A Study of Neoplastic and Non-neoplastic Sinonasal Masses at a Tertiary Center

ABSTRACT Aim The aim of this study was to evaluate all the cases of sinonasal masses based on histopathology into neoplastic and non-neoplastic lesions and to study their clinical and radiological presentations. Materials and methods The present study was carried out in 42 patients coming to the outpatient and inpatient Department of ENT of Netaji Subhash Chandra Bose Medical College & Hospital with the complaint of nasal obstruction during the period of March 2015 to August 2016. Patients were subjected to thorough clinical examinations and radiological investigations, which included digital X-ray paranasal sinus (PNS) and contrast-enhanced computed tomography PNS, and diagnosis was confirmed by nasal biopsy for histopathology reports. Results and observations A total of 42 patients were studied, of which 71.43% were non-neoplastic and 28.57% were neoplastic. Nasal polyps were the commonest non-neoplastic lesions (61.91%). Most common benign neoplastic lesion was angiofibroma (11.9%), while the commonest malignant neoplastic mass was found to be squamous cell carcinoma (7.14%). There was one case of adenoid cystic carcinoma. Conclusion Patients with sinonasal masses may present with trivial complaints, but proper evaluation of all the cases will enable us to make specific diagnosis and treat them accordingly. How to cite this article Sachdeva K, Naskar S. A Study of Neoplastic and Non-neoplastic Sinonasal Masses at a Tertiary Center. Clin Rhinol An Int J 2017;10(2):66-69.

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Dermatomyositis with renal infarction: a case report and literature review

Journal of International Medical Research ◽

10.1177/0300060517709673 ◽

2017 ◽

Vol 45 (6) ◽

pp. 2153-2157 ◽

Cited By ~ 1

Author(s):

Ti Zhang ◽

Xin Liu ◽

Huji Xu

Keyword(s):

Corticosteroid Therapy ◽

Abdominal Ultrasound ◽

Renal Infarction ◽

Low Back ◽

X Ray ◽

Contrast Enhanced ◽

Low Sensitivity ◽

The Right ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Renal infarction is a rare clinical entity that is not easily detected by low-sensitivity ultrasound. We herein report a case of dermatomyositis with renal infarction detected during corticosteroid therapy. The patient was followed up for 18 months. A woman who was clinically diagnosed with dermatomyositis complained of severe pain in the right flank of the low back and abdomen, accompanied by nausea and vomiting during corticosteroid therapy. Based on the findings of routine blood tests, abdominal X-ray radiography, and abdominal ultrasound, the patient was diagnosed with acute gastroenteritis and treated with levofloxacin. However, her symptoms were not relieved. Abdominal contrast-enhanced computed tomography revealed renal infarction. Clinicians should be alert to the occurrence of thrombosis, especially when it manifests as vasculitis in patients with rheumatic disease who complain of severe abdominal pain, because it may suggest the presence of renal infarction.

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ROLE OF TRIPLE PHASE CONTRAST ENHANCED COMPUTED TOMOGRAPHY IN HEPATIC LESIONS AND THEIR CYTOPATHOLOGICAL CORRELATION

10.36106/ijar/1201308 ◽

2021 ◽

pp. 29-33

Author(s):

Sandeep Kaur ◽

Chaitanya Tapasvi ◽

Sarita Nibhoria ◽

Divya Soin

Keyword(s):

Computed Tomography ◽

Phase Contrast ◽

Imaging Modality ◽

Medical College ◽

Contrast Enhanced ◽

Highly Sensitive ◽

Hepatic Lesions ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

AIMS: To evaluate the enhancement patterns of hepatic lesions on triple phase contrast enhanced computed tomography and to correlate the CT ndings of hepatic lesions with cytological ndings on ne needle aspiration cytology (FNAC). Settings and Design: This prospective observational study was carried out at Department of Radiodiagnosis, Gobind Singh Medical College and Hospital, Faridkot. The study was approved by the Institutional Ethics Committee. Source of Data: A total of 75 patients who had hepatic lesions on ultrasonography and clinical suspicion of focal hepatic lesions were referred for CECT abdomen. Findings of Triple phase CT for hepatic lesions were correlated with cytopathological ndings. Methods and Material: A Triphasic CECT abdomen was performed on Siemens Somatom Perspective 128 slice scanner in the Department of Radiodiagnosis, Guru Gobind Singh Medical College and Hospital, Faridkot. The entire liver was scanned successively, in arterial, portovenous and delayed phases. A 5mm collimation and 5mm/sec table speed were used. After obtaining a digital scout view, unenhanced scan of the liver was obtained.1.5ml/kg body weight of 300mgI/ml iodinated contrast material was administered by using a pressure injector at a rate of 3.0 mL/s using a pressure injector.USG/CT guided FNAC was done. CT imaging ndings were classied as benign or malignant by correlating them with cytopathological ndings. Results: The present study inferred that Triple phase CECT is a highly sensitive and specic imaging modality for detection and characterization of hepatic lesions with an overall sensitivity and specicity of 100.00 % (95% C.I. 92.45% to 100%) and 92.86% (95% C.I. 76.50% to 99.12%)respectively when correlated with cytopathological ndings. Conclusions: It is inferred from our study that triple phase CECT is highly sensitive and specic imaging modality for detection and characterization of hepatic lesions with wide availability in the present scenario.

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A study of surgical outcome of necrotizing pancreatitis

International Surgery Journal ◽

10.18203/2349-2902.isj20175916 ◽

2017 ◽

Vol 5 (1) ◽

pp. 305

Author(s):

Bhondave Suraj Tukaram ◽

Niranjan Dash ◽

V. J. Thipse ◽

J. M. Gadekar

Keyword(s):

Conservative Management ◽

Death Rate ◽

Necrotizing Pancreatitis ◽

Timing Of Surgery ◽

The Other ◽

Conservative Approach ◽

Medical College ◽

Contrast Enhanced ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Background: Increasing understanding and literature regarding the management of Necrotizing Pancreatitis has laid paths for surgical and conservative management. Although a conservative approach is increasingly used, this study depicts the importance of surgical management in today’s era. The objective was to evaluate the surgical role in patients of documented Necrotizing Pancreatitis, with or without organ failure and debilitating symptoms by putting conservative management on a complementary part.Methods: Sixteen consecutive patients were reviewed with Necrotizing Pancreatitis managed at DVVPF’s Medical college and hospital, Ahmednagar between January 1, 2014, and July 1, 2017 documented by contrast-enhanced computed tomography (CECT).Results: Out of sixteen patients of Necrotizing Pancreatitis recruited for the study, 13 (81%) patients were surgically managed; among which death rate was 7%. Of the other 3(19%) patients which were conservatively managed, there was 1 (33%) death. Patient who died while conservative management would have been candidate for earlier surgical intervention.Conclusions: The results suggest that surgical approach can be applied successfully to manage most patients with Necrotizing Pancreatitis, still further evaluation being required for indication and timing of surgery.

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Extranasopharyngeal Angiofibroma: A Diagnostic Dilemma

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v33i1.31 ◽

2018 ◽

Vol 33 (1) ◽

pp. 39-42

Author(s):

Nitin Gupta ◽

Arjun Dass ◽

Vaibhav Saini ◽

Shashikant Anil Pol ◽

Lovekesh Mittal

Keyword(s):

Diagnostic Dilemma ◽

X Ray ◽

Contrast Enhanced ◽

Tertiary Teaching ◽

Tertiary Teaching Hospital ◽

Design Case ◽

Atypical Presentations ◽

Extranasopharyngeal Angiofibroma ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Objective: To report two cases of extranasopharyngeal angiofibroma, highlighting the diagnostic challenges involved. Methods: Design: Case Report Setting: Tertiary Teaching Hospital and Medical School Patients: Two (2) Results: A 13-year-old boy who presented with epistaxis and a vascular mass on the posterior nasal septum that enhanced on contrast-enhanced computed tomography (CECT), and a 3-year-old boy who presented with dysphagia and mild respiratory difficulty, with a large naso-oropharyngeal mass arising from the soft palate on physical and x-ray examination that could not be corroborated because stridor developed during sedation for CECT, both underwent endoscopic tumor excision. Conclusion: As illustrated in these cases, atypical presentations of extranasopharyngeal angiofibromas can pose a considerable diagnostic and surgical challenge for clinicians. Key words: angiofibroma: classification; diagnosis; diagnostic imaging; extranasopharyngeal

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