Adenomatoid tumors are regarded as distinctive benign mesothelial neoplasms of the paratesticular region, most commonly occurring at the tail of the epididymidis. Because of its rarity, the clinical and histopathological aspects are discussed. We present the case of 40 years old male patient came to our OPD with complaints of left hemiscrotal swelling since 6 months duration. A clinical diagnosis of testicular neoplasm was made, but the final diagnosis of adenomatoid tumor was made after excision. Due to its low incidence in intrascrotal pathology, we believe it is important for the physician to be aware of this interesting entity in order to make a differential diagnosis from other inflammatory processes and to adopt the proper surgical approach.
Background: The neck swelling is often surrounded by mystique in arriving at a diagnosis as well as in its management. There are many good approaches to a patient with a swelling in the neck.Methods: This study was done in Dr. D. Y. Patil Medical College Hospital and Research Centre, Pune. In this study, we have taken 30 cases in study group. Only posterior triangle neck swellings were considered during the study. Clinico-pathological co-relation was done during the study.Results: In the present study group of 30 patients we found 10 patients to be having Lymphadenitis which includes both tuberculous and non-tuberculous, 8 patients to be having lipoma, 4 patients to be having neck secondaries, 2 patients of cystic hygroma and 6 nonspecific causes like cavernous haemangioma, madelung disease, Kikuchi Fujimoto disease. Further histological co-relation was done.Conclusions: Incidence of different types of neck swellings were found and rare diseases like Madelung’s disease and Kikuchi fujimoto’s disease.
Background: Swellings in the neck are common and are encountered frequently in General Surgery. A diagnosis may be possible based on clinical examination alone but, investigations are required to clarify the diagnosis and, to exclude a diagnosis of malignancy. With this background, the present study is conducted in an effort to find out the causes for non-thyroidal neck swellings, and to assess the various investigations and management available for treating these neck swellings.Methods: The study was conducted on newly diagnosed non thyroidal neck swelling cases coming to the Dept. of General Surgery, ENT, Oro- Maxillofacial and Pulmonary Medicine (OPD and IPD), Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. The study was conducted from July 2017 to July 2019. Data collection included history taking, clinical examination, and radiological investigation and histopathological examination by specific pathologist throughout the study. After confirmation of diagnosis, patients were subjected to further management.Results: Among 100 patients, male to female ratio was 1:1. The Mean age of the participants is 40.41±12.85 years. There was statistically significant association between tobacco addiction and malignant neck swelling. Considering HPE as gold standard, the sensitivity and specificity of fine needle aspiration cytology (FNAC) diagnosis is 81.8% and 100% respectively.Conclusions: The overwhelming amount of possible diseases linked to a swelling in the neck, makes it of utmost importance to follow a strict protocol for appropriate diagnosis making and prompt treatment so as to prevent diagnostic delay.
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