An unusual case of eccrine porocarcinoma on the axilla with nodal involvement: A case report.

Ecrrine porocarcinoma, a rare aggressive skin tumor, develops from sweat glands located in lower limbs, followed by the head and neck, trunk, and upper limbs. The incidence represents only about 0.005% of all cutaneous malignant tumors. The most common site is the lower extremities in elderly patients. As it has a high chance of metastases and recurrence after surgery, mainstay of treatment modality is wide local excision or Mohs (micrographically oriented histographic surgery) micrographic surgery. Mohs micrographic surgery (MMS) is a more effective treatment modality for tumors located in cosmetically and functionally important areas of the head and neck. We present a 56-years-old male patient with a large fungating eccrine tumor on the left axilla with ipsilateral nodal involvement on histomorphological grounds supported with immunohistochemical studies.

Covid-19 associated Mucormycosis: A case report.

One of the most common complication of Coronavirus disease 2019 (COVID-19) is acute respiratory distress syndrome requiring high flow oxygen, ventilator support, corticosteroids and other supportive therapies. Opportunistic aggressive fungal infection with Mucormycosis, although an uncommon entity otherwise, has been on rise in this pandemic especially in patients with chronic underlying illnesses. One such case of rhino-orbital Mucormycosis in a background of uncontrolled hyperglycaemia presented in the hospital and the histopathological examination of the tissues from ethmoidal sinus and frontal recess showed invasive necro-inflammatory infection by numerous Mucormycosis hyphae. Keywords: COVID-19; mucormycosis; rhino-orbital.

Thrombotic Pathology in Placenta of COVID Positive Pregnancy.

Covid positive pregnant women were increasingly getting delivery in the health institution. Most of them were asymptomatic and had positive report after their obstetric event was over because of emergency nature of care. Lack of autopsy is the lacunae in determining tissue pathology. One case of sudden intrauterine fetal death in Covid positive patient had induced delivery in the hospital and the placental histopathology examination showed widespread villous infarction, decidual arteriopathy with thrombosis and chorioamnionitis. Keywords: Covid positive; fetal death; placenta; thrombosis.

E-learning: a Modality of Medical Education in the Period of Crisis.

Delivery of medical education is challenged during the crisis like in pandemic. The purpose of this review is to explore the possible modality of medical education in pandemic condition. The modality depends on the availability of modality based resources, set curriculum and acceptance of modality. Blended learning and e-learning appear as the options of teaching-learning in crisis situation. Medical schools may adopt blended learning and e-learning modalities through curriculum that requires capacity building and availability of e-learning tools. Rescheduling the practical and clinical part in both training and evaluation are the immediate actions. Thus the existing method should be optimized by revision, replacement or postponement. Keywords: Crisis; curriculum; e-learning; medical education; pandemic.