Maxillary adenomatoid odontogenic tumour - an uncommon oral pathology, reported locally

Background: Adenomatoid odontogenic tumor [AOT] is relatively an uncommon oral tumour, which accounts for about 3-7% of all odontogenic tumors as reported in the literature, but local reporting in Pakistan is insignificant. AOT is a benign [hamartomatous], noninvasive odontogenic tumour with slow and sustained growth. This report describes the surgical therapy, clinical course and morphological characteristics of an AOT, which developed in the maxilla of 22 years old female patient, initially diagnosed as a Gobulomaxillary Cyst, based on the clinical and radiological features. No local recurrence has been observed so far, as it was successfully completely removed under local anaesthesia

Benign mesothelioma of peritoneum presenting as a pelvic mass

A large solitary multiloculated pelvic cyst in a 40-year-old woman with chronic pelvic pain was diagnosed to be a Multicystic Benign Mesothelioma [MBM] of peritoneum at laparotomy. Operative findings showed dense adhesions between uterus and bladder anteriorly, small intestines and pouch of Douglas posteriorly, a right ovarian cyst cm containing clear serous fluid and two nodular deposits were seen in the pouch of Douglas, small multiple deposits was found over the mesentery of small intestine and parietal peritoneum. Total abdominal hysterectomy with bilateral oophorectomy and infracolic omentectomy was done. During surgery, there was injury to the small intestine hence, resection of 10 inches of small intestine with re-anastomosis was carried out. Postoperative recovery was satisfactory. At 3 years follow-up, patient is symptom-free

unusual presentation of pilomatrixoma

A case of twenty years old female is reported, which was treated inappropriately. She complained of a painless lump located on the right cheek at middle half of the face. An early diagnosis of sebaceous cyst was made. Excision was performed and histopathological findings revealed Pilomatrixoma. Pilomatrixoma is an uncommon, harmless, skin lesion derived from hair matrix cells. It is composed of an epithelial component of the most proximal portion of hair follicle. It is most often diagnosed in young children but may also affect adults. Single skincoloured or purplish lesions arise on the head and neck, but they may occur at any site. The key to diagnosis is identification of darkly stained 'basophilic cells' and 'shadow cells'. Calcium deposits are found in most of the lesions. Complete surgical excision is the treatment with rare chances of complications

Confirmation of the preoperative diagnosis for hysterectomy

This study was carried out in Gynaecology and Obstetrics department of Sir Ganga Ram Hospital, Lahore. The analysis of the case records and histopathology reports of 252 women, who underwent hysterectomy, was done. The objective of study was to determine the indications for hysterectomy in non-malignant diseases and to describe the indications where hysterectomy can be avoided or delayed. Out of 252 women included in the study. 175 had abdominal hysterectomy and 77 had vaginal hysterectomy. Fibroid uterus, dysfunctional uterine bleeding and uterovaginal prolapse were the major indications for hysterectomy. Forty-five percent of hysterectomies were performed for preoperative diagnosis that could potentially be confirmed by pathologic examination. Of these, in 88 percent the preoperative diagnoses were confirmed histologically. The pathologic report confirmed leiomyoma in 90.6 percent, endometrial hyperplasia 88.4 percent, adenomyosis 83 percent and cervical intraepithelial neoplasia in 100 percent cases. In remaining 55 percent of hysterectomies, indications were not potentially confirmable by the pathology. In 60.8 percent cases no pathology was detected, while 39 percent specimens revealed a pathology which was not diagnosed pre-operatively