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1. FOOD EPONYMS IN PATHOLOGY
By – Dr Nainshi Bhatt
Guide – Dr Vaibhav Mane

2. 1.

3.  Gross – Normal ovary

4. 2.

5.  Apple green birefringence

6.  Apple green sputum: T hick green coloured purulent
sputum
 In pneumonia d/t Haemophilus influenzae

7. 3.

8. CLUE

9. APPLE JELLY NODULES:
 Lupus vulgaris :-
 Small sharply defined reddish-brown lesions with a
gelatinous consistency

10. 4.

11. 4.

12.  Crescent shaped gametocyte of Plasmodium falciparum

13.  Spina bifida :-
 The elongated appearance of cerebellum

14. 5.

16. AGUE CAKE APPEARANCE:-
 Described in 1794 by Richard Shannon
 In Malaria
 Spleen is enlarged
 Color varies from slate grey to black
 Capsule thin, streched
 Consistency soft in acute and firm in chronic cases.

17. 6.

18. PEAU D’ORANGE APPEARANCE
 Carcinoma breast
 Filariasis
 Pretibial myxoedema in Grave's disease
 RPE- Angioid streaks in patients with pseudoxanthoma
elasticum

19. 7.

20. INTUSSUSCEPTION

21. RED CURRANT JELLY CLOTS
 Postmortem clots
 formed from the RBC sediments
 Owing to the force of gravity

22. RED CURRENT JELLY SPUTUM
 Klebsiella Pneumoniae infection
 Bronchogenic ca

23. 8.

25. DOUGHNUT CELLS
 1. Anaplastic large-cell lymphoma
 With cytoplasmic pseudo-inclusions
 Formed because of the invaginations of the nuclear
membrane

26. DOUGHNUT GRANULOMA
 Small non necrotizing granulomas with
 central fat vacuoles surrounded by dense fibrin ring and
epithelioid histiocytes

27. DOUGHNUT GRANULOMA
 Q-fever and Cytomegalovirus - Liver
 Hepatitis
 Allopurinol treatment
 Visceral leishmaniasis,
 Infectious mononucleosis
 Lymphoma

28. 9.

29. CORNFLAKE ARTEFACT
 Refractile brown artefact
 Seen on superficial squamous cells
 Due to air bubbles trapped under the coverslip

30. 10.

32. CARROT SHAPED NUCLEI
 Shape of the nuclei with abundant chromatin
 Scanty cytoplasm
 Medulloblastoma
 Embryonal malignant childhood tumour

33. 11.

35. CAFÉ AU LAIT SPOTS
 French for "coffee with milk“
 Refers to their light-brown color
 NF1
 Well circumscribed
 Evenly pigmented macules and patches

36. 12.

37.  Berry aneurysm: The saccular aneurysm of the cerebral
vessels at the junction of vessels in the circle of Willis

38. 12.

39. MULLBERRY APPEARENCE
 An early stage embryo (16 cell mass) consisting of
blastomeres
 Round or ovoid, amber to dark brown appearance of
calcium oxalate renal stones
 Mammillary processes

40. 12.

41. RASPBERRY TUMOR
 Umblical adenoma in a patent vitellointestinal duct

42. 13.
?

43. ANCHOVY SAUCE PUS
 Amoebic liver abscess
 Odourless brown coloured pus

44. 14.

45. GRAPE LIKE LESIONS
 Hydatiform mole
 Sarcoma botyroides a subtype of embryonal
rhabdomyosarcoma
 Multiple myeloma

46. 15.

48.  Potato nose :- Rhinopyma
 Potato tumor :- Carotid body tumor

49. 16.

50. ONION SKIN APPEARENCE
 Syphilis - Spleen
 SLE and TTP - Spleen
 Castleman disease
 Malignant hypertension - interlobular arterioles of the
kidney

51. ONION SKIN APPEARANCE
 Gastric inflammatory fibroid polyps –
 - Masson trichrome
 - Concentric perivascular fibrosis
 Ewing's sarcoma - periosteal bone formation
 Lymes disease synovitis –
 - Thickened vessels of the synovium

52. ONION SKIN FIBROSIS
 Primary scleosing cholengitis

53. 17.

54. COFFEE BEAN NUCLEI
 Brenner tumour
 Granulosa cell tumour
 Langerhans cell histiocytosis
 Papillary carcinoma of thyroid
 Walthard cell nests

55. 18.

56. STRAWBERRY
 Strawberry Gall bladder – Cholesterolosis
 Strawberry Tongue – Kawasaki disease
 - Scarlet fever
 - TSS
 Strawberry cervix – Trichomonas Vaginalis

57. STRAWBERRY
 Strawberry Skull – Trisomy 18
 Strawberry gums – Wegners granulomatosis
 Strawberry hemangioma- Congenital cutaneous
capillary hemangioma

58. 19.

59. CAULIFLOWER LIKE APPEARANCE
 Gross - Condyloma acuminata wart
 - SCC

60. 20.

62. CUT CABBAGE APPEARANCE
 Gross
 C/S:-
 Giant fibroadenoma
 Phyllodes tumour with slit like spaces

63. 21.

64. EGGS IN BASKET
 Papillary ca thyroid – Overcrowding of nuclei
 Hodgkin’s Lymphoma –Multinucleated RS cells

65. 22.

66. BARLEY WATER
 Spermetocele
 Retention cyst
 D/t diverticula of epididymis
 Filled with cloudy fluid
 Containing spermatozoa

67. 23.

68. MILLET SEED APPEARANCE
 Disseminated tuberculosis

69. 24.

70. SAGO GRAIN
 Sago spleen of Amyloidosis

71. 25.

72. FISH MOUTH APPEARENCE
 RHD – Mitral valve
 Severe Mitral stenosis

73. 26.

75. CANDIDIASIS - PAP SMEAR
 Peculiar arrangement of the squamous cells
 Around the long filamentous Candida in Pap smear

76. 27.

77. LEMON ON MATCHSTICK APPEARENCE
 Cushing Syndrome

78. 28.

79. BREAD AND BUTTER APPEARANCE
 Fibrinous Pericarditis
 The shaggy appearance of the deposition of fibrinous
exudate on pericardium due to inflammatory process

80. 29.

81. HERRING BONE PATTERN
 Fibrosarcoma

82. 30.

83. CHOCOLATE CYST
 The appearance of the thick brown tar like fluid
 In the ovarian cyst with ectopic endometrial tissue

84. CHOCOLATE COLORED BLOOD
 Methemoglobinemia :-
 The brown coloured blood
 Characterized by excess of haemoglobin
 With iron oxidized to ferric (Fe3+) form

85. 31.

86. CHEESE
 Cheesy appearance:
 Gross :- Caseous necrosis
 Mycobacterium tuberculosis
 Swiss cheese pattern
 Endometrial hyperplasia
 Adenoid cystic ca

87. 32.

88. CHERRY RED SPOTS
 Inherited metabolic disorders
 Central retinal artery occlusion
 Orbital contusion and ischaemia

89. 33.

90. 33.

91. CHICKEN FAT APPEARANCE
 The yellowish part of the postmortem clots
 Formed from the RBC sediments
 Separate from plasma owing to the force of gravity

92. 34.

93. CHICKEN WIRE PATTERN
 Arrangement of capillaries in :-
 Myxoid liposarcoma
 Oligodendroglioma
 Low grade fibromyxoid sarcoma
 Clear cell sarcoma of the kidney

94. CHICKEN WIRE PATTERN
 Pericellular/ perisinusoidal fibrosis seen in alcoholic
liver disease
 Calcification surrounding the chondroblasts seen in
chondroblastoma

95. 35.

97. CLOVER LEAF CELLS
 Adult T-cell leukemia/ lymphoma
 The bizarre, multilobulated nuclei
 Coarse chromatin
 Prominent nucleoli seen in the large atypical
lymphocytes

98. 36.

99. COLA COLOURED URINE
 Acute glomerulonephritis
 Haemolysis of red cells
 That have crossed the glomerular basement membrane
 Passed the tubules in children

100. 37.

102. CUT POTATO APPEARANCE
 Seminoma Testis
 Gross appearance
 C/S
 Pale, lobulated, bulging

103. 38.

104. SUGAR TUMOUR
 Perivascular Epitheloid Cell Tumor (PEComa)

105. 39.

106. MAPLE SYRUP URINE DISEASE
 Characteristic sweet aroma present in the body fluids
 Seen in branched chain ketoaciduria
 An autosomal recessive inherited disorder
 Deficiency of branched chain alpha keto acid
dehydrogenase complex

107. 40.

108. ECHINOCOCCUS GRANULOSUS
 Hydatid cyst - White glistening membranes

109. 41.

110. PEPPER SYNDROME
 The syndrome of massive hepatic metastases from
Adrenal neuroblastoma

111. 42.

112. PEAR SHAPED ORGANISM
 Trophozoite of :-
 Trichomonas vaginalis
 Giardia lamblia

113. PEAR SHAPED ORGAN
 Uterus

114. UNRIPE PEAR
 Gross - Invasive ca of breast ( Scirrhous ca)

115. 43.

116. SPAGHETTI AND MEAT BALLS APPEARANCE
1. Tinea versicolor - KOH Preparation
2. Progressive Multifocal Leukoencephalopathy –
E/M oligodendrocytes

117. 44.

118. SALMON PATCH
 A type of capillary vascular malformation


119. SALMON PATCH
 Eye :- Conjuctival Lymphoma

120. 45.

121. RAISIN LIKE NUCLEI
 Poorly differentiated carcinoma
 Chromophobe RCC
 Enlarged nuclei with coarse chromatin
 Wrinkled nuclear membrane

122. 46.

123. OAT CELL CARCINOMA
 Small cell carcinoma of lung
 The neoplastic cells
 Small oval hyperchromatic nucleus with scant cytoplasm
 Resembling oats

124. 47.

125. MILKY LEG
 The swollen white painful leg
 Phlegmasia alba dolens
 Secondary to extensive deep vein thrombosis
 Of the iliac and femoral veins

126. CHYLURIA
 Filariasis
 Parasitic infestations
 Nephrotic syndrome

127. 48.

128. CURDY WHITE DISCHARGE
 Vulvovaginal candidiasis
 Thick, white odourless discharge

129. 49.

130. HONEY COMB APPEARANCE
 Bronchiectasis
 Cystic lung disease
 End stage of lung with interstitial fibrosis

131. HONEY COMB APPEARANCE
 Gross –
 Normal mucosa of gall bladder
 Hemangiomas
 Serous cystadenomas of pancreas
 Multiple subcutaneous nodules in actinomycosis

132. HONEY COMB APPEARANCE
 Cytological appearance –
 Endocervical cells
 Thyroid follicular epithelial cells
 Normal bile ductal cells
 Pancreatic ductal cells

133. 50.

134. WATERMELON STOMACH
 Gastric antral vsacular ectasia

136. REFERENCES
 Mourouguessine Vimal1 , Anandabaskar Nishanthi2
Food eponyms in Pathology
 Google