IntroductionExtra-cranial meningioma or ectopic meningioma is a rare tumor. This tumor has been reported in various anatomic sites in the head and neck, mediastinum, skin and soft tissues. We report a rare case of ectopic meningioma in the submandibular region detected by using fine-needle aspiration cytology, histopathology and immunohistochemistry. This case represents another unusual site for extra-cranial meningioma, which prompted us to report it.Case presentationAn 18-year-old Dravidian woman presented with swelling in the right submandibular region. The computed tomographic scan findings were suggestive of a neoplastic mass lesion in the right submandibular region. Fine-needle aspiration cytology led to the differential diagnosis of a monomorphic adenoma of a salivary gland or an ectopic meningioma. The patient underwent excision of the submandibular gland and tumor. The histological examination and immunohistochemistry studies confirmed that the lesion was an extra-cranial meningioma. At her two-year follow-up examination, there was no recurrence of the tumor.ConclusionOur experience with this case indicates that, although rare, meningioma should be entertained in the differential diagnosis of a mass lesion in the head and neck region.
Even though thyroid surgery is quite safe, mechanical damage, devascularization or inadvertent removal of the parathyroid glands are possible. Though postoperative mortality is extremely low, post thyroidectomy hypocalcemia is one of the most common and potentially life-threatening complication following thyroid surgery. The clinical manifestation varies from minimal twitching to life threatening tetany and can prolong the hospital stay. The purpose of this study is to evaluate the clinical usefulness of routine oral calcium with Vitamin D supplements in reducing the incidence and severity of hypocalcemia after total thyroidectomy. This safe and cost effective therapy may prevent the threatening complications like tetany and reduce the hospital stay.
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B] c] i) ii)A b s t r a c t Two unusual cases of squamous cell carcinoma of ear. One presenting as brain abscess. Other one presenting as recurrent polyp of the ear.-case of Rhabdomyosarcoma presenting as mastoid abscess in a one year old male child with Vlth & VIIth cranial nerve palsy.A case of squamous cell carcinoma of the year-having recurrent post operative haemorrhage treated by external carotid artery li:~ation followed by radiothermav.Squamous cell carcinoma of the external auditory meatus & middle ear is commonly seen in males over the age of 50 years. Preexisting C. S. O. M. is the main pre-disposing cause of carcinoma of the middle ear, other one is irradiation injury. In advanced cases it is very difficult to determine the site of origin.Prognosis of the squamous cell carcinoma of the external auditory meatus is better than that for the middle ear. For middle ear squamous cell carcinoma radical surgery followed by post operative radiotherapy gives better result. Th is treatment produces a crude 5 year survival rate of about 25-35%.
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