhibitors and histone deacetylase inhibitors, as illustrated by a case report of a young male with NMC and widespread bony metastasis.
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Fake news has become an industry on its own, where users paid to write fake news and create clickbait content to allure the audience. Apparently, the detection of fake news is a crucial problem and several studies have proposed machine-learning-based techniques to combat fake news. Existing surveys present the review of proposed solutions, while this survey presents several aspects that are required to be considered before designing an effective solution.

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Background: Plasmacytoma involving thyroid gland is infrequent and can present as either primary extramedullary plasmacytoma or secondary to multiple myeloma.

Methods And Results: We present a case of 71 years old male who complained of a huge anterior neck swelling accompanied by dysphagia and dyspnoea. Fine needle aspiration cytology was suggestive of anaplastic carcinoma of thyroid (ATC), however, the subsequent histomorphology supported by immunohistochemistry (IHC) astoundingly favoured the diagnosis of plasmacytoma.

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The emergence of social media platforms has amplified the dissemination of false information in various forms. Social media gives rise to virtual societies by providing freedom of expression to users in a democracy. Due to the presence of echo chambers on social media, social science studies play a vital role in the spread of false news.

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  • Epithelioid hemangioma of bone is a rare but locally aggressive vascular tumor that generally has a favorable prognosis, despite its similarities to malignant tumors.
  • All four reported cases displayed a lobular tumor structure with epithelioid endothelial cells and well-formed vessels, lacking significant signs of malignancy.
  • Treatment methods included excision and curettage, with no cases showing local recurrence or metastasis, emphasizing the need to recognize specific characteristics for proper diagnosis and management.
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SMARCA4/BRG1-deficient lung adenocarcinoma (SD-LUAD) is being recognized as a distinct subtype based on subtle differences in its clinical, morphological, and immunophenotypic attributes compared to other non-small cell lung carcinomas. We present here a case of SD-LUAD with curious thyroid transcription factor 1 (TTF1) expression in a morphologically heterogenous lung adenocarcinoma. The better differentiated area showed preservation of TTF1 expression, and a poorly differentiated tumor had loss of TTF1 expression with universal BRG1 loss.

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Adenoid cystic carcinoma of the nasopharynx is a rare, slow growing, and locally aggressive neoplasm. Three cases presented with recurrent epistaxis. Endoscopy-guided biopsy proved the diagnosis of adenoid cystic carcinoma.

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Article Synopsis
  • SMARCA4/BRG1 protein-deficient lung adenocarcinomas and thoracic sarcomas lack clear histological features, making current diagnostic classifications often inadequate and leading to misdiagnosis as non-small cell carcinoma-not otherwise specified (NSCC-NOS).
  • The study tests lung biopsies for BRG1 protein deficiency and evaluates these tumors using immunohistochemistry, identifying nine cases with this deficiency, including six lung adenocarcinomas and three thoracic sarcomas.
  • The findings indicate that traditional morphology-based diagnosis is insufficient, prompting the need for a new diagnostic pathway to better identify and research these tumors for potential biomarkers and treatment options.
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Background: Data on convalescent plasma therapy (CPT) in patients of hematological malignancies with severe Covid-19 is scarce.

Objective: To study 14-day mortality in patients who received CPT.

Patients & Methods: Retrospective multicentre observational study conducted in 4 centres treating haematological malignancies across Delhi-national capital region.

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Article Synopsis
  • Myoepithelial tumors of the lung are rare and resemble those found in the salivary glands.
  • Distinguishing between low-grade nonmetastatic myoepithelial carcinoma and benign myoepithelioma can be difficult using imaging and histological methods.
  • A case report highlights a low-grade myoepithelial carcinoma in the lung that metastasized to the opposite lung and was treated with low-dose external beam radiotherapy.
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Hepatoid adenocarcinoma of lung is a rare entity, accounting for 5% of all hepatoid adenocarcinoma. Distinguishing it from metastatic hepatocellular carcinoma is essential, but occasionally can be very challenging, especially with concurrent liver mass. A judicious immunohistochemical panel is warranted for accurate diagnosis and subsequent preservation of tissue for molecular testing.

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Background: There is scarcity of data on outcome of COVID-19 in patients with hematological malignancies. Primary objective of study was to analyse the 14-day and 28-day mortality. Secondary objectives were to correlate age, comorbidities and remission status with outcome.

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  • Chronic alcoholism can lead to several types of anemia, particularly megaloblastic anemia and sideroblastic anemia.
  • A study of 71 chronic alcoholics showed a high prevalence of anemia (about 95.77%), with varying red blood cell morphology and significant findings like erythroid hyperplasia in bone marrow.
  • The presence of ring sideroblasts and abnormal iron levels in some patients indicates the complexity of diagnosing anemia in alcoholics, suggesting that a history of alcohol use is crucial for accurate assessment and treatment.
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Primary angiosarcoma of salivary glands is a rare entity that most commonly arises in the parotid gland and affects adults and the elderly. Angiosarcoma of the parotid gland in a child is exceedingly rare and thus can be a diagnostic challenge. We present a case of angiosarcoma of the parotid gland in a 6-year-old female child with bilateral lung metastases.

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  • The study focused on laparoscopic Nissen fundoplication in 85 patients with hiatal hernia and severe gastroesophageal reflux disease using a new biological mesh.
  • Responses from 73 patients revealed significant improvements in quality of life and high satisfaction rates, along with a marked decrease in proton pump inhibitor usage.
  • Only three minor complications occurred, all resolved quickly, with no serious issues related to the mesh or need for further surgeries, indicating a successful long-term outcome.
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