Sebaceous horns (de la Pena Zarzuelo et al., Arch Esp Urol 54:367-368, 2001; Vera-Donoso, Scand J Urol Nephrol 43: [92][93] 2009) are rare on the penis, as they are commonly seen only on sun-exposed areas. A 45-year-old male presenting with multiple sebaceous horns of the penis is reported here. Excision of the horn with a rim of normal tissue in the base was done. Histopathological examination revealed no malignant change.Keywords Multiple penile horns . Sebaceous horn . Cutaneous horn . Malignant change Case ReportWe report a 45-year-old male patient who had two horn-like lesions on the left side of his penis near the corona for the past 6 months and had pain at the site of lesion for the past 1 month; he had no itching or discharge with a history of previous excision of a lesion at the same site 15 years back (details not known) and a history of circumcision in childhood for phimosis. Examination revealed two horn-like lesions seen at the corona, both lesions originating from the same base (Fig. 1).On palpation, it was hard in consistency, lesion was fixed to the skin, and base of lesion indurated. Inguinal lymph nodes were not palpable. Both lesions were excised with a rim of normal tissue and primary closure was done. Postoperative period was uneventful. Histopathology ReportHistopathology of section from the base of the skin showed hyperkeratotic and parakeratotic epidermis with dense inflammatory cell infiltration in the subepidermal zone overlying the fibrocollagenous dermis. No evidence of dysplasia or malignancy was seen. Congested blood vessels and lymphoid aggregates were seen in superficial dermis. A section from horn showed extensive keratinization.
Trans anal endoscopic microsurgery (TEM) first burst upon the scene several decades ago and then underwent a period of immersion. We have herein reported our experience in two cases who underwent TEM using laparoscopic techniques. The advent of single incision laparoscopic surgery (SILS) has made great inroads into various fields of general and gastrointestinal (GI) surgery. We decided to make use of the same technique in TEM for two patients who had large sessile villous adenomas of the rectum. We used this port and fixed it transanally to the edge of the anus. Carbon dioxide used for insufflation in laparoscopic surgery was used through one of the ports, and a telescope was inserted to the larger port. We made sure that the entire polyp was cut out completely until the circular muscle of the internal sphincter was clearly exposed. Next, the cut edges of the rectum were undermined between the mucosa and the circular muscles in order to bring the cut edges closer together. We were able to perform this SILS TEM in two cases. In both the cases, well differentiated villous adenoma (colonoscopically, biopsy proven before surgery) was confirmed after excision. The question has been raised whether TEM is the new laparoscopy for anorectal surgery. Increasingly, several reports are showing promise for treatment for early stage cancers and large rectal adenomas using TEM. Adoption of our technique using the SILS port that has not been previously described in medical literature, seems to be a promising tool for the future.TEM first burst upon the scene several decades ago and then under went a period of immersion. In recent years, with the onset of laparoscopic surgery, the thoughts and the ideas of using a laparoscopic surgical technique have invaded the area of colorectal cancer as well. We have herein reported our experience in two cases who underwent TEM using laparoscopic techniques.
Background: India is facing challenging situation because the incidence of breast cancer has increased by 14% and the mortality rate has increased by 11.1%. Breast- i is a new tool for effective breast cancer screening, especially for detecting both non-palpable and very small lesions often missed by Clinical Breast Examination (CBE). This device is expected to help in detecting tiny breast lesions in the outpatient clinic itself, helping in reducing morbidity and mortality associated with late diagnosis of carcinoma breast. Objectives: To analyze diagnostic accuracy of Breast-i and to study the prevalence of Breast Cancer in the study population. Materials and Methods: The experimental study was conducted at Sree Balaji Medical College and Hospital, Chennai over eighteen months with sixty female patients using Breast-i for early diagnosis of Breast lesions. Detailed history was taken and CBE was done. Later, patients were screened with Breast-i and further evaluation was done if abnormalities were detected with Breast-i. The findings obtained from Breast-i were compared with FNAC and Trucut Biopsy finding. The obtained data were processed with MedCalc Software Version 19.0.
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