Lung biopsy does not always provide a specific diagnosis and does not always change therapy. The site, size, number, and laterality of the biopsy specimen have no definite influence on diagnosis. There is a trend to improve diagnostic yield by carrying out two or more biopsies on the right lung.

Osteoma is a benign osteogenic neoplasm microscopically consisting of proliferation of cancellous or compact bone. Peripheral osteomas (PO) arise from the periosteum and are quite uncommon in the jaw bones. POs of mandible are considered as rare entity and very few cases have been reported in the literature. The pathogenesis of PO is unclear. Some investigators consider it a true neoplasm, while others believe it as a developmental anomaly, a reactive mechanism due to trauma or infection. The purpose of this article is to present the clinical, radiographic, surgical and histological features of a solitary peripheral osteoma of the mandible in a 43-year-old woman and to review the literature for PO located in the mandible.

A 50 year old lady presented to eye opd with a painless, nodular lid mass in right lower eye lid for 6 months with an aggressive growth for last 3 months. Physical examination revealed a solid mass of size about 30 mm x 30 mm x 20 mm. A complete excision of the mass with a 3mm clear margin was done along with lid reconstruction using Tanzel Flap technique. Biopsy and immunohistochemistry study revealed sebaceous cell carcinoma of right lower eye lid.

Poster Abstracts 5 8 2 WEDNESDAY Supplement to Transplantation July 27, 2008, Volume 86 Number 2Simmune crescentic glomerulonephritis associated with antibody mediated rejection. Further studies are required to explore the causative link between alloantibody and glomerular process.

To determine the clinico-pathological status of lacrimal abscess with special reference to bacteriological flora of lacrimal abscess in the region of Southern Assam. Materials and Methods: 50 patients of age group 15-65 years of either sex and age, presenting with lacrimal abscess from a period of January to December 2019 in Silchar Medical College and Hospital, Assam, were taken up for the study. Under aseptic and antiseptic conditions swabs were collected from lacrimal abscess and sent for microbiological analysis. Results: In this prospective study 50 patients of lacrimal abscess were enrolled during study period. Out of the 50 samples, 40 samples yielded a positive result and out of the 40 samples, majority of microorganisms isolated was Gram positive bacteria 60% (24) (Most frequently Staphylococcus aureus). Gram negative bacteria were encountered from 16 samples (most commonly E. coli). Conclusion:In our study we have found that the most common causative organism of lacrimal abscess was Staphylococcus aureus but in patients with previous history of mucopurulent discharge the Gram-negative bacteria were potential pathogens. The study of the bacteriology of the disease helps significantly in the choice of specific antimicrobial agents in particular demographic trend.

Background: The most common immunosuppressant, Anti-thymocyte Globulin (ATGs) has been widely used by clinicians for the treatment and prevention of rejection at the time of organ transplant. Transplantation is the best option for the people with renal failure at end stage, requiring replacement of renal therapy. This is a promising treatment option with significant benefits in terms of mortality and morbidity. ATG prevents organ rejection by inhibition of activated T-cells and other immune and nonimmune cells. The aim of the study was to compare different induction regimens with ATG for the survival of smooth kidney transplantation. Methodology: Studies of the last 20 years, focusing on kidney transplantation and the efficacy of antithymocyte use for kidney transplantation were reviewed for the study literature. The keywords used were Kidney Transplantation, Induction agents, ATG, Allograft, Immunosuppressant Agents. Results: Literature suggested that the most important problem with transplantation is the protection of the allograft from activated immunological forces, which begin to react early in the period after transplantation and cause significant damage with serious short-term and long-term consequences. This process is called rejection, which is usually classified as cell-mediated and antibody-mediated rejection. The phenomenon mediated by cells causes concern, as it is the cause of future failures and damage to the allograft. To combat these phenomena with different results, various strategies were adopted. Among these therapies, ATG has recognized the exceptional importance of preventing cellular mediated rejection, allowing allotransplants to function smoothly with the greatest possible long-term benefits. Conclusion: It can be concluded on the basis of previous studies that ATG as an induction agent, is more efficient in reducing the rejection rate in the renal transplantation as compared with other agents.

A 35 year old male presented with multiple discharging sinuses in the right gluteal region & multiple nodular soft tissue swellings in the right side of face for one year. FNAC from lesions of both sites showed it as a case of actinomycosis. He was successfully treated by antibiotics & local care of the affected area. No surgical intervention was required. Here we like to present our experience of diagnosing & treating this rare disease. Keywords: Actinomycosis, Actinomyces israeli, cervicofacial actinomycosis DOI:10.3329/jom.v11i1.4279 J Medicine 2010: 11: 74-77