Endovascular balloon occlusion has become a standard mode of therapy in carotid cavernous fistulas. Many angioarchitectural variations are, however, encountered in individual cases, some of which influence the therapeutic mode and outcome. We report on three patients with carotid cavernous fistulas treated by endovascular techniques.
Undifferentiated endometrial sarcoma is a rare uterine malignancy of mesodermal origin. Only a few cases have been
reported in literature. Herein, we describe a 56-year old woman who presented with post-menopausal bleeding of a short
duration. Endometrial curettings were suggestive of undifferentiated sarcoma. Computed tomography showed an enlarged uterus with welldened mass in the endometrial cavity extending down to the cervix. A total abdominal hysterectomy, bilateral salpingo-oophorectomy, bilateral
pelvic and para-aortic lymphadenectomy and omental biopsies were taken. Histological examination revealed a tumour with a permeative growth
pattern composed of uniformly high grade round tumour cells with high mitotic activity. However, there was no lymphovascular space invasion.
Tumour cells were strongly positive for CD10 signifying high grade endometrial stromal sarcoma (HG-ESS). Post R0 resection, patient is now
receiving adjuvant chemotherapy. However, it is seen that most patients have early recurrence following even R0 resection.
India has finally begun its colossal coronavirus vaccine drive, desperately hoping to end a deadly pandemic that has killed around 1.5 lakh of its population. With an aim to vaccinate about 300 million people across the subcontinent by July, India has a huge task ahead. This large number roughly amounts to almost the entire US population.
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