Intracholecystic papillary–tubular neoplasm of gallbladder: A 5-year retrospective pathological study

Background: Intracholecystic papillary–tubular neoplasm (ICPN) is a relatively new entity which includes neoplastic polyps, adenomas, and papillary neoplasms that are ?1.0 cm. This study is done to evaluate the pathological features of ICPN and to find out the factors associated with invasion. Materials and Methods: This is a 5-year retrospective study in a referral pathology center. A total of 19 cases of ICPN are found. The cases are analyzed for age and sex distribution, clinical suspicion, stages, histological architecture, differentiation, and grade of dysplasia. Descriptive statistics and test of significance by Chi-square and t-test are used in the study. Results: ICPN comprises 23.5% of all gallbladder neoplasms. Two-thirds of the cases were suspected radiologically. Age range is 26–65 years with mean age of 50 years. They are 2.8 times more common in female. Approximately one-third of the cases show invasion. The most common histological pattern is papillary, followed by papillary–tubular and finally by tubular pattern. Pyloric and biliary are the most common differentiation pattern followed by oncocytic and intestinal pattern. About three-fourths of the cases are associated with high-grade dysplasia mostly diffuse high-grade dysplasia. Conclusion: We have found the younger age of presentation, less proportion of invasive tumors, fewer tumors with biliary phenotypes, and fewer tumors with high-grade dysplasia as compared to previous studies. Factors significantly associated with invasion are grade and extent of dysplasia particularly diffuse high-grade dysplasia.

Physicochemical Characteristics of Activated Biochar Derived from Different Sources

An experiment was carried out to study the characteristics of biochar made from rice husk, rice straw, Toria stover and bamboo leaves. Biochar was produced by slow pyrolysis system (300 –4000C). Locally available bio-wastes viz.rice husk, rice straw, toriastover and bamboo leaves were used as raw materials to produce chars. Two samples of feedstock each from 5 development blocks of Jorhat district of Assam were collected, dried and pyrolysed for production of char for their physicochemical properties. Per cent moisture and ash content, bulk density, particle density andporosity of biochars ranged from 3.26 to 4.91%, 3.70 to 24.97%, 0.178 to 0.729 g/cm3, 0.85 to 2.02 g/cm3 and 61.54 to 78.90%, respectively. Pore volume, particle size and specific surface area ranged from 0.83 to 1.15 ml, 310×147 to 350×209 ?m2 and 89.40 to 184.75 m2/g, whereas pH ,EC, CEC, total Carbon varied from 7.74 to 9.46, 0.272 to 1.005 dsm-1, 12.74 to16.68 c mol (p+)/kg and 36.63 to 49.424%, respectively. Porosity maintained significant and positive correlation with pore volume (0.715**) and specific surface area (0.614**). CEC had significant positive correlations with total C (0.583**), total N (0.587**), total K (0.443**) and IAN (0.766**).Percent total N, P, K, and S had their value ranged from 47.27 to 60.07, 0.017 to 0.032, 0.237 to 0.453 and 0.083 to 0.099; while, Ca and Mg, Fe, Zn, Cu and Iodine adsorption number ranged from 1.11 to 5.23 and 0.148 to 1.326 c mol (p+)/kg, 16.65 to 2.91, 30 to 162, 8.6 to 43 mg/kg and 186.64 to 489.77 mg/g of biochar

Leiomyoma of the nasal septum.

Leiomyoma of nasal cavity is an extremely rare and unusual benign mass that uncommonly arises from the nasal septum. These are vascular or nonvascular masses of myogenic origin. We present a rare case of leiomyoma arising from the nasal septum and discuss its management using KTP 532 laser.

Hearing anomalies following radiation therapy for head and neck cancers.

Ionizing radiation used for the treatment of head and neck tumors affected epithelial and connective tissue. Epithelial lining of the middle ear mucosa desquamated, when exposed to conventional dose of radiation. Mucosa becomes oedematous which subsequently lead to formation and collection of sterile fluid within middle ear cavity and thus producing radiation otitis media with conductive deafness. Radiation induced changes in the structure surrounding the end organs of hearing such as vascular and connective tissue alterations which later eventually could affect the end organ leading to perceptive type of hearing loss as a result of chronic anoxia to end organ.