Patterns of tobacco usage and cessation practice among the doctors of a tertiary hospital in Kolkata.

The study was aimed to know the prevalence of smoking among medical population in Bengal. For this purpose, pretested and predesigned questionnaires were distributed among doctors of one tertiary medical college hospital in Kolkata. The survey showed that 89.39% of male doctors used tobacco in any form at any point of their life. But, only 27.69% of female doctors used tobacco including present, past and occasional user; 30.3% of male doctors and 6.15% of female doctors have given up the habit. Smoking was the most prevalent form of tobacco usage among male doctors (42.42% are regular user and 12.12% are occasional user). Chewing is the most prevalent among female doctors (15.38% are regular user and 1.53% are occasional user). Some use tobacco in the form of smoking and chewing. Most of the doctors started the habit of tobacco use during their college days. There is a trend of giving up the habit particularly after the age of 40 years. So, the use of tobacco is quite prevalent among male doctors in Bengal. But, it is very much appreciable that there is a trend of giving up the habit. As most of doctors adopted the habit during their college days,more emphasis should be given on study course regarding hazards of tobacco, so that future doctors do not adopt the habit and become role model in the society.

Osteosarcoma of the mandible--second cancer in a case of Hodgkin's lymphoma post-chemotherapy.

Osteosarcoma as a second cancer occurring in an adolescent male previously treated with only chemotherapy for Hodgkin's lymphoma is rare. A 14 year old male presented with gradual swelling of right jaw and numbness of lip and chin for last three months. He was treated with only chemotherapy for Hodgkin's lymphoma four years back. Incisional biopsy was taken from mandibular swelling, histopathology suggesting osteosarcoma. Right hemimandibulectomy and reconstruction with metallic implant were done along with excision of right parotid lymph node. Chemotherapy was started with cisplatin and doxorubicin regimen. Absence of radiation as a risk factor and very young age of the patient presenting with a second cancer made this case a rarity and hence the case is being reported.

B cell lymphoma with unusual clinical cutaneous presentation.

Cutaneous B cell lymphoma (CBCL) is a lymphoproliferative disorder of neoplastic B cell of the skin. These are rarer than T cell lymphomas. Commonly, the presenting features of CBCL are plaques or nodules. Here is a case report of CBCL with a very unusual presentation of cutaneous horns. The patient was managed by a combination chemotherapy and local radiotherapy only. He is disease-free for about the last five years. The case has been presented because of its rarity and its management protocol.