Mesenteric panniculitis presenting as a huge retroperitoneal mass--a case report.

A rare case of mesenteric panniculitis occurring in a young patient and presenting as a huge retroperitoneal mass which was mistaken for malignancy, has been described.

Antral histopathological changes in acid peptic disease associated with Helicobacter pylori.

The histopathology of the antral mucosa of patients with acid peptic disease was studied in relation to Helicobacter pylori infection. Three hundred and fifty-five patients underwent gastroscopy and biopsy on 443 occasions. During each gastroscopy, two antral samples were taken for Rapid Urease Test (RUT) for H. pylori and two antral samples for histopathology. Haematoxylin and Eosin and modified Giemsa stained sections were studied. Histopathological changes in the antrum and the density of H. pylori were graded according to the Sydney System criteria. There was a significant association between the RUT and histology results for detection of H. pylori. The overall prevalence of H. pylori was 61.4% with a maximum incidence in the third and fourth decades of life, and an equal sex distribution. H. pylori colonisation was seen in 90.7% of patients with duodenal ulcer, 66.7% with gastric ulcer and 44.3% with non-ulcer dyspepsia. H. pylori colonisation was associated with more severe antral chronic active gastritis, lymphoid follicles, intestinal metaplasia and dysplasia. Elimination of H. pylori by treatment with anti-H. pylori regimens resulted in regression of the changes.

Pulmonary atresia with intact ventricular septum--a report of two cases with review of literature.

Two perinatal autopsy cases are reported where a rare congenital anomaly, namely pulmonary atresia with intact ventricular septum in association with tricuspid stenosis and a hypoplastic right ventricle was encountered.

Gastric teratoma in an infant--a case report.

Gastric teratoma is an extremely rare tumour. We report a gastric teratoma in a four month old male infant who presented with a large abdominal mass. There is no evidence of recurrence 1 1/2 years after the tumour was excised. Our case is an addition to the few cases reported in the World literature.

Metastatic bone tumours.

A total of 24 cases of metastatic bone tumours were encountered over the last 6 years. Majority of these lesions (70.8%) were found in the 4th to 6th decades of life with a slight male preponderance. The axial skeleton was involved in majority of the cases (62.5%), the spine being the commonest site of tumour metastasis. A large proportion of the metastatic bone tumours were adenocarcinomas (62.5%) and the lung was the commonest primary site followed by the breast and large intestine. In 41.7% of the patients the bone metastasis was the initial manifestation of the malignant disease which was subsequently detected after investigations. In 20.8% of the cases the primary tumour remained undetected even after through investigations.

Gestational choriocarcinoma presenting as an extradural mass--a case report.

We report an unusual case of a 23 year old female who presented with symptoms of spinal cord compression by an extradural metastasis from a gestational choriocarcinoma. She gave the history of evacuation of a hydatidiform mole five months prior to presentation, following which she had been totally asymptomatic and had not attended any follow-up. She responded to conventional chemotherapy.