Routine laboratory tests and investigations for tuberculosis were simultaneously carried out. All haematological values were within the normal limits, E LISA for HIV was negative. A tuberculin (Montoux) test was negative, Chest radiograph (PA view)(Figure-6) did not reveal any abnormal findings, Test for C-reactive protein was also negative, sputum examination for Acid fast bacilli (AFB) did not reveal any bacilli and culture after 48 hrs of incubation was negative. Cytological smear taken from the sinus drainage was stained with Ziehl- Neelsen, PAS, but revealed only polymorphonuclear leucocytes, few lymphocytes in necrotic background and no actinomycotic colonies or bacilli were detected. FNAC showed no granulomatous lesion.
S. Subramanyam, Metta Rajagopal, B. Venkata Rao, M. S. R. Harshavardhan, M. Madhulika, A. Bhagyalakshmi. ”Primary Giant Hydatid Disease ofThe Spleen: A RareCaseReport with Review of Literature”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 8, February 23, 2015; Page: 1103-1107.
CONCLUSION: There are few reported cases of ocular metastasis from salivary gland tumours, mostly adenoid cystic carcinomas. To the best ofthe authors’ knowledge this is the first of such cases being reported with ocular metastasis due to mucoepidermoid carcinoma ofthe parotid gland. This could be due to the reason that patients with poor systemic condition may not present to the ophthalmic department for consultation.
ABSTRACT: Hydatid disease, also known as echinococcosis or hydatidosis, is an infectious disease caused by Echinococcus. Echinococcus granulosus is the most common Echinococcus species affecting human beings. It may affect any organ and tissue in the body, in particular the liver and lung. Musculoskeletal or soft tissue hydatidosis accounts for about 0.5% 5% of all echinococcal infections in endemic areas, and is almost always secondary to the hepatic or pulmonary disease. Even in regions where echinococcosis is endemic, hydatidosis of cervicofacial region is extremely rare. Herein, we present exceptionally rarecase in a 55 year old female with an unusual localization ofprimary multilocular hydatid cyst in the right supraclavicular region ofthe neck. A high index of suspicion is required to diagnose hydatid cyst in rare locations like this. Hydatid cyst should be considered in differential diagnosis of benign swellings of head and neck region, so that it can be managed during surgery to prevent acute anaphylaxis.
Florid cemento-osseous dysplasia (FLCOD) is a rare, but well recognized condition that characteristically affects the jaws of middle aged women. It usually manifests radiographically as a diffuse, lobulated and irregularly shaped radio-opacities distributed throughout the alveolar processes which are usually bilaterally symmetrical. This condition has been classified as sclerosing osteitis, multiple enostoses, diffuse chronic osteomyelitis and gigantiform cementoma. The lesion is usually benign and requires no treatment unless cosmetically concerning or becomes symptomatic. For the asymptomatic patient the best management consists of regular recall examination with prophylaxis and maintenance of good oral hygiene According to the recent review of literature in 2006, only five patients of florid cemento-osseous dysplasia from India have been reported (less than 2%). Here we present such a rarecase occurring in a 37 year old female who came with a swelling and dull pain in the lower right back teeth region since 1 and 1/2 years. Radiographically, it showed mixed radiolucent / radio-opaque mass in both right and left premolar to molar region.
Eighty to 85% of patients with primary hyperparathyroisidm (PHPT) have a single parathyroid adenoma 2 that is ectopic in 5% to 10% of cases. 3 Ectopic parathyroid adenoma is a frequent cause of surgical failure and, therefore, several authors recommend preoperative imaging to localise the condition in patients with PHPT before initiating surgery. Thus, about 5% of patients who underwent parathyroidectomy present persistent or recurrent hyperparathyroidism. 4
Primary fallopian tube carcinoma (PFTC) is a rare tumor that histologically and clinically resembles epithelial ovarian cancer. PFTC has a worse prognosis than ovarian cancer as it is not routinely suspected and so treatment may be delayed. Here we report a rarecaseof PFTC which was preoperatively diagnosed as ovarian tumor.
Journal of Evolution of Medical and Dental Sciences/ Volume 2/ Issue 42/ October 21, 2013 Page 8120 consistency, fluctuant and immobile, with yellowish discoloration of overlying mucosa, which was quite easy to be pinched off. The regional lymphadenopathy was not present. The aspiration of cystic contents showed a thick viscous yellow colour cheesy material. On radiological assessment with Orthopantomogram no change in mandible were seen. On clinical assessment of this lesion provisional diagnosis of sublingual dermoid cyst was made. Patient was admitted in the wards with all routine blood and urine investigations done and preanesthetic assessment done for oral intubation as it may decrease the view and access to the glottis. The swelling was excised via the oral route by an incision, which extended from the tip of under surface of tongue upto the floor of mouth. As the swelling was superficial to mylohyoid muscle, it was possible to enucleate the cyst completely via this approach. The wound was closed in layers using 3/0 vicryl. The histopathology reportof biopsy confirmed the provisional diagnosis of dermoid cyst by showing the presence of cheesy keratin material in the cavity. The cyst wall was lined with keratinized stratified squamous epithelium. The post-operative recovery was uneventful and patient was discharged on third postoperative day without any residual illness. Patient was followed up till 1 year with no recurrence of lesion.
Primary mature teratomas ofthe fallopian tube are extremely rare and about 60 cases have been reported in the literature. Most of them have been discovered incidentally and none has been diagnosed preope- ratively. In cases of undetermined pelvic or abdominal masses, a teratoma ofthe fallopian tube should be considered. We report a benign teratoma of fimbrial end ofthe fallopian tube discovered per-operatively.
Lipomas ofthe heart are very rare tumors. Albers was responsible for the first report in 1856, and about 60 cases had been reported until 1995 . Among us, in a series of 50 cases ofprimary cardiac tumors, clinically and histologically studied by Fernandes et al. , there was only one caseof lipoma. The 4 other cases were described in the national literature [6-9].
site . The present case demonstrated a rarecaseof a patient with a primary tumor detected in the femur and a metastasis in mandible, diagnosed within a period of eighteen months. Up to 85% of patients have metastases within 2 years after diagnosis . ES is a destructive osteolytic lesion that extends into the cortical, periosteum and soft tissues. This feature observed in X-rays is not pathognomonic and other lesions can have the same image pattern . Some findings, such as the presence of a soft tissue mass and the patient’s age may contribute to the formulation of ES diagnosis. The final diagnosis is confirmed after biopsy and histopathological analysis.
A 49-year-old male presented to our emergency department with complaints of right lower abdominal pain for three days associated with low-grade fever. On examination, he had tenderness in Right Iliac Fossa (RIF). Severe probe tenderness was elicited on ultrasonographic examination. With a probable diagnosis of acute appendicitis, emergency laparotomy was done on the same day. Preoperatively, appendix was seen adherent with the posterior abdominal wall and ileum. Appendicectomy was done. Grossly, appendix specimen measured 5 cm length, external surface was covered with exudate, and cut section showed thickened appendiceal wall with focal mucinous areas and the lumen was occluded. Microscopic examination section showed appendicular mucosa with ulceration and a neoplasm arranged predominantly in submucosa and muscularis propria composed of glands and clusters of tumour cells. The cells are round to polyhedral with intracytoplasmic mucin
The present report concludes that the correct preoperative diagnosis of thyroid lipoadenoma is still difficult due to the rarity of this condition. The definitive treatment consists of total surgical resection and, due to its benign histology, the outcome is very favorable. Further studies with cytological criteria are required to re-evaluate the need for surgery in these cases.
We reportthe comparisn of two diferent treatment modalities on a bilateral congenital choanal atresic patient. The nasal endoscopic examination of a 5-year-old girl who had nasal obstruction and bilateral rhinorrhea revealed bilat- eral obliterated choanas. The choanal atresia was corrected using the transnasal endoscopic approach. An endotracheal tube stent was inserted through the right choana while no stent was used for the let side. Two years ater the operation, an endoscopic examination revealed no stenosis in either side. Bilateral congenital choanal atresia is rarely among the reasons for nasal obstruction in the post- neonatal period. The transnasal endoscopic approach is a safe and efective sur- gical technique. As there will be no diferences such as tissue healing factors, comparison of stenting and non-stenting on the same patient provides us with valuable information. However a single patient is not suicient to arrive at a de- cisive conclusion. Studies conducted in the future on a large number of cases will provide us with more information.
multiple synchronous and/or metachronous cancers ofthe oesophagus, lungs, and head and neck region (i.e. oral cavity, oropharynx, hypopharynx, or larynx). 90% ofthe tumours in head and neck are squamous cell carcinomas, and at least 75% of them are attributable to the combination of tobacco and alcohol consumption. The odds ratio of OSCC may be as high as 50.1 for those who are both heavy smokers and heavy drinkers in comparison to people who neither drink nor smoke. 13 It has been estimated
Corporations need to address their social obligations more consciously. It is important to understand what kinds of responsibilities construct CSR before involving in any CSR act ivities. One widely acknowledged theory of CSR‘s components is Carroll‘s four-part theory. Carroll (1991) developed his four-part theory of CSR, arguing that CSR is constituted by four kinds of social responsibilities: economic, legal, ethical, and philanthropic responsibilities. The economic responsibilities are theprimary part ofthe four responsibilities. It is the fundamental layer of Carroll‘s CSR pyramid. All corporations are responsible for providing goods and services that are needed by the society. Consequently, profits from selling goods and services go to shareholders and other investors to keep a company survive and grow. Economic responsibilities of a company are the base for providing legal, ethical and philanthropic responsibilities. Legal responsibilities are the second layer ofthe CSR pyramid and are coexisting with economic responsibilities as fundamental precepts ofthe free enterprise system. Firms are expected to operate under the legal system and regulations while creating profits for shareholders. Firms are fulfilling the "social contract" between firms and the society by being legally responsible. Legally responsible also reflects the "codified ethics" of business operation, as well as the pursuit of economic responsibilities set by lawmakers (Carroll, 1991). Ethical responsibilities involve activities and practices that are expected by the society and done by firms voluntarily regarding fair, justice and the respect for or protection of stakeholders' moral rights. Ethical responsibilities are voluntary choices of firms, since they are not codified into any law or regulation. These responsibilities reflect social norms, expectations and concerns of consumers, employees, shareholders and the community. Ethical responsibilities go further than legal responsibilities because they involve newly emerging values and norms that the public expects a firm to comply with and are at a higher standard of business practices than that current legal system required. However, ethical responsibilities are not easy to deal with for firms because new expectations from the public keep emerging and this makes the legitimacy of ethical responsibilities continually under debate (Carroll, 1991). Philanthropic responsibilities involve firms‘ activities that are
has been reported that this lesion is diagnosed during the first two decades of life in approximately 48% of cases, and 60% of cases are evident before the age of 30. It is considerably more common in themandible than in the maxilla. Most lesions occur in the molar and premolar area, some of these extending up to the ascending ramus. The presence of giant cell granuloma in the mandibu- lar body area, the entire ramus, condyle and coronoid represents a therapeutic challenge for the oral and maxil- lofacial surgeons. The aim of this report is to describe an unusual presentation of central giant cell granuloma in- volving the mandibular body, ramus, condylar and coro- noid processes, and to discuss the differentiated diagnosis, the radiographic presentation and the man- agement of this lesion.
There has been an exponential growth of motocross practice throughout the world, with an increase also in the number of amateur practitioners. Due to the extreme physical and physiological demands associated to worse physical fitness, amateur riders often suffer from fatigue. A localized muscle fatigue may result in inadequate function on demands that are specific to the sports modality, thus affecting the performance and resulting in musculoskeletal injuries. 6
In the current case, the only sign and symptom presented by the patient was a severe right-sided parietal headache during the past four months. Neurological and physical examinations are made and neither changes nor any kind of base pathologies such as hypertension and diabetes were observed. Blood test and biochemical analysis were all normal. The patient was submitted a CT ofthe brain without intravenous contrast (the patient refused the injection). The image from the right temporal lobe revealed a solid expansive process surrounded by a thick calcified capsule.