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An unusual presentation of non-Hodgkin lymphoma: Base of tongue growth 非霍奇金淋巴瘤的不寻常表现:舌根生长
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.159098
D. Srinivasan, Sumith S. Deep, D. Thimmappa
Non-Hodgkin lymphoma (NHL) involving base of the tongue is a rare presentation with an incidence of only 7% of total cases. Because of its rarity it is often diagnosed late as lymphoma and mismanaged widely. We present one such case of 70-year-old female with complaints of difficulty in swallowing being diagnosed as NHL lesion of diffuse large B-cell variety arising in base of the tongue.
非霍奇金淋巴瘤(NHL)累及舌底是一种罕见的表现,发病率仅占总病例的7%。由于它的罕见性,它经常被诊断为淋巴瘤晚期和广泛的管理不善。我们报告一例70岁女性患者,主诉吞咽困难,诊断为舌底弥漫性大b细胞病变。
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引用次数: 0
Gastric adenomyoma causing outlet obstruction 胃腺肌瘤引起出口阻塞
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172537
M. Suma, P. Jayalakshmy, R. Resna, J. Augustine
Adenomyoma of stomach is a rare condition that may or may not present with symptoms, often depending on the location of the tumor. Here, we present a case of gastric adenomyoma with pancreatic heterotopia in the pyloric region causing outlet obstruction. Clinically, radiologically, and histologically adenomyoma of the stomach may mimic gastric malignancy. Awareness of this lesion is necessary to avoid misdiagnosis of the condition.
胃腺肌瘤是一种罕见的疾病,可能会或可能不会出现症状,通常取决于肿瘤的位置。在此,我们报告一例胃腺肌瘤合并幽门区胰腺异位,导致出口梗阻。胃腺肌瘤的临床、放射学和组织学可能与胃恶性肿瘤相似。意识到这种病变是必要的,以避免误诊的条件。
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引用次数: 3
A giant chylolymphatic cyst presenting as intestinal obstruction in a neonate 一个巨大的乳糜淋巴囊肿,表现为新生儿的肠梗阻
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172530
K. Rattan, Sudha Yadav, S. Chhabra, A. Rattan
We are reporting a case of giant chylolymphatic cyst of mesentery that presented with obstruction in a neonate. On exploratory laparotomy surgical excision of the cyst along with ileum was carried out. The cyst was diagnosed as chylolymphatic cyst on histopathological examination. Due to rarity, we are prompted to report this case.
我们报告一个新生儿肠系膜乳糜淋巴囊肿梗阻的病例。探查性剖腹手术切除囊肿及回肠。经组织病理学检查诊断为乳糜淋巴囊肿。由于罕见,我们被提示报告此病例。
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引用次数: 0
A rare presentation of common bile duct stone 胆总管结石的罕见表现
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172524
M. K. Sharma, Ashok K. Gupta, R. Singal, R. Jain, A. Khatri, Prateek Sharda, Nitish Dhawan, K. Sindhu
Acute cholangitis and pancreatitis are the most common complications of the obstructed common bile duct(CBD). We are reporting a rare entity case diagnosed as giant CBD stone of size 5 cm × 3 cm × 4 cm with normal liver function test. As far as giant CBD stones are concerned, surgery is the treatment of choice whereas endoscopic procedure requires careful observation and further treatment innovations may be required.
急性胆管炎和胰腺炎是胆总管梗阻最常见的并发症。我们报告一例罕见的实体病例,诊断为巨大的CBD结石,大小为5厘米× 3厘米× 4厘米,肝功能检查正常。就巨大的CBD结石而言,手术是治疗的选择,而内窥镜手术需要仔细观察,可能需要进一步的治疗创新。
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引用次数: 2
Symptomatic pelvic paraganglioma in an adult 成人有症状的盆腔副神经节瘤
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172528
Z. Syed, A. Chaturvedi, Wasif Bashir, Dhawan Sunaina
Paragangliomas are relatively rare in an adults, with most arising from para-aortic sympathetic chain. Paraganglioma localized at the extravesical pelvic cavity is extremely rare, only few case reports are published. We report a case of paravesical paraganglioma in a 45-year-old man who initially presented with irritable bladder and palpitations after voiding for 6 years and was being treated symptomatically for urinary tract infection and anxiety. Cross-sectional imaging showed a paravesical mass and was treated by robotic excision of the mass.
副神经节瘤在成人中相对罕见,大多数发生于主动脉旁交感神经链。副神经节瘤位于骨盆腔外极为罕见,仅有少数病例报道。我们报告一例45岁男性的膀胱旁副神经节瘤,他在排尿6年后最初表现为膀胱易激和心悸,并因尿路感染和焦虑而接受对症治疗。横断成像显示膀胱旁肿块,并通过机器人切除肿块。
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引用次数: 0
Colorectal cancer research in India: An analysis of publications output, 2005–2014 印度结直肠癌研究:2005-2014年出版物输出分析
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172525
B. Gupta, Ritu Gupta, KK Mueen Ahmed
Background and Methods: The present paper examines 3042 Indian publications in colorectal cancer, as covered in Scopus database during 2005–2014, experiencing an annual average growth rate of 4.06% and citation impact of 3.91. Results: The world colorectal cancer output (171,518 publications) came from several countries, of which the top 15 (United States, China., Japan, U.K., Germany, Italy, France, etc.) together accounts for 90.64% share of the global output during 2005–2014. India's global publication share was 1.77% during 2005–2014, which increased from 1.13% to 2.27% from 2005–2009 to 2010–2014. India's international collaborative share in colorectal cancer was 19.56% during 2005–2014, which increased from 15.05% to 20.14% from 2005–2009 to 2010–2014. Only 68.01% publications were cited 1 or more times since their publications till February 2015. Medicine accounted for the largest share (58.12%) of output in colorectal cancer, followed by biochemistry, genetics and molecular biology (34.62%), pharmacology, toxicology and pharmaceutics (29.26%), chemistry (9.60%), agricultural and biological sciences (4.80% share) and immunology and microbiology (3.68% share) during 2005–2014. Diagnosis, chemotherapy, surgery, and screening together account for 56.02% publications share among treatments methods used in Indian colorectal cancer research during 2005–2014 Maharashtra, Delhi, Tamil Nadu, and Karnataka together contributed 57.82% share in Indian publications output in colorectal cancer during 2005–2014. Conclusion: The authors stressed the need for developing national policy for colorectal cancer which should take care of screening for detection and diagnosis, management and treatment options of the prostate cancer patients in India.
背景与方法:本论文分析了2005-2014年Scopus数据库中3042篇关于结直肠癌的印度出版物,平均年增长率为4.06%,引用影响为3.91。结果:世界结直肠癌论文发表量(171518篇)来自多个国家,其中排名前15位的是美国、中国。2005-2014年,美国、日本、英国、德国、意大利、法国等国家占全球产出的90.64%。2005-2014年印度的全球出版物份额为1.77%,从2005-2009年的1.13%增加到2010-2014年的2.27%。2005-2014年印度结直肠癌国际合作份额为19.56%,从2005-2009年的15.05%增加到2010-2014年的20.14%。截至2015年2月,被引次数在1次及以上的文献仅占68.01%。2005-2014年结直肠癌的医学产出占比最大(58.12%),其次是生物化学、遗传学和分子生物学(34.62%)、药理学、毒理学和药剂学(29.26%)、化学(9.60%)、农业和生物科学(4.80%)、免疫学和微生物学(3.68%)。2005-2014年,在印度结直肠癌研究中使用的治疗方法中,诊断、化疗、手术和筛查共占56.02%的出版物份额。马哈拉施特拉邦、德里、泰米尔纳德邦和卡纳塔克邦在2005-2014年期间共占印度结直肠癌出版物产量的57.82%。结论:作者强调了制定国家大肠癌政策的必要性,该政策应关注印度前列腺癌患者的筛查、检测和诊断、管理和治疗方案。
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引用次数: 2
Campylobacter jejuni from perforated gastric ulcer: A rare case 胃溃疡穿孔致空肠弯曲杆菌一例
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.159099
Ruchi Tayal, A. De, S. Baveja, Meena Kumar, S. Sundaravadanan
Campylobacter species induced enteritis is among the most common in the world. However, its association with gastric perforation is not well documented. We report here a case of a 27-year-old male who presented with a gastric perforation. Gastric biopsy sample revealed Gram-negative spiral bacilli and culture on modified Thayer-Martin agar yielded Campylobacter jejuni. The identification was confirmed by standard biochemical tests. This is probably the first documented case report from India of C. jejuni from the gastric biopsy.
弯曲杆菌引起的肠炎是世界上最常见的肠炎之一。然而,其与胃穿孔的关系并没有很好的文献记载。我们在这里报告一个27岁的男性谁提出了胃穿孔。胃活检显示革兰氏阴性螺旋杆菌,改良Thayer-Martin琼脂培养为空肠弯曲杆菌。该鉴定经标准生化试验证实。这可能是印度第一例从胃活检中发现空肠梭菌的病例报告。
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引用次数: 0
Immature teratoma with microscopic yolk sac tumor: A case of diagnostic challenge on histology 未成熟畸胎瘤伴显微卵黄囊瘤:一例组织学诊断挑战
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172527
S. Saraf, M. Chaturvedi, Manisha S Khare, A. Kalgutkar
An adolescent girl with raised alpha-fetoprotein (AFP) levels presented with a left-sided large solid ovarian mass. Microscopically, the tumor was composed of a variety of immature and mature tissues derived from the three germ layers having very sparse (single focus of) immature neuroepithelium. Few areas also showed the presence of a reticular pattern of yolk sac tumor (YST). Hence, the tumor was diagnosed as immature teratoma with microscopic foci of yolk sac elements. After 6 months of cisplatin-based chemotherapy, she developed a recurrence which was composed of mature teratoma on histology. In this case, the single focus of immature neuroepithelium caused a difficulty in labeling this tumor as an immature teratoma which otherwise resembled a mature teratoma. The raised AFP levels suggested the presence of yolk sac element, the classical form of which was seen at microscopy in only a few areas. As compared to the markedly elevated serum AFP levels, the classical yolk sac tumorous area was very limited thus advocating the view that differentiated glands with subnuclear vacuoles similar to immature endoderm represent well-differentiated forms of YST.[1]
一个青春期女孩与升高的甲胎蛋白(AFP)水平表现为左侧大实心卵巢肿块。显微镜下,肿瘤由多种来自三胚层的未成熟和成熟组织组成,其未成熟神经上皮非常稀疏(单一病灶)。少数区域还可见网状卵黄囊瘤(YST)。因此,肿瘤被诊断为未成熟畸胎瘤,显微镜下可见卵黄囊元素灶。经6个月以顺铂为主的化疗后复发,组织学上为成熟畸胎瘤。在本例中,未成熟神经上皮的单一焦点导致难以将该肿瘤标记为未成熟畸胎瘤,否则类似于成熟畸胎瘤。AFP水平升高提示存在卵黄囊元素,其经典形式在显微镜下仅在少数区域可见。与血清AFP水平的显著升高相比,经典卵黄囊肿瘤区域非常有限,因此,具有类似于未成熟内胚层的亚核空泡的分化腺体代表了高分化的YST.[1]
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引用次数: 0
Incidentally diagnosed retroperitoneal alveolar soft part sarcoma 偶然诊断为腹膜后肺泡软组织肉瘤
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.159101
Nirmala Kalwaniya, P. Choudhary, Sarita Kalwaniya
A 20-year-old male incidentally diagnosed with left retroperitoneal mass on ultrasound. Computed tomography scan abdomen revealed heterogeneously enhancing left retroperitoneal mass with marginal blood vessels. Histopathological examination of postsurgical tumor specimen showed cells forming pseudoalveolar structures separated from each other by sinusoidal vascular channels suggestive of alveolar soft part sarcoma.
一名20岁男性偶然在超声检查中被诊断为左腹膜后肿块。腹部计算机断层扫描显示左侧腹膜后肿块增强,边缘有血管。术后肿瘤标本的组织病理学检查显示细胞形成假肺泡结构,由窦状血管通道相互分离,提示肺泡软组织肉瘤。
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引用次数: 0
Collecting duct carcinoma of kidney in a teenage boy 一个十几岁男孩的肾收集管癌
Pub Date : 2016-01-01 DOI: 10.4103/2348-3113.172529
Z. Syed, A. Chaturvedi, Sunaina, Wasif Bashir
Carcinoma of the collecting ducts of Bellini are rare aggressive neoplasms of distal nephron origin; it accounts for 2% of all renal cell carcinomas. Clinically, collecting duct carcinoma (CDC) is characterized by an extremely aggressive phenotype, accompanying metastatic diseases at presentation in most reported cases. Most cases of CDC have been reported with median age above 50 years. To our knowledge, this is the only second case report of CDC in a young teenager patient below 19 years with metastasis to lungs and bones at presentation.
摘要贝利尼集管癌是一种罕见的远端肾源性侵袭性肿瘤;它占所有肾细胞癌的2%。临床上,收集管癌(CDC)的特点是极具侵袭性的表型,在大多数报告的病例中伴有转移性疾病。大多数疾病预防控制中心病例的报告中位年龄在50岁以上。据我们所知,这是唯一的第二例CDC病例报告在19岁以下的年轻青少年患者中出现肺和骨骼转移。
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引用次数: 1
期刊
Oncology, Gastroenterology and Hepatology Reports
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