ABSTRACT
An analysis of cases presenting as mass in nasal cavity (NC), paranasal sinuses (PNS), and nasopharynx (NP) was done over a period of 7 years in Jawaharlal Nehru Medical College, Aligarh. A provisional diagnosis was made after clinical assessment and radiological investigations, but final diagnosis was made after histopathological examination. The incidence of masses in NC, PNS, and NP was 34.3 cases per year, non-neoplastic lesions constituted 60% of these cases and their incidence was 20.7 cases per year. All the cases were carefully examined histopathologically and it was found that the region was affected by a variety of non-neoplastic lesions. Among 240 cases, 145 were non-neoplastic and 95 were neoplastic The lesions in the decreasing order of frequency were - nasal polyp, rhinoscleroma, tuberculosis, fungal infection, fibrous dysplasia, ossifying fibroma, cysts, nasal glioma, and cemento-ossifying fibroma. NP was involved by a range of neoplastic lesions; however, no non-neoplastic lesion was seen in this region.
Subject(s)
Adolescent , Adult , Child , Child, Preschool , Cysts/diagnosis , Female , Fibroma/diagnosis , Fibrous Dysplasia of Bone/diagnosis , Humans , Incidence , India/epidemiology , Infant, Newborn , Male , Middle Aged , Mycoses/diagnosis , Nasal Cavity/pathology , Nasal Polyps/diagnosis , Nasopharynx/pathology , Nose Diseases/diagnosis , Paranasal Sinus Diseases/diagnosis , Paranasal Sinuses/pathology , Rhinoscleroma/diagnosis , Tuberculosis/diagnosisABSTRACT
A prospective evaluation of 17 patients of ectopic pregnancy presenting in the general surgical emergency over a period of four years is presented. Mean age of the patients was 22.6 years. Presenting complaints included sudden, severe abdominal pain and features of syncope. History of ammenorrhoea was present in 13 patients. 15 patients were married and two unmarried who denied history of contact. 13 patients had tachycardia. All had tenderness, rebound tenderness and muscle guard. 13 out of 15 patients examined had adnexal tenderness. 5 out of 9 patients had positive results on culdocentesis. Routine investigations were within normal limits. 15 patients had involvement of right tube and 2 patients left tube. Salpingectomy was the mode of management in all patients. In 7 patients it was combined with appendicectomy. A very low incidence of post operative complications was found. There was 1 death in the series. Mean hospital stay was 6 days. A number of risk factors were elucidated which predispose to tubal pregnancy. Emergency surgeon dealing with the general surgical cases should keep this possibility in mind if sudden abdominal pain and the features of shock are seen in a female during reproductive age