Introduction:A pilomatrixoma is a benign appendage tumour related to hair cells matrix. Most of the literature review about pilomatrixoma is in the form of case reports with fewer cohort studies. The objective of this cohort is to study the variable demographic characteristics, presentation and histopathology of this condition among a larger group of patients.Materials and Methods:We conducted a retrospective study of patients who had excision of pilomatrixoma between February 1998 and August 2011 in a District General Hospital in UK.Results:The study included 67 patients with histopathologically diagnosed pilomatrixoma. The mean age was 32 years. Male to Female ratio was 35:32. The average diameter of the lesion at presentation was 13 mm (range: 2–30 mm). 66 of 67 (98.5%) patients presented with solitary lesion, while 1 patient (1.5%) had two lesions.Conclusion:Pilomatrixoma is not an uncommon benign lesion. It is more common in the maxillofacial area.
Carpeted villous adenomas of rectum may be extensive and not suitable for transanal excision or Endoscopic mucosal resection. We present a case of such lesion extending from anorectal junction to rectosigmoid region. After biopsy and staging, this was managed by a sphincter saving procedure, i.e. a combination of transabdominal total mesorectal excision and transanal intersphincteric dissection, with acceptable functional outcome with 8 years of follow up.
Pancreatic pseudo-cysts often arise as a complication of acute or chronic pancreatitis. Previous reported prevalence of pancreatic pseudo-cysts in chronic pancreatitis ranges from 20% to 40%.Pancreatic pseudo-cysts most commonly arise in patients with alcoholic chronic pancreatitis (70% to 78%) (1, 2). The second most common cause is idiopathic chronic pancreatitis (6% to 16%), followed by biliary pancreatitis (6% to 8%) (3). Various imaging modalities are used in the diagnosis of pancreatic pseudo-cysts with Computed Tomography (CT) being the gold standard with 82% to 100% sensitivity and 98% specificity (4). There is wide variability in the range of spontaneous regression in the literature from 8 to 70%., with almost 40% of cysts that are less than 6 weeks old resolving without intervention compared to around 10% of the cysts older than 6 weeks (5). The aim of this study is to assess the demographic characteristic of diagnosed patients, aetiology of the pseudo-cysts, their characteristic features, prognosis and mortality rate.
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