RESUMO
Hemoglobinopathies are the leading cause of some major genetic and social health problem in India. Among all hemoglobinopathies, sickle cell disorder and thalassemia are commonly found in Gujarat state. Double heterozygous state of hemoglobin S and D, hemoglobin E trait, hemoglobin D disease are very uncommon. In present instance, one case of 25-year-old male was diagnosed with sickle cell hemoglobin D disease. The case was confirmed through slide-based sickle test and high-performance liquid chromatography (HPLC). The peripheral smear findings showed presence of microcytic hypochromic red blood cells (RBCs) and many sickled RBCs. Ultrasonography (USG) findings showed hepatomegaly. Second case of 30-year-old female was diagnosed with hemoglobin E trait. The case was confirmed by HPLC. The peripheral findings showed normocytic normochromic RBCs and occasional target cells. Presence of gross hepatomegaly on palpation. Third case of 20-year-old female was diagnosed with hemoglobin D trait. The case was confirmed by HPLC. The peripheral findings showed normocytic normochromic RBCs.
RESUMO
A 40-year-old female presented with pain and enlargement of abdomen since last 6 months. A mass was felt over right iliac fossa. Ultrasonography showed partly cystic and solid area in mass arising from ovary. A tooth-like structure was also seen. Dermoid cyst was the diagnosis offered. Laparotomy was performed. Ovarian mass with hair, a tooth and putty-like material was present. Solid white area with thickened wall was found. Histopathology confirmed the findings of dermoid cyst and the thickened area showed squamous cell carcinoma with areas showing keratinous material and giant cell reaction which was also seen at the periphery of tumor areas. Left ovary was normal and no deposits of tumor were seen. Postoperative period was uneventful.