Although hemangiomas are common in infancy and childhood, they are probably developmental abnormalities rather than true neoplasms. In present case we have treated a child aged 10 years with haemangioma of the right side of the Neck. After thorough investigation we posted this for intralesional infiltration of Sclerosing agent (Inj. Polidocanol 3%) in 1:3 dilution with normal saline. Approximately 2 ml Inj. Polidocanol diluted with saline was injected into the lesion. And the same procedure was repeated in three sittings after one week interval. The size and vascularity was reduced dramatically after single procedure. Patient was followed up after one and two months interval. There was no sign of any recurrence. This Procedure was chosen as it is cosmetically more acceptable, can be used for the haemangiomas at inaccessible areas where surgery is difficult, day care procedure and cost effective. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 56-59 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6828
Lingual Thyroid is rare developmental anomaly usually affecting females it is usually located in midline, in base of the tongue and represent the faulty migration of thyroid gland although the exact pathogenesis of this ectopic accessory thyroid tissue is not known it generally originates from the epithelial tissue of non obliterated thyroglossal ductus in this report a case of lingual thyroid in a 28 year old patient with difficulty in swallowing and foreign body sensation complaints for 3 years is presented ultrasound showed absent Thyroid in Neck. DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6708 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 39-42
I N T R O D U C T I O N :Osteomas are rare benign slow growing tumors of the lamellar bones. They are commonly seen arising from within the paranasal sinuses. Osteoma of the temporal bone occurs infrequently and when they occur is seen most commonly in the external ear canal. Osteoma originating from the middle ear is very rare. Those from the mastoid are rarer. C A S E R E P O R T :A 25 years old woman presented with slowly increasing swelling behind the left ear of three years duration. She had no history of trauma, ear infection and swelling caused no pain, ear ache, aural discharge, and vertigo or hearing loss. On examination the post aural swelling was 4x3 cm in size, non tender, hard and had well defined margins, overlying skin was free and showed no signs of inflammation. Rest of the E.N.T examination, audiometric testing and routine laboratory investigations produced normal results and there were no other remarkable features on general physical examination. X-ray mastoid lateral oblique view showed radio dense shadow in right temporal bone (Fig-1).A woman of 25 years presented to E.N.T OPD with complaints of post aural swelling of 3 years of duration. Patients had no other complaints except a mass behind post aural region. Examination revealed 4x3 cm solitary, non pedunculated, nontender, hard mass behind the right ear. Under general anaesthesia the mass was exposed adequately and with cutting burr the bony mass was excised and sent for HP examination. Wound was closed in Layers and pressure bandage applied. Histopathology was reported as osteoid osteoma. This is one of the rare cases and reported for its important clinical significance. K e y w o r d s : osteoma, mastoid
We present a case of allergic fungal sinusitis (AFS) in a 24 -year old man with history of left sided nasal obstruction and discharge since few years. Since few months he developed epiphora in the left eye associated with discomfort on eye movements. Patient was examined and CT with contrast was done. CT contrast showed an enhancing lesion in Left maxillary and ethmoid sinuses and erosion of the inferior bony wall of the orbit and medial wall of maxillary sinus.Though most patients of fungal sinusitis are immunocompromised but this patient was young male immunocompetent and made an unusual presentation with visual epiphora and painful eye movements. CT showed bony erosion of the Left inferior Bony wall of the Orbit and medial wall of Maxillary Sinus.After through examination and specific investigations, the patient was posted for surgery. We planed for Cald well -Luc's Surgery and Endoscopic excision of the mass .Histological examination was reported as non malignant and microscopy showed Fungal Hyphae.After the surgery patient was discharged satisfactorily within couple of days and followed up regularly.
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