Papillary thyroid carcinoma is well known for its low malignant potential and good prognosis. The outcome can be fatal in patients with low compliance and delayed treatment. Recent advances in ultrasonographic screening and US guided fine needle aspiration biopsy has facilitated early diagnosis of papillary thyroid carcinomas. This epithelial thyroid tumour accounts for more than 80 % of all thyroid tumours. An occult primary carcinoma of thyroid presenting as lymphangioma has been reported rarely. We present a case of a 40-year-old female patient with huge cystic midline swelling on the right side of the neck mimicking lymphangioma on USG. MRI neck showed a cystic mass causing displacement of the trachea and arising from Rt lobe of thyroid gland. Hemithyroidectomy was carried out and histopathology revealed papillary carcinoma. In patients with neck swellings presenting as huge cystic mass the differential diagnosis of Intra cystic variant of papillary carcinoma thyroid and metastatic thyroid papillary carcinoma must always be considered prior to planning surgery.
Odontogenic fibroma is a benign ectomesenchymal tumor classified as central and peripheral on the basis of its location and as an epithelium rich or epithelium poor based on its histological features. Radiological findings consist of radiolucent areas with well-defined bony margins. The lesion is detected early because of its location and usually treated with surgical excision and curettage. We present a case of giant odontogenic fibroma of right maxilla presenting as gross facial deformity and posing a dual challenge of excising the tumor mass and reconstructing the ensuing defect.
Objective: Laryngotracheal trauma is a rare but clinically important injury. These injuries may be accidental, suicidal or homicidal. Complications are frequent. Early recognition, accurate evaluation and proper treatment is essential to decrease morbidity among affected individuals and avoidance of complications.Methods: Patients with external laryngotracheal injuries were analyzed retrospectively in a tertiary care centre. The outcome was assessed both in terms of voice and airway with regular follow up for 2 years. Results:The most common cause of injury is cut throat injuries followed by road traffic accidents. The main presenting symptoms and signs are hoarseness, haemoptysis, odynophagia and stridor in major injuries. Various sites of cut throat injury are of laryngeal framework i.e. thyroid cartilage, mixed soft tissue, cartilaginous injuries, thyrohyoid membrane, aryepiglottic fold and cricothyroid membrane. Patients with minor injuries, and patients with major injuries managed with early surgical intervention had better outcomes. Poor result was seen in patients with delayed surgical intervention. Conclusion:Laryngotracheal trauma remains a clinically important injury requiring careful assessment with prompt recognition of injuries. Early surgical intervention with multidisciplinary approach is recommended for all major injuries to ensure a good outcome.
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