Dacron grafts have been used as a conduit for large caliber arteries for many years successfully. However, these grafts can undergo complications such as aneurysm formation, rupture, and failure. Evaluation of these complications are of paramount importance because of its tendency to rupture and cause death. Imaging plays an important role in identifying and monitoring of these complications, and also provides a road map to the vascular surgeons for early intervention and revascularization.
Adenoid Cystic carcinoma of the breast is a rare neoplasm accounting for 0.1% of breast carcinomas, and presenting most commonly as a painful breast lump. In contrast to the aggressive nature of adenoid cystic carcinoma at other sites, adenoid cystic carcinoma of the breast has a favourable prognosis, lymph node involvement or distant metastases seldom occur. Treatment is basically of modified radical mastectomy. Chemotherapy, radio therapy and hormonal treatment have been infrequently used. We report a case of 60 years old woman with adenoid cystic carcinoma of the right breast managed with MRM.
Background: Historically surgery for nodes in carcinoma penis was done as staged procedure due to fear of higher morbidity and longer hospital stay. However, in view of the established safety of the simultaneous procedure, very few centres do simultaneous surgery for nodes and primary in cancer penis.Methods: A retrospective analysis of all the simultaneous surgeries for nodes and primary for carcinoma penis done at our hospital, during the period April 2015 to March 2017 were done and various parameters were calculated and compared with historical standards of various series.Results: The various parameters namely wound morbidity, hospital stay and complications were analysed and compared with historical standards. A total of 15 patients during the above mentioned were found to be suitable for the analysis after having excluded patients who had previous therapy and inoperable tumours. The mean follows up period was 12 months (ranging from 8 to 20 months). The mean hospital stay was 15 days (range from 12 days to 25 days). The skin margin necrosis rate was 6.67%, wound infection rate was 6.67% and there were no perioperative deaths. The same was compared with historical standards.Conclusions: Simultaneous surgery for primary and nodes in carcinoma penis is safe and the standard results are reproducible in a rural tertiary medical centre like ours.
A rare case of Brunner’s gland hyperplasia mimicking duodenal malignancy is reported. A 21-year old man had a lesion in the second portion of the duodenum on endoscopy. The biopsy specimen suggested moderate and chronically active duodenitis. However, since the CT features strongly suggested malignancy, pyloroduodenotomy, excision of the lesion and Heineke-Mikulicz pyloroplasty was performed. The final pathological diagnosis was Brunner’s gland hyperplasia.
Primary cutaneous adenoid cystic carcinoma is a rare slow-growing neoplasm, with limited literature reporting the involvement of the scalp. It has a tendency to recur locally; however, lymph node, distant pulmonary and bony metastases are exceptionally rare. We highlight the case of a 65-year-old female with primary cutaneous adenoid cystic carcinoma with distant pulmonary and bony metastases and the importance of imaging in diagnosing distant metastasis and perineural spread.
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