ABSTRACT
Desmoplastic Small Round Cell Tumor (DSRCT) of the paratesticular region is an extremely rare mesenchymal tumor occurring in adolescence with a tendency for extensive metastases. We report a rare case of DSRCT of paratesticular origin in a 24 year old male who presented with painless right testicular mass and disseminated abdominal disease. The patient underwent right inguinal orchidectomy and on Histopathology and Immunohistochemistry the diagnosis was confirmed. The patient was treated with multi agent chemotherapy with partial remission. Prognosis of such patients is generally dismal despite multimodality treatment.
ABSTRACT
Objectives: To assess the extent of utilization of services by underthree & their mothers at AWC’s & to study the gender differences in availing the services . Methods : A cross- sectional study regarding the utilization of services by children (0-3 years) & their mothers among 11 Anganwadis in 8 villages registered under RHTC,HIHT Dehradun. The data was tabulated on Microsoft Excel sheet and analyzed using the software SPSS 17.0 for Windows. Results : Study findings showed that majority of underthree children i.e. 89.2% were enrolled in the AWCs whereas only 29.20 % went to AWCs to avail the combined benefits of vaccination, supplementary nutrition, healthcheckups followed by Immunization services(23.2%).63.55% children in the age group 0-3 years were attending the AWC to receive SN whereas only 22% of children were availing it regularly. Conclusion: The problems encountered at AWCs were under utilization of services due to lack of awareness of parents & insufficient motivation of AWW. There is a need to improve awareness about the services especially in the underthree age group so that eligible beneficiaries can avail them.