ABSTRACT
A case is reported of metastatic bronchogenic carcinoma involving the frontal sinus and masquerading as a Pott's puffy tumour. A pathological fracture and persistent lung radiographic changes prompted fine needle aspiration of the mass, which showed a poorly differentiated adenocarcinoma.
Subject(s)
Carcinoma, Bronchogenic/secondary , Frontal Sinus/pathology , Lung Neoplasms/pathology , Paranasal Sinus Neoplasms/diagnosis , Paranasal Sinus Neoplasms/secondary , Aged , Diagnosis, Differential , Female , HumansABSTRACT
Firework injuries can manifest themselves in many different ways; usually as an explosive or burn injury. This case describes an unusual presentation of a firework penetrating injury resulting in a sharp coiled metal foreign body travelling through a small entry wound in the neck and subsequently lodging itself in the tracheobronchial tree. A foreign body such as this can potentially travel a considerable distance through the soft tissues and end up in an unsuspecting distant site. There must, therefore, be a high index of suspicion with the appropriate radiological investigations for appropriate management of such cases.
Subject(s)
Blast Injuries/etiology , Foreign-Body Migration/etiology , Neck Injuries/etiology , Trachea , Wounds, Penetrating/etiology , Adult , Blast Injuries/diagnostic imaging , Foreign-Body Migration/diagnostic imaging , Humans , Metals , Neck Injuries/diagnostic imaging , Radiography , Wounds, Penetrating/diagnostic imagingABSTRACT
Microcystic adnexal carcinoma (MAC) is a rare adnexal tumour which has only recently been recognized as a separate clinicopathological entity. It typically affects the face of the middle-aged and often requires extensive surgical excision, due to its locally invasive nature. Its clinical significance is that, despite being locally invasive, MAC is typified by a lack of metastatic spread. We present a case and review of the literature.
Subject(s)
Carcinoma, Skin Appendage/pathology , Nasal Septum , Nose Neoplasms/pathology , Carcinoma, Skin Appendage/radiotherapy , Carcinoma, Skin Appendage/surgery , Combined Modality Therapy , Female , Humans , Middle Aged , Nose Neoplasms/radiotherapy , Nose Neoplasms/surgeryABSTRACT
Cadaveric temporal bone surgery has previously required the use of the operating microscope. However, in this financial climate, the cost of a microscope can prove prohibitive to many departments. We describe a less expensive, alternative form of magnification and illumination in the temporal bone laboratory.
Subject(s)
Education, Medical, Graduate/methods , General Surgery/education , Otologic Surgical Procedures/instrumentation , Temporal Bone/surgery , Cadaver , Humans , MicroscopyABSTRACT
We report the 20-year results of Bonnin's modification of the Bristow-Latarjet procedure in 14 patients operated on by one surgeon. All but one patient had had traumatic dislocations. At review, the Rowe scores were excellent in five, good in eight and fair in one. The functional outcome was satisfactory, with a mean Constant-Murley score of 80 points (68 to 95), but 12 patients had restriction of external rotation (86%). There were radiological degenerative changes in ten shoulders (71%): six in Samilson grade I, one in grade II, and three in grade III. Isometric power was considerably reduced in patients with grade-III degenerative change. This operation provides good long-term shoulder stability, but the high incidence of radiological degenerative change is a cause for concern.
