A 35-year-old female presented with swelling in the soft palate. Fine needle aspiration cytology (FNAC) revealed pleomorphic adenoma, and on histopathological examination, it was diagnosed as carcinosarcoma/salivary duct carcinoma in the minor salivary gland, which was confirmed by immunohistochemical stains. We report this case for its rarity.
Background: Blood donation is one of the most noble gestures a human can make to save life. Even after so many advances in the field of blood donation till now no alternative of human blood is easily available in all places. The aim of the study is to analyse various unused blood products their causes,during the peak covid period and its management. These are done by formulating guidelines for proper donor screening, component separation, TTI screening,and proper handling of blood products. Methods: A total of 1960 whole blood units from both voluntary and replacement donors were collected from September 2020 to August 2021 in the Department of Transfusion Medicine, Vinayaka Mission Medical college Salem.Out of which 214 units were unused(4.78%) units. Results: The study showed out of 214 units,113units(52.80%) were from platelet components, 30(14.02%) were PRBC,71(33.18%)were FFP. The primary cause of discard wasexpiry of units(45.79%), andsecond major cause was returning of units 24 (27.57%), which can be managed by following certain guidelines before issuing.
Background: Acute appendicitis is the most common abdominal emergency. It is a clinical entity with an ongoing diagnostic challenge. Histopathological examinations are the gold standard for the final diagnosis, which has revealed much unusual, unexpected serious underlying pathology. This study is to analyze the histopathological patterns in appendectomy specimens and to establish the role and importance of histopathological examination in diagnosing various serious incidental pathologies. Materials and Methods: This is a retrospective study comprising of 181 patients, carried out at VMKVMCH, Department of Pathology, over a period of 2 years from September 2017 to August 2019. Clinical data of patients were collected for all the appendectomy specimens received at the pathology department and histopathology slides were reviewed. Results: A total of 181 cases were analyzed. Patients' age ranged from 3 to 77 years. The predominant appendectomy finding was acute appendicitis 86 cases (47.51%) followed by chronic appendicitis 58 cases (32.04%). Among the unusual findings, eosinophilic appendicitis was the commonest 4 cases (2.20%), mucocele, carcinoid and parasite 1 case (0.55%) each respectively. Conclusion: Although most of the cases were diagnosed as acute appendicitis, a few of the essential incidental pathologies were missed out pre-operatively and intra-operatively. Hence these serious incidental diagnoses undeniably support the fact that all appendectomy specimens should be sent routinely for histopathological examination, which is not followed in many hospitals in India.
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