Subject(s)
Cephalometry , Jaw/anatomy & histology , Adolescent , Adult , Child , Female , Humans , Incisor/anatomy & histology , India , Male , Reference Values , Vertical DimensionABSTRACT
AIMS: Primitive neuroectodermal tumour (PNET) is a malignant small round cell tumour that exhibits neuroepithelial differentiation. Isolated cases of PNET have been reported in visceral sites such as the kidney, uterus, ovary, testis, urinary bladder and pancreas. We present two cases of PNET of the parotid gland. METHODS AND RESULTS: The first case was a 60-year-old woman, who presented with a parotid swelling of 10 months duration. The second case was a 45-year-old man, who presented with a recurrent temporofacial swelling of 6 months duration. Histological evaluation, in conjunction with immunohistochemistry, confirmed the diagnosis of PNET. CONCLUSIONS: This is the first documentation of PNET of the salivary gland. The probable origin is from the facial nerve.
Subject(s)
Neuroectodermal Tumors, Primitive/pathology , Parotid Neoplasms/pathology , Biomarkers, Tumor/metabolism , Female , Humans , Immunohistochemistry , Male , Middle Aged , Neuroectodermal Tumors, Primitive/genetics , Neuroectodermal Tumors, Primitive/metabolism , Parotid Neoplasms/genetics , Parotid Neoplasms/metabolism , Tomography, X-Ray ComputedABSTRACT
Supernumerary nostril is an extremely rare congenital anomaly with sporadic reports of its occurrence in the literature. Associated congenital anomalies have not been present in the cases described. The treatment is excision of the nostril, using the technique of a fistulectomy, and associated procedures to correct a bifid nasal tip or wide columella base. We describe our experience with this anomaly in an adult male, who had features of an incomplete naso-ocular cleft. We treated it by excising the accessory nostril, repositioning the displaced alar base, and providing skin and lining, which were both deficient, by local flaps.
Subject(s)
Maxilla/abnormalities , Nose/abnormalities , Orbit/abnormalities , Adult , Humans , Male , Nose/surgery , RhinoplastyABSTRACT
Twenty-five cases with ischemic bowel disease seen over a period of 4 years are presented. Of these, 20 cases presented with acute symptoms and five with chronic symptoms. In the majority of patients, the diagnosis was established at operation and on histopathology. Occlusive disease of the superior mesenteric artery was the commonest cause of acute ischemia. Non-occlusive ischemia was not observed in any case. All the patients were treated by resection and anastomosis of the involved bowel. Vascular procedures were not carried out in any. No planned second-look procedures were carried out. Of the 20 acute cases, eight patients died and three developed complications. One chronic case died and there were no other complications in this group. We suggest that ischemic bowel disease should be considered while dealing with cases presenting as acute abdomen or with chronic abdominal pain.
