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Had A Cyst In Buttock. Biopsy Read, Sections Reveal Fibrofatty Tissues, Acute On Inflammation. What Does This Mean?

Posted on Sat, 30 Jun 2012

Question: hi,

my name is XXXXXXX ..... i had a cyst on my buttock....doc operated it and send the abscess for biopsy....
report of biopsy is as follows:

gross:
few bits of fragmented tissues received

microscopic findings:
multiple sections reveal fibrofatty tissues and severe mixed inflammatory infilterate if neutrophils and lymphocytes
no tuberculous granuloma seen

diagnosis:

acute on chronic inflammation

i just want to know what does it mean.........i also want to know what does acute on chronic mean......

thanks

Answered by Dr. Gyanshankar Mishra (3 hours later)

Hi,

Thanks for posting your query on XXXXXXX

After going through your query, I would like to comment the following:

1. Since the cyst was operated , there is no need to worry.

2. The biopsy report is suggestive of bacterial infection.

3. Acute on chronic means that the inflammation process was a long one and now it had got secondarily infected.

4. Ideally the abscess sample should also be sent for afb stain and culture along with gram stain and culture. The results would help in titration of antibiotics.

5. Now you need to take 3 to 4 weeks of antibiotic course for the lesion to be treated.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar