ABSTRACT
Malignancy of small intestine is a very rare entity. Duodenum is the most common site for intestinal malignancy. The lesions present with stricture mostly. Small intestinal strictures distal to the duodenum are relatively inaccessible by endoscopy. This leads to difficulty in definitive preoperative diagnosis. The symptoms in case of jejunal malignancy are very nonspecific and a high index of suspicion is required for diagnosis.
ABSTRACT
One hundred and four cases of Hodgkin's disease diagnosed between July 1981 and June 1991 have been analysed. There was a definite male preponderance. Majority of the patients (82.7%) were below the age of 50 years. Mixed cellularity was the most common type (57.7%). It was followed by both nodular sclerosis and lymphocyte predominant types (16.3% each). Lymphocyte depletion Hodgkin's disease, the most aggressive variant, was the least common (9.7%). The detailed observations, as compared to the previous studies in this region as well as in other parts of the world have been presented and discussed.
Subject(s)
Adolescent , Adult , Age Factors , Aged , Child , Child, Preschool , Female , Hodgkin Disease/diagnosis , Humans , India/epidemiology , Infant , Infant, Newborn , Male , Middle Aged , Neoplasm Staging , Sex FactorsSubject(s)
Adenocarcinoma/secondary , Aged , Humans , Male , Prostatic Neoplasms/pathology , Testicular Neoplasms/secondaryABSTRACT
Total 206 gonadal teratomas were diagnosed in Christian Medical College and Hospital, Ludhiana from January 1980 to December 1990. 182 of them were in ovary and other 24 in testis. Majority of them i.e. 45.1% of ovarian and 45.8% of testicular lesions were seen in third decade. On gross examination 161 (88.4%) of ovarian tumours were cystic one (0.5%) was completely solid, while 20 (10.9%) showed solid as well as cystic areas. Majority (93.9%) of them were mature teratomas; 27 (14.8%) being dermoid cysts. In testicular lesions 22 (91.7%) were solid as well as cystic type and 2 (8.3%) were purely solid. Twenty (83.3%) of them were immature and only 4 (16.7%) lesions showed benign histology.
Subject(s)
Adolescent , Adult , Age Distribution , Aged , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Ovarian Neoplasms/pathology , Teratoma/pathology , Testicular Neoplasms/pathologySubject(s)
Female , Humans , India , Infant , Rhabdomyosarcoma/pathology , Vaginal Neoplasms/pathologySubject(s)
Female , Hemorrhage/etiology , Humans , Infant , Mesonephroma/complications , Vagina , Vaginal Neoplasms/complicationsSubject(s)
Adenocarcinoma/pathology , Adolescent , Child , Colonic Neoplasms/pathology , Humans , MaleABSTRACT
Out of 267 cases of teratomas diagnosed in the department of pathology, Christian Medical College and Hospital, Ludhiana, Punjab from January 1980 to December 1989, 10 cases occurred in rare sites ie, 3 cases of teratoma in retroperitoneal space, 3 in the floor of the mouth, one each in mediastinum, thyroid, urinary bladder and kidney. None of these cases was clinically suspected as teratoma. One of the 3 teratomas of the retroperitoneal space and that of kidney were solid. Lesions of mediastinum and urinary bladder were solid as well as cystic. All these teratomas showed foci of immature elements. All other tumours were cystic and contained mature tissues only. Teratomas of the thyroid and kidney were treated with subtotal thyroidectomy and nephrectomy respectively, rest had surgical resection. One patient of immature retroperitoneal teratoma was lost to follow-up. All the others are alive and well for the period of 1 to 8 years. None had recurrence.