Background: Cholesteatoma is potentially dangerous condition as it can extend and erode into adjacent structures and can cause various serious complications. HRCT temporal bone very clearly depicts the anatomy of various small important structures in middle and inner ear cavity. Hence it is an excellent modality and investigation of choice in diagnosing and defining the extent of cholesteatoma. It has become essential investigation in preoperative planning for surgeon. Present study shows good correlation of various preoperative HRCT findings with intraoperative findings. Aims & Objective: To study the role of HRCT temporal bone in pre-operative evaluation of cholesteatoma. Material and Methods: Total 35 cases with clinically suspected cholesteatoma were selected for this study. All the patients were from Sir Sayajirao General Hospital, Vadodara and were scanned at the CT scan, Radiology Department of the hospital. The important intraoperative surgical findings were correlated with pre-operative HRCT findings. The results were analyzed, studied and compared with similar studies of the past. Results: Present study shows good correlation between the preoperative findings of cholesteatoma by HRCT temporal bone and intraoperative surgical findings. Conclusion: In present study HRCT enabled the pre-operative delineation of the cholesteatoma and the recognition of its manifestations and complications. HRCT is confirmed to be valuable in the diagnosis and in guiding the surgical management of cholesteatoma.

INTRODUCTIONLymphadenopathy is a commonly encountered clinical problem which has a multiple causes.1 Lymph nodes become secondarily involved in virtually all infectious diseases and in many neoplastic disorders.2 Enlarged lympnnodes are easily accessible for fine needle aspiration (FNAC) and hence FNAC is a very simple and important diagnostic tool for lymph node lesions. 3Surgical biopsy is the gold standard for diagnosis. However, it has several drawbacks: costly, timeconsuming and requiring more precautions. FNAC is comparatively less invasive and cost effective than surgical biopsy. 4 The diagnostic yield of FNAC can be improved by radiological guidance and proper clinical assessment of lesion. 5,6 METHODSFive hundred and fifty five patients presenting with palpable lymphadenopathies, which were referred to cytology section of pathology department from ABSTRACT Background: Lymphadenopathy is common presenting features in various non-neoplastic and neoplastic lesions. Fine needle aspiration cytology (FNAC) is simple, quick, inexpensive and minimally invasive technique that can be used as an outpatient procedure to diagnose them. The present study was undertaken to assess the various causes of lymphadenopathy through FNAC, and to see the distribution of lesions with respect to age and gender. To assess the diagnostic accuracy of lymph node fine needle aspiration (FNA) cytology in various non-neoplastic and neoplastic conditions. Methods: Total 555 cases of the lymph node FNAC were studied from January 2014 to December 2014 in Cytopathology department of Government Medical College, Surat .The cytomorphologic features seen in the aspirates were analyzed and correlated with their etiology. Results: In this study 555 cases of cervical lymphadenopathy were analysed. The age of the patients ranged from 5 months to 90 years of which 60.2% were males and 39.8% were females. Maximum numbers of cases 147(26.4%) were in the age group of 21-30 years. The most common lesion encountered was tuberculous lymphadenitis 44.8% followed by metastatic tumors 31.3%, reactive lymph node 16.7%, acute lymphadenitis 5.4% and lymphoma 1.8%. Male showed predominance of metastatic carcinoma and lymphoma while chronic reactive hyperplasia and tuberculous lymphadenitis were equally distributed in both male & female. Conclusions: FNAC is safe, rapid and cost effective method in establishing the diagnosis in large number of cases of lymphadenopathy. It can differentiate a neoplastic from a non-neoplastic process and therefore influence patient management preventing patient from being subjected to unnecessary surgery.

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Age discrimination is common and occurs in all types of industries, fields, and professions all across the world. The common misperceptions about “older workers” include hard‐to‐break habits, technological ignorance, and lack of energy and flexibility. Such attitudes, expectations, and perceptions of older workers should not exist in our professional community. Whether old or young, all people should be treated with respect and dignity. The purpose of this article is to understand the reasons behind age discrimination and ways to prevent it from occurring in the workplace. Removing age discrimination in the workplace lies in the hands of all organisations. First, they need to demolish the myths of age and realise its strengths, such as reliability, mature judgement, lack of impulsivity, timeliness, strong work ethics, and experience. Second, upper management should educate its chain of managers and supervisors about the effects discrimination has on the company’s financial situation as well as its reputation. The government plays a major role in enforcing the laws regarding age discrimination and punishing those who are unlawful.

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