RAVI HARI PHULWARE
@aiimsrishikesh.edu.in
Assistant Professor, Pathology & Laboratory Medicine/ravipaarti@gmail.com
Ravi Hari Phulware/All India Institute of Medical Sciences Rishikesh
Consultant Histopathologist
Cytopathologist
Onco-pathologists
More than 10 years of experience in the field of Pathology
More than 50 PubMed publication in various International and National Journals
EDUCATION
MBBS
MD Pathology
PGDM Executive (NIHFW) Hospital Management
RESEARCH, TEACHING, or OTHER INTERESTS
Pathology and Forensic Medicine, Histology, Oncology, Nephrology
FUTURE PROJECTS
Molecular landscape of Hereditary cancer gene panel in urinary bladder cancer in young adults of Sub Himalayan region of Uttarakhand and Western Uttar Pradesh
There is limited information on an exome scale about the germline molecular alteration leading to urinary bladder cancer in young patients in India. Patients from Uttarakhand and Western Uttar Pradesh are usually from low socioeconomic strata and come with advanced stages of tumor. Hence there is a felt need of doing exome profiling study to pick up the gene mutations in this region. This will add to the understanding of the pathogenesis of disease and will help in making a gene panel for early screening and detection.
Applications Invited
Scopus Publications
Scopus Publications
Shalini Rajaram, Ayush Heda, Latika Chawla, and Ravi Hari Phulware
Springer Science and Business Media LLC
Shalini Rajaram, Lakhwinder Singh, Ayush Heda, Latika Chawla, Ravi Hari Phulware, Ashok Singh, and Simardeep Kaur
Elsevier BV
Sonali Mishra, Ravi Hari Phulware, Akash Dhiman, Bibek Keshari, Ashok Singh, and Arvind Kumar
Springer Science and Business Media LLC
Nishi Jha, Ravi Hari Phulware, Arvind Kumar, Ashok Singh, Prashant Durgapal, Nilotpal Chowdhury, Ankur Mittal, and Sanjeev Kishore
Springer Science and Business Media LLC
Palak Nandolia, Khanak Kumar Nandolia, Ravi Hari Phulware, and Sonal Saran
BMJ
Samikshya Thapa, Gajendra Kumar Yadav, Ramit Kumar Shah, Arvind Kumar, and Ravi Hari Phulware
Springer Science and Business Media LLC
Arvind Kumar, Amit Gupta, and Ravi Hari Phulware
Springer Science and Business Media LLC
Ravi Hari Phulware, Kaashvi Gupta, Gaurav Rajendra Shirsath, and Mohit Dhingra
Editora Cubo
dedifferentiated osteosarcoma. Subsequently, the patient was operated on for the above-knee amputation without any complications. Microscopic examination of the proximal tibial lesion shows a cellular tumor infiltrating bone and soft tissue. Tumor cells exhibited moderate to marked pleomorphism, including vesicular nuclei, prominent nucleoli, and moderate cytoplasm. Lacy-like osteoid material was seen between tumor cells. There were frequent mitoses but no necrosis. The cartilage nests and lobules showed enhanced cellularity, nuclear atypia, and osteoid matrix material revealed histomorphological features of Chondroblastic osteosarcoma. The tumor did not involve all the resection margins. The patient had an uneventful postoperative recovery. The patient was scheduled for regular follow-up to monitor disease progression with imaging studies to detect any local recurrence or metastasis signs
Ravi Hari Phulware, Gayathri K S, Gaurav Rajendra Shirsath, and Amit Gupta
Editora Cubo
undergone a radical prostatectomy two years ago with Gleason grade group 5. Scrotal ultrasound showed a hypoechoic mass involving the right testicle with increased vascularity, suggesting a neoplastic lesion. Hence, the patient was planned for a bilateral orchidectomy. The patient underwent bilateral inguinal orchiectomy without any complications. Macroscopic examination of the right resected testis revealed a solid yellowish-white tumor of 0.5 × 0.5 cm. Histopathological analysis showed that the right testis was infiltrated by metastatic adenocarcinoma. Immunohistochemical examination revealed that tumor cells were diffusely positive for PSA and Alpha ( α )-methylacyl-CoA racemase (AMACR). The patient was diagnosed with right testicular metastasis of Prostatic Carcinoma. The patient had an uneventful postoperative recovery. The patient was scheduled for regular follow-up appointments to monitor disease progression. Serial PSA levels and imaging studies were planned to look for disease status.
Divya Kumari, B. Darshan, Shrikant Shukla, Erna Ahsan, Ashok Singh, and Ravi H. Phulware
Medknow
Ravi Hari Phulware, Shalini Jain, Akash Dhiman, Arvind Ahuja, and Arvind Kumar
Editora Cubo
Deepali Saxena, Ravi Hari Phulware, Prashant Durgapal, Arvind Kumar, and Amit Kumar Tyagi
Springer Science and Business Media LLC
Samikshya Thapa, Gajendra Kumar Yadav, Ratna Mondal, and Ravi Hari Phulware
Editora Cubo
ABSTRACT Esophageal melanocytosis is a rare entity defined by the proliferation of a melanocytic basal layer of the esophageal squamous lining and deposition of melanin in the esophageal mucosa. Esophageal melanocytosis is considered a benign entity of unknown etiology; however, it has been reported as a melanoma precursor. We report a case of esophageal melanocytosis in a diabetic and hypertensive 67-year-old male with recurrent dizziness and syncope for the past 6 months. Given his complaint of dyspepsia, he underwent an upper gastrointestinal endoscopy, in which an esophageal biopsy revealed the diagnosis of esophageal melanocytosis. The definitive diagnosis of esophageal melanocytosis can only be made by histological analysis. The histologic differential diagnoses include melanocytic nevi and malignant melanoma. Therefore, they need to be ruled out.
Sonal Saran and Ravi Hari Phulware
Springer Science and Business Media LLC
Sonali Mishra, Ramit K. Shah, Kavya Udyavar, Arvind Kumar, and Ravi H. Phulware
Medknow
Palak Nandolia, Khanak Nandolia, Ravi Hari Phulware, and Sonal Saran
Springer Science and Business Media LLC
Akansha Bhatia, Ravi H. Phulware, and Arvind Ahuja
Medknow
Sonali Mishra, Ashok Singh, Arvind Kumar, and Ravi Hari Phulware
Editora Cubo
RaviH Phulware, Samikshya Thapa, Arvind Kumar, and Sanjeev Kishore
Medknow
Pooja Semwal, Rishi Bolia, Nikhil Rajvanshi, Ravi Hari Phulware, and Nowneet Kumar Bhat
Springer Science and Business Media LLC
Bhagyshree Singh, Ravi H Phulware, Pakesh Baishya, Ashok Singh, Prashant Durgapal, Arvind Kumar, Neirita Hazarika, and Sanjeev Kishore
Scientific Scholar
Abstract Background: An epidermoid cyst is a benign keratin-filled cyst, commonly located in the face, scalp, neck, and trunk. Although it is a common benign cystic neoplasm, large series of analyses in English literature are still scarce. To comprehend the clinical and pathological variation of epidermoid cysts in the sub-Himalayan region of India, as well as their clinical implications for late diagnosis, a retrospective study on epidermoid cysts was conducted. Materials and Methods: This was a retrospective observational study conducted on 217 cases of epidermoid cyst subjected for fine-needle aspiration cytology over a period of 3.6 years (from 2018 to 2021). The clinical details and other epidemiological data were archived from the pathology requisition forms. Results: It showed slight male preponderance with head and neck site as the most common area. Most patients were adults. Few uncommon sites were also seen namely breast, parotid, epididymis, and tonsils. Few large lesions were identified measuring up to 10 cm. The skin changes were seen in 5.5% cases, 0.9% cases show extreme ulceration, and 4.1% cases show foreign body giant cell reactions. Due to the province’s steep terrain and limited access to medical services, the majority of patients arrived at out patient department (OPD) late. Conclusion: The findings suggest that fine-needle aspiration can be used as a quick diagnostic test even in remote areas by the general practitioner who can send the slides for evaluation to a pathologist. Many times, clinically looking epidermoid cyst can reveal certain challenging entities such as a biphasic fibroepithelial tumor with cystic squamous metaplasia and proliferating pilar tumor in our series. The study of this lesion is also needed for early diagnosis as long-standing lesion may rupture and cause requirement of extensive treatment followed cosmetic impairment.
Arvind Kumar, Tushar Kalonia, Akanksha Gupta, and Ravi Hari Phulware
Editora Cubo
moderate cytoplasm. A few cells showed cytoplasmic clearing. The peritumoral desmoplastic reaction was also identified with intratumorally brisk mitotic figures. Focal areas of necrosis with acute and chronic inflammatory infiltrate were also identified. Immunohistochemistry revealed tumor cells to be diffusely positive for cytokeratin 7 (CK7) and CK19 (Figure 1C and 1D) and negative for CK20, thyroid transcription factor (TTF-1), Gross Cystic Disease Fluid Protein-15 (GCDFP-15), mammaglobin, Hepatocyte Paraffin 1 (Hep Par1), Paired box gene 8 (PAX-8) and Wilms tumor gene 1 (WT1). An abdominal computed tomography scan on imaging workup revealed a gallbladder mass with multiple liver lesions and brain metastasis. Based on immunohistochemistry and imaging findings, the diagnosis was metastatic gall bladder carcinoma to the scalp.
Ravi Hari Phulware, Amrita Talwar, and Arvind Ahuja
Editora Cubo
Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1 All India Institute of Medical Sciences, Department of Pathology and Laboratory Medicine, Rishikesh, Uttarakhand, India 2 ABVIMS, PGIMER & Dr Ram Manohar Lohia Hospital, Department of Pathology, New Delhi, India Cavernous hemangioma of the parotid gland