Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsNeurolymphomatosis of the Sciatic and Tibial Nerves.
Neurolymphomatosis (NL) is an uncommon clinical condition, characterised by lymphomatous infiltration of the central and/or peripheral nervous system. Most often it is caused by B-cell non-Hodgkin's lymphoma (NHL). Clinically, patients usually present with neuropathy involving the nerve roots, plexuses, peripheral or cranial nerves. ⋯ It is important to diagnose and start early treatment in all cases of nodal or visceral (including neural) lymphoma with chemo and/or radiation therapy. The PET-CT and MRI can help in making diagnosis. We are presenting a case of 28-year male patient, diagnosed as diffuse large B-cell lymphoma on the background of follicular lymphoma, which initially responded to treatment but then presented with NL, based on clinical history and radiological findings which were confirmed by histopathology.
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Solitary papillomas of the lower airways are uncommon clinical entities that present a diagnostic challenge because they are not usually considered among the differential diagnoses. Reliable clinical data about their presentation and treatment remain scarce. We describe a case of an elderly male who presented to us with cough and hemoptysis. ⋯ Patient declined surgical removal of this papilloma. He was fine on followup visits during the subsequent months. In patients with hemoptysis, solitary endobronchial papilloma should also be considered in the differential diagnosis.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsSurgical Treatment of Ankylosing Spondylitis with Andersson Lesion.
Ankylosing spondylitis (AS) with an Andersson lesion may cause kyphosis. As the disease progresses, kyphosis gradually worsens. ⋯ Here, we introduce our surgical procedure of pseudoarticular debridgement and osteotomy of the apical vertebrae of the Cobb angle. We found that both the kyphosis and associated symptoms improved significantly after 13 months of follow-up.
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J Coll Physicians Surg Pak · Dec 2019
Case ReportsLaparoscopic Resection of Isolated Retroperitoneal Gastric Duplication Cyst in an Infant.
We, herein report a rare case of retroperitoneal gastric duplication cyst in a 5-month female infant presenting with antenatal diagnosis of right renal cyst. Post-natal evaluation showed presence of retroperitoneal cyst in the region of right adrenal gland, which progressively increased in size on serial imaging. ⋯ Intra-operative findings and histopathology confirmed diagnosis of isolated retroperitoneal gastric duplication cyst. Authors present the clinical features of this rare entity along with feasibility of successful laparoscopic excision in infantile age group.
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J Coll Physicians Surg Pak · Dec 2019
Assessment of Factors Influencing Lymph Node Count in Colorectal Cancer.
To evaluate the factors that influence pericolorectal lymph node (LN) retrieval from colectomy specimens in colorectal in cancer staging. ⋯ Tumor site and size, length of the surgical specimen, T-classification, depth of invasion and AJCC/UICC stage are predictors for the lymph node numbers in colorectal cancer surgery. Retrieval of removed nodes and counting helps in staging and number of removed nodes, and affects survival.