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Bathinda, India

Sood A.,Sri Guru Ram Das Institute of Medical science and Research | Sood N.,Obstetrician and Gynecologist | Sharma N.,GMC | Kaur H.,Adesh Medical College | Singh J.,Sri Guru Ram Das Institute of Medical science and Research
Indian Journal of Public Health Research and Development | Year: 2015

Introduction: Amputation was generally considered the standard treatment for most primary malignant tumors of femur. In recent years with the significant advances in the management of malignant bone tumors (better understanding of the histological criteria for diagnosis, better clinical staging procedure, improved surgical techniques, neo adjuvant & adjuvant chemotherapy and radiotherapy and improved techniques of Oncological reconstruction), there is increased trend towards limb salvage surgery. Aims and objectives: 1) To study presentation and oncological outcome of primary malignant tumors of Femur. Materials and method: This study was a retrospective as well as prospective study involving 25 patients having primary malignant tumour of femur coming to department of Orthopaedics at Mohan Dai Oswal Cancer Treatment & Research Foundation, Ludhiana from January 1999 to December 2005. All the patients were evaluated in terms of complete clinical presentation (onset of symptoms, progression and duration). Various signs and symptoms (pain, swelling, pathological fracture, deformity, limb length discrepancy) were noted thoroughly. Treatment included Surgical management (Limb sparing surgery or amputation), Chemotherapy, Radiotherapy wherever indicated. Once the decisions for surgery were taken, consent was taken from patient in written. If prosthesis is indicated, size of prosthesis was determined pre-operatively using x-ray and CT scan. Prosthesis was then ordered as required. Patients were followed for a minimum period of one year. These patients were called every month for the first 3 months and then every three monthly for next 9 months and 6 months thereafter. At each visit evaluation of these patients was done for:- 1. Any signs of radiological/clinical union. 2. Any signs of local recurrence/distant metastasis. 3. Any implant/graft related problem. Conclusion: 25 patients of primary malignant tumours of femur were studied in the Department of Orthopaedics at Mohan Dai Oswal Cancer Hospital, Ludhiana from January 1999 to December 2005. Average age was 22.68 years. There were 21 male patients and 4 female patients. The major histopathological diagnosis was osteosarcoma (84%) followed by spindle cell sarcoma (8%) and chondrosarcoma (8%). Distal end of femur was predominantly involved (84%) and pain was the commonest presenting complaint (92%). Majority of patients (68%) presented after 60 days of onset of symptoms. © 2015, Indian Journal of Public Health Research & Development. All rights reserved. Source

The most common cause of HIV disease throughout the world is HIV-I which was first iden-tified in West Africa. Since the first cases of AIDS were reported in 19811, more than 179,000 cases of AIDS have been reported in the United States and 113,000 (63%) of these patients have died2. This disease is now a leading cause of death among men and women un-der 45 years old and of children under 5 years. Hematological derangements and anaemia with a trend towards iron deficiency are common. The negative impact of anaemia concur-rent with established HIV infection upon morbidity and mortality has been well docu-mented but the prognostic potential and long-term effects of anaemia & other hematological changes during acute HIV-1 infection remain unknown.The aim of this study was to deter-mine if HIV status influences changes in iron levels and anaemic measurements and to re-late these to progression of disease as judged by CD4 T cell lymphocyte counts. Source

Gupta R.,Dashmesh Institute of Research and Dental science | Arora D.,Adesh Medical College
Journal of Clinical and Diagnostic Research | Year: 2010

Pedicled buccal fat pad has been widely used for the repair of oral defects. This clinical report describes a case achieving optimum results in oral rehabilitation in a patient with retromolar trigone carcinoma. The patient underwent left modified neck dissection and marginal mandibulectomy involving the molars. Later on the defect was reconstructed using buccal fad pad and masseter cross over flap. The surgical technique is described and the result suggests that this is a logical, convenient and reliable technique for the treatment of retromolar trigone carcinoma. Source

Kaur Gill M.,SR in UCMS GTBH | Makkar M.,Adesh Medical College | Singh Bains S.P.,SR in Lok Nayak Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Solitary Plasmacytoma of the Skull (SPS) is very rare and only 35 cases have been reported in the English literature. It remains controversial whether a solitary plasmacytoma of the skull is essentially identical with a Solitary Plasmacytoma of Bone (SPB) or not. A solitary plasmacytoma of bone, which includes a solitary plasmacytoma of the skull, is characterized by a radiologically solitary bone lesion, neoplastic plasma cells in the biopsy specimen, fewer than 5% plasma cells in bone marrow, less than 2.0 g/dl monoclonal protein in the serum when it is present and a negative urine test for Bence Jones protein (monoclonal light chain). A solitary plasmacytoma of bone tends to disseminate or progress to multiple myeloma, even as long as 7-23 years after its presentation. Source

Arora A.K.,Sri Guru Ram Das Institute of Medical science and Research | Piplani M.L.,Chintpurni Medical College and Hospital | Kapoor S.S.,Sri Guru Ram Das Institute of Medical science and Research SGRDIMS and Research | Bhatia B.S.,Adesh Medical College | And 3 more authors.
Journal of Clinical and Diagnostic Research | Year: 2011

Introduction: The accessory pancreatic duct also called as dorsal pancreatic duct or Santorini duct as it is formed from the portion of dorsal bud and was first described by Santorini in 1775. It is the main drainage duct of the dorsal pancreatic bud in the embryo and enters the duodenum at the minor duodenal papilla. Methods: The study was conducted on 30 pancreas and duodenum enblock obtained from adult cadavers in the Forensic medicine Department of Govt. Medical College, Amritsar. Length and width of accessory pancreatic duct were measured and the results were compared according to the sex and were also analysed statistically. The shape of terminal part of the accessory pancreatic duct has also been discussed with reference to patency of the duct. Results: Length of accessory pancreatic duct ranged between 2.0-6.2cm with a mean of 3.89+ 0.85cm. Width of accessory pancreatic duct ranged between 1.33-2.01cm with a mean of 1.67+ 0.48cm.The most common terminal shape of accessory pancreatic duct observed was stick type in 63.33% and the least common was saccular type i.e. 3.33%. In decade wise division into group I (<40 yrs) and group II (>40 yrs), length of the accessory pancreatic duct did not show any alteration with age but width was significantly greater in group II as compared with group I in male and in female subjects. Conclusion: The anatomical aberrations in the duct system of pancreas have clinical importance because they can predispose to various clinical disorders including pancreatitis and carcinogenesis. Aging also results in increase in the diameter of the pancreatic duct. Pancreas divisum is a common anatomical variation, in which the dorsal and ventral pancreatic ducts do not unite leading to inadequate pancreatic juice drainage resulting in dorsal pancreatitis. Source

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