@jssonline.org
Associate Professor, Pathology
JSSAHER
Dr. Sapna Patel M.C is an MD in Pathology with 18 years of service in the department of pathology at JSS medical College and Hospital. She is alumni of PG in Pathology of the same institution. As an academician, pathologist, and teacher by profession she is passionate towards diagnostic pathology and teaching. Skilled in teaching, designing curriculum and teaching schedule for undergraduates (MBBS, BDS), postgraduates (MD) and various paramedical courses (BSc allied health sciences).
She has 36 publications in national and international journals with poster and paper presentations in various national CMEs and conferences. She has guided two UG students for STS projects funded by ICMR, New Delhi and many Post graduate students. Her areas of special interest are Bone marrow aspiration and biopsies, histopathology, forensic pathology, fetal autopsies, and cytology with research work in the same field. She is actively involved as NAAC Coordinator, NABL Coordinator in cytopathology, Member
MBBS, MD Pathology
Pathology and Forensic Medicine, Multidisciplinary, Multidisciplinary, Multidisciplinary
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Kiran Hegde, Shilpa Chandrashekarappa, Sapna Patel, Sandeep Shetty, and B. G. Prakash
Springer Science and Business Media LLC
Sapna Patel, Deepika Gurumurthy, Smitha Rani, and Sheela Devi
Medknow
Abstract Pulmonary alveolar proteinosis (PAP) is an idiopathic rare diffuse pulmonary disease, first described in 1958 by Rosen et al. Its estimated prevalence is about 1 in 3.7–6.9 × 106 with a male: female ratio of 1:1–2:1. Majority of the patient’s age ranges between 20 and 50 years. PAP on microscopy is characterized by the presence of massive insoluble, amorphous, phospholipid-rich protein deposits in the bronchial and alveolar cavities. Most patients with acquired PAP present with cough and exertional dyspnea. It has been studied that there is increased risk of superinfection in PAP with opportunistic organisms like pneumocystis and vice versa. Definitive diagnosis of Pneumocystis jirovecii pneumonia rests on the demonstration of the organism within the alveoli by special stains like Grocott Methenamine Silver stain. Molluscum contagiosum (MC) is a common superficial skin infection caused by the poxvirus. MC is characterized by painless papules commonly seen in children and immunocompromised individuals. Here, we present a 34-year-old female who had complaints of severe difficulty in breathing and was brought dead to our hospital. On external examination, she had multiple warts over chest, abdomen, and over genitalia. Internal examination was unremarkable. Specimens of kidney, lung, and skin biopsy of genital warts sent for histopathological examination revealed acute tubular necrosis, P. jirovecii with PAP, and MC respectively.
Smitha Rani, Gowri S Nair, Suraj S Shetty, MC Sapna Patel, and M Arun
Diva Enterprises Private Limited
S. P. Vinutha, D. Narayanappa, G. V. Manjunath, M. S. Sujatha, M. C. Sapna Patel, and Deepa Bhat
SAGE Publications
Background: Congenital central nervous system (CNS) anomalies are the structural or functional abnormalities of the brain and spinal cord that occur during the intrauterine developmental process. Purpose: The present study aims to detect the prevalence of congenital CNS anomalies among stillborn fetuses, the association between congenital anomalies and maternal factors, and also the association between autopsy and ultrasound findings. Methods: This study was conducted on 50 stillborn fetuses, obtained from the Department of Obstetrics and Gynecology at JSS Medical College and Hospital, Mysuru. The fetuses were fixed in 10% formalin and autopsies were performed as per the standard fetal autopsy protocol. The congenital CNS anomalies were studied in detail. Results: CNS anomalies were the most common congenital anomalies observed. Out of the total 50 stillborn fetuses studied, CNS anomalies were found in 17 fetuses and their occurrence was more common among male stillborn than females. Meningomyelocele was the most common anomaly, followed by anencephaly. The other anomalies documented were meningocele, encephalocele, meningoencephalocele, agenesis of the corpus callosum, craniorachischisis, bifid cerebellum with hypoplastic vermis, holoprosencephaly, and sirenomelia. Fisher’s exact test showed a significant association between maternal hypothyroidism and congenital CNS anomalies ( P < .05). The autopsy confirmed the ultrasound findings in 40 (80%) fetuses. There were significant additional findings observed in seven (14%) fetal autopsies and ultrasound diagnosis completely changed in three (6%) cases, after the final autopsy procedure. Conclusion: The fetal autopsy is the single most directly evident investigation, which gives information that changes or significantly improves the clinical diagnosis. A multidisciplinary holistic approach toward pregnancy will help to detect any kind of abnormality in the fetus and thus to take a timely decision toward the management.
Pravinkumar N. Kamaradgi, H.V. Chandrakanth, Tanuj Kanchan, M. Arun, Sapna Patel, and Alok Atreya
Medknow
Sapna Patel
JCDR Research and Publications
INTRODUCTION
Autopsy aids to the knowledge of pathology by unveiling the rare lesions which are a source of learning from a pathologist's perspective Some of them are only diagnosed at autopsy as they do not cause any functional derangement. This study emphasizes the various incidental lesions which otherwise would have been unnoticed during a person's life.
AIM
The aim of this study was to determine the spectrum of histopathological findings including neoplastic lesions related or unrelated to the cause of death. It was also aimed to highlight various incidental and interesting lesions in autopsies.
MATERIALS AND METHODS
A retrospective study of medicolegal autopsies for six years was undertaken in a tertiary care centre to determine the spectrum of histopathological findings including neoplastic lesions related or unrelated to the cause of death and to highlight various incidental and interesting lesions in autopsies. Statistical Analysis: Individual lesions were described in numbers and incidence in percentage.
RESULTS
The study consisted of a series of 269 autopsy cases and histopathological findings were studied only in 202 cases. The commonest cause of death was pulmonary oedema. The most common incidental histopathological finding noted was atherosclerosis in 55 (27.2%) cases followed by fatty liver in 40 (19.8%) cases. Neoplastic lesions accounted for 2.47% of cases.
CONCLUSION
This study has contributed a handful of findings to the pool of rare lesions in pathology. Some of these lesions encountered which served as feast to a pathologist are tumour to tumour metastasis, a case with coexistent triple lesions, Dubin Johnson syndrome, von Meyenburg complex, Multilocular Cystic Renal Cell Carcinoma (MCRCC), Autosomal Dominant Polycystic Kidney Disease (ADPKD), liver carcinod and an undiagnosed vaso-occlusive sickle cell crisis. Autopsy studies help in the detection of unexpected findings significant enough to have changed patient management had they been recognized before death.
Sapna Patel, , Rajalaxmi B.R., Manjunath G.V., , and
Red Flower Publication Private, Ltd.
G. V. Manjunath, C. S. Sheeladevi, Sunila, M. C. Sapna Patel, and B.N. Kumarguru
Scientific Scholar
A 35-year-old female presented with left-sided hemiparesis of 3 months duration, followed by left-sided unilateral headache. On physical examination, power was reduced in left-sided extremities. Magnetic resonance imaging (MRI) revealed a large lobulated heterogeneously enhancing extra-axial lesion in sellar, parasellar, and suprasellar regions with erosion of bony sellar and clivus with extension. Figure Figure1a1a–d shows the cytomorphological features of the squash smear of the lesion.
Figure 1
Squash smear cytology of sellar lesion. (a) Cellular smear showing tumor cells in clusters and singles against a metachromatic fibrillary mxyoid background (MGG, ×200). (b) Tumor cells are large round to oval cells having distinct cell borders, ...
M Rangaswamy, KL Narendra, S Patel, C Gururajprasad, and GV Manjunath
Medknow
Background: Fine needle aspiration cytology (FNAC) is a valuable adjunct to pre-operative screening in the diagnosis of thyroid nodules, and in most cases, it can distinguish between benign and malignant lesions. Aim: To study the cytology of neoplastic thyroid lesions to minimize surgical intervention and for confirmation of the diagnosis by histopathological study. Materials and Methods: 100 cases of thyroid FNAC smears were analyzed and cyto-histopathological correlation was done in 47 cases. Galen and Gambino's method was used to calculate the sensitivity and positive predictive value. Results: Of the 100 cases, 90 were diagnosed as neoplastic lesions by FNAC and ten cases as non-neoplastic lesions, which turned out to be neoplasms on histopathological study. Among 100 cases, 47 were biopsied and subjected to histopathological study. The sensitivity of FNAC was 75.60%, and positive predictive value was 83.78% for malignant lesions. Conclusions: FNAC is a rapid, efficient, cost-effective, relatively painless procedure with a high diagnostic accuracy. It has high rate of sensitivity and positive predictive value in diagnosing thyroid neoplastic lesions. Hence, it is a valuable tool in the diagnosis and management of patients.
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JAASAHER
18 YEARS