Malignant peripheral nerve sheath tumour of maxilla

Malignant peripheral nerve sheath tumour [MPNST] is a very rare entity in head and neck with high rate of recurrences and local invasiveness. This tumour is usually found in lower extremities and only 10-12% occur in head and neck region. The diagnosis is considered as the most elusive and difficult among soft tissue sarcomas because of its non specific presentation, both clinically as well as pathologically. This difficulty has now been overcome by immunohistochemistry. We report here a case of MPNST in a 50 years old male with a localized right maxillary growth

Correlation of radiologic evidence of rhinosinusitis with the criteria set by task force for rhinosinusitis [TFR]

The development of consensus guidelines for diagnosis and treatment for rhinosinusitis has been significant challenge for otolaryngology and primary care providers. A major break through emerged in 1997 when task force for Rhinosinusitis [TFR] set forth consensus diagnostic guidelines for acute, sub-acute and chronic sinusitis, later revised in 2003. But still there is no gold standard identified to diagnose chronic rhinosinusitis. In our study we have seen the degree of agreement between TFR criteria for CRS and CT scan paranasal sinuses findings. To examine the degree of agreement between the task force criteria for chronic rhinosinusitis and CT scan findings for rhinosinusitis. All the patients had two major or one major with two minor symptoms defined by TFR criteria were enrolled. All the patients underwent assessment as per TFR criteria and diagnosed positive or negative. CT scan paranasal sinuses of all the patients were also done and were assessed as per Lund Mackay CT scoring system. Degree of agreement between these two diagnostic modalities was seen. Forty patients were enrolled for this study. Degree of agreement between TFR criteria for CRS Lund Mackay CT scati scoring system was found to be 0.615 [+1-95% Cl + 0.54 1- +/- 0.689].When we saw the sensitivity and specificity of TRF criteria against CT scan it was calculated to be 88% and 100% respectively. Positive and negative predictive value for this criteria was came out to be 100% and 25%. Degree of agreement between TFR criteria and CT scan for CRS is satisfactory. TFR criteria is highly specific to diagnose CRS

Brucellosis a case report

We present a case of 27-year-old multigravida presented to us with high-grade fever with rigors and pain and swelling in her right wrist joint two weeks after full term normal vaginal delivery. During the stay in hospital she had fairly sudden visual impairment. Considering multisystem involvement she was investigated and finally she turned out to be Brucellosis

case of pulmonary sarcoidosis, not tuberculosis

The case of sarcoidosis of the lungs is described in a 50 years old female who presented with symptoms similar to pulmonary tuberculosis. As she showed no improvement on anti-tubercular therapy, sarcoidosis was suspected and confirmed by endobronchial biopsy and she responded well to treatment