Secretory carcinoma of salivary gland is a recently-recognized tumor
resulting in pathognomic ETV6-NTRK3 gene fusion, identification of which
is gold standard for diagnosis. In resource-limited settings unable to
perform molecular analysis, histology and immunohistochemistry are
quintessential for diagnosis. We present an illustrative case,
discussing typical presentation of this rare entity.
The complete absence of limbs is a rare occurrence. Though the causes are various, it is hard to elicit most of the time. They are usually diagnosed via anomaly scan but the lack of access to the same can often lead to a term presentation. It is still not uncommon to receive pregnant patients at term to the hospital or in labour as the first antenatal visit. Increasing the feasibility of the scan can help in the early diagnosis and management. Here, we report a rare combination of limb defects that we managed in a district-level hospital and highlight the difficulties in the management and referral of the patients while working in rural areas.
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