A 54-year-old woman admitted in an emergency for fever of unknown origin was taking steroids for collagen disease. Her serum CA125 was slightly elevated. The gynecological examination was normal but a cervical smear revealed epithelioid cells and Langhans' giant cells. An examination of vaginal discharge was positive for Mycobacterium tuberculosis DNA. Tuberculosis must thus be considered in such cases. and a cervical smear may be called for.
We report a rare case of intrasucrum dermoid cyst in a 52-year-old woman diagnosed by squash cytology. Intraoperative squash cytology showed admixtures of many anucleated and nucleated squamous cells, foamy cells, multinucleated giant cells, calcifying bodies, and a few sweat gland cells. Although diagnosis for the presence of only necrotic materials failed for a frozen section, a dermoid cyst was diagnosed by squash cytology based on typical findings. Squash cytology, is these useful in identifying such tumors.