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Images in Pathology

Vegetable cells (VC) are not infrequently present in pathological specimens. In our experience, VC are more commonly found in gastrointestinal pathological specimens that are the product of emergency surgeries. Perhaps, the presence of VC is directly proportional to the patient's bowel preparation before biopsy or surgical resection. Of course, VC may also be found as contaminants (or 'floaters") in nongastrointestinal specimens, or in cases of aspiration pneumonia. The resemblance of some forms of VC to normal and abnormal cells in routinely prepared cytological specimens has been previously documented [1]. Such resemblance can also be encountered in histopathological material. We submitted 30 forms of common vegetable matter for histologic evaluation, after subjecting them to a process simulating human "digestion." We found 3 forms of VC that could pose differential diagnostic problems in the appropriate setting (Figs. 1-3). Aspergillus spp (Fig. lA) is mimicked by garden-variety mushrooms (Fig. lB). Cryptococcus spp. (Fig. 2A) has an uncanny resemblance to peanuts (Fig. 2B). Entamoeba histolytica (Fig. 3A) is histologically rather akin to asparagus (Fig. 3B).