Behavioural patterns of adenocystic carcinoma of lacrimal glands

ADENOCYSTIC carcinoma or a cylindroma is a highly malignant tumour of the salivary glands. Very rarely it arises from the lacrimal gland. Here we report two cases of adenocystic carcinoma of the lacrimal gland seen in the last 5 years in Bahrain and treated at Salmaniya Medical Centre with emphasis on the clinical course in relation to the histopathological pattern

management of hypersplenism in portal hypertension due to liver cirrhosis

Splenectomy is the treatment of choice in controlling hypersplenism complicating liver cirrhosis and portal hypertension. It has the added benefit of eliminating the physical discomfort associated with the very large spleens that many of these patients have. Porto-systemic shunting alone seems to have limited value in the control of hyperspienism but should be added to splenectomy when control of portal hypertension is indicated for bleeding varices