A cholestatic syndrome secondary to extrahepatic biliary obstruction as the presenting manifestation of hepatocellular carcinoma is described in three cases. The mechanism is related to the invasion of intrahepatic bile ducts by the carcinoma. The consequent mechanical obstruction is due to either a continuous distally growing tumor cast of the biliary tree, distal migration of a necrotic tumor fragment, or hemobilia. In the cirrhotic patient with a predisposition for the development of liver cancer, the physician should be aware of the presentation with obstructive jaundice as a mechanical complication of hepatocellular carcinoma.
A 69-year-old man was found to have a right orbital soft-tissue mass on imaging as an incidental finding. Excisional biopsy revealed a well-circumscribed mass encasing the infraorbital nerve, consistent with Castleman's disease (CD) on histopathology. In the orbit, CD is extremely rare with few reported cases. We report this patient with localized intraorbital Castleman's disease.
Branches of paddy panicles were divided into four equal parts and grains collected from each part separately. Moisture content at harvest and milling breakage after shade drying of grains to 12 to 13 % moisture were determined.Average moisture content of grains gradually increased while milling quality generally suffered in grains from the top first quarter to the last quarter at the bottom. The same trend was found when the grains in the "top" quarter were compared with those from the "rest" of the panicle. The proportion of sun-checked grains was highest in the "top" fractions at all stages of maturity. The grains at the "top" also had a tendency to shed easily from the panicle. At early stages of maturity milling breakage of grains in lower portions of panicles was high perhaps due to immaturity and softness.
Congenital absence or rudiment major salivary glands, especially of the parotid glands, are a rare entity. Aplasia of parotid glands has been described alone or in association with abnormalities of other salivary glands, first branchial arch developmental disturbances and other congenital anomalies such as lacrimoauriculodentodigital syndrome, mandibulofacial dysostosis and ectodermal dysplasia. Absence is most commonly unilateral, and may be associated with accessory or rudimentary glandular tissue. There are several reported cases of isolated patulous Stensen's duct causing air insufflations in the glands and recurrent parotid gland enlargement. However, in the literature there is no reported case of association of rudimentary parotid gland with a patulous Stensen's duct. This paper aims at reporting an interesting and unusual presentation of unilateral imperfectly developed parotid gland with a distended Stensen's duct in a five year old mentally challenged girl who presented with an unintentional habit of blowing out cheeks several times in a day resulting in air insufflations and recurrent parotid swelling.
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