Throughout the world, there have been drastic decline in mortality rate in pediatric leukemic population due to early diagnosis and improvements in oncology treatment. The pediatric dentist plays an important role in the prevention, stabilization, and treatment of oral and dental problems that can compromise the child's health and quality of life during, and follow up of the cancer treatment. This manuscript discusses recommendations and promotes dental care of the pediatric leukemic patients.
Lichen planus (LP) is a chronic inflammatory mucocutaneous condition which is relatively common in adults but rarely affects children. The present study is a report on an unusual case of ulcerative oral LP involving the dorsum of tongue in a 12-year-old boy. Patient complained of painful oral lesion on the tongue which was burning in nature and obstructing talking and eating spicy foods. On intraoral examination, a white ulcerative lesion on the dorsum of tongue was observed. Diagnosis was made based on clinical examination and histopathological features. We instituted local treatment and patient responded well to the treatment. Although rarely reported in childhood, lichen planus should be considered in a differential diagnosis of hyperkeratotic, reticular, and ulcerative lesions of the oral mucosa in children.
BACKGROUND: INTRODUCTION: Carcinoma cervix is most common genital carcinoma in India. It accounts for 80% of female genital carcinoma. Invasive carcinoma of cervix is preventable as it is associated with pre-invasive stage which occurs 10-15 years prior to it, thus permitting early detection by screening and leading to effective treatment and thereby reducing mortality rate with greater impact on lives saved. AIM: Cytological and Colposcopic Evaluation of Unhealthy Cervix. OBJECTIVE: To compare the role of conventional Pap smear and Colposcopy (clinical impression) with Colposcopic guided biopsy as the gold standard. MATERIALS & METHODS: It's a prospective clinical comparative study of 100 women between 20-60 years attending the gynecological outpatient department at Sri Siddartha Medical College with clinically unhealthy cervix between, June 2013-May 2015. All the women with unhealthy cervix were subjected to pap and Colposcopy and findings noted. Biopsies were taken from Colposcopically abnormal areas and results were analyzed statistically. RESULT: In the present study 100 patient were subjected to Pap smear, Colposcopy and biopsy. Colposcopy sensitivity was 80.37%, specificity 81.06%, PPV 66.89%, NPV 90.52% accuracy 80.50%, respectively. Pap smear sensitivity was 24.3% specificity 98.3%, PPV 93.12%, NPV 74.36% and accuracy of 76%. CONCLUSION: Pap smear had poor sensitivity as compared to Colposcopy. Hence simultaneous use of Colposcopy has shown to increase in the rate of carcinoma cervix detection in women with unhealthy cervix.
BACKGROUND: Placenta is a remarkable organ which functions as a vital organ for the developing fetus. Evaluation of placenta conveys the intrauterine environment of the fetus. Examination placenta in many diseases, including preeclampsia, and its comparison to placenta in normal pregnancies reveals placental pathology as a cause of fetal growth disorders. OBJECTIVE OF THE STUDY: To correlate effect of preeclampsia on placental development and subsequently its effect on fetal growth. MATERIALS AND METHODS: Across-sectional study was conducted in a tertiary care center. The placentas from pregnancy delivered between 36 to 38 weeks were included in the study. Morphometric measurements of 100 placentas from pregnancies that had preeclampsia were compared with 100 placentas from pregnancies that were normotensive. The placental morphometry was correlated with fetal birth weight. OBSERVATIONS AND RESULTS: Study showed that the placental development was significantly affected with relation to shape in preeclampsia group. 97% were discoid in normotensive group whereas in preeclampsia group it was 88%. Attachment of cord were more eccentric in preeclampsia than normotensive group (26% vs.
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