Rohilkhand Medical College Hospital

Bareilly, India

Rohilkhand Medical College Hospital

Bareilly, India

Time filter

Source Type

Agrawal R.,Rohilkhand Medical College Hospital | Garg C.,Rohilkhand Medical College Hospital | Agarwal A.,Rohilkhand Medical College Hospital | Kumar P.,Rohilkhand Medical College Hospital
Journal of Cytology | Year: 2015

Primary apocrine sweat gland adenocarcinomas are a rare entity, with only a few case reports so far. Many of these carcinomas are slow-growing with a high recurrence rate. A distinct cytological diagnosis can be made, and metastatic adenocarcinomas are always considered as a differential diagnosis on cytology. Our case was a 35-year-old male who presented with a discharging axillary sinus and swelling for the past 1 year. A clinical suspicion of tuberculous sinus was raised that however, remained unsupported by laboratory investigations. There was quite a high suspicion of apocrine adenocarcinoma on cytological examination that was confirmed by histopathology and immunohistochemistry. The patient was successfully treated with total excision and a wide margin. We report this case in view of its rarity and its occurrence in a 35-year-old young male, and emphasize that an initial cytological suspicion should be raised for primary apocrine adenocarcinoma in case of an axillary tumor, especially keeping in consideration the poor prognosis of the same and chances of early metastasis. © 2015 Journal of Cytology | Indian Academy of Cytologists | Published by Wolters Kluwer - Medknow.


Agrawal R.,Rohilkhand Medical College Hospital | Kumar M.,Rohilkhand Medical College Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Malignant melanoma of the scrotum is the rarest of the primary genitourinary melanomas, with only 19 cases having been reported previously. The authors have described a rare case of a primary scrotal neoplasm. The necessity of a prompt diagnosis has been emphasized. We are presenting an additional case of this often aggressive malignancy. The pertinent literature has been reviewed and the current management strategies have been discussed.


Prasad T.,Rohilkhand Medical College hospital | Narain S.,Rohilkhand Medical College hospital
Indian Journal of Community Health | Year: 2015

The survival of neonates with surgical pathology has improved considerably in developed countries but is still poor in developing countries due to many factors. The study was done to report the prevalence, patterns, and factors that influenced deaths of surgical neonates in a tertiary care hospital in India. 102 neonates were included in the study and the prevalence of neonatal death was evaluated and statistically analysed. Gastrointestinal lesions were the major indications for treatment and accounted for the largest proportion of surgical neonatal deaths. Timely referrals, early resuscitative measures and above all a team for neonatal care is needed to decrease mortality in surgical neonates. © 2015, Indian Association of Preventive and Social Medicine. All rights reserved.


Agrawal R.,Rohilkhand Medical College Hospital | Agarwal S.,Rohilkhand Medical College Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

We are reporting herewith a case of 54-year old lady who presented with a painless, peanut sized swelling in the right upper eyelid which was there since the past 2 months. No other local or systemic features were associated with it. An incisional biopsy was performed under local anaesthesia. The histopathological examination revealed an epithelioid granuloma with Langhans giant cells. The PCR test of the tissue confirmed the diagnosis of tuberculosis (TB). The patient was given anti-tubercular therapy and she is responding well, with the eyelid swelling being resolved.


Agrawal R.,Rohilkhand Medical College Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Aim: To evaluate the clinico - pathological profile of patients with cysticercosis cellulosae. Materials and Methods: The clinico - pathological data of patients with cysticercosis cellulosae who were reviewed during the last 5 years, were retrospectively analysed. Results: Of the total 6805 biopsies analysed, 21 cases of cysticercosis in the soft tissues were observed. Excisional biopsy was performed to diagnose the lesion. The pattern of distribution was striated muscles in 11(52.4%), eye in 6 (28.6%), subcutaneous tissues in 2(9.5%), tongue in 1(4.8%) and breast in 1(4.8%) patient. Anterior abdominal wall was the most involved site. Conclusion: Cysticercosis, a parasitic infestation caused by Taenia solium is a major health problem in the developing countries. It is a diagnostic and therapeutic dilemma for the clinicians. Steps towards control and possible eradication of the disease are needed, as the disease causes not only chronic morbidity, but also contributes to economic losses in an already impoverished population.


PubMed | Rohilkhand Medical College Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

Syringocystadenoma papilliferum is a benign hamartomatous adnexal tumour. Most of the patients present with solitary lesions in the head and neck region at birth or in early childhood. Multiple lesions are rarely seen and those which arise outside the head and neck region are even more uncommon. A case of syringocystadenoma papilliferum with multiple verrucous lesions and which was located in the right flank, an unusual site, has been presented.


PubMed | Rohilkhand Medical College & Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

The present study was undertaken to study the spectrum and pattern of various oral cavity lesions in a tertiary care hospital in Rohilkhand region of Uttar Pradesh, India.Oral cavity is one of the most common sites for tumour and tumour like lesions especially in males. It has been observed that benign lesions are more common than malignant ones.A retrospective study was carried out in a tertiary care hospital during the period of two years from June 2012 to May 2014. The study included 133 cases of oral cavity lesions. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. Special stains and Immunohistochemical markers were applied as and when required. Data collected were analysed.A total of 133 cases were included in the present study. The age ranged from 8 to 80 years. Males were affected more often than females with a Male: Female ratio of 3.3:1. The most common involved site was tongue 39 (29.32%) followed by tonsil in 30 (22.56%), buccal mucosa 27(20.32%), floor of mouth 14 (10.53%), palate 12(9.02%), lower lip 8 (6.02%), upper lip 2(1.50%) and vestibule in 1 (0.75%) cases. Of the 133 cases, 63 cases (47.36%) were malignant, 52 non-neoplastic (39.10%) and 18 cases (13.53%) of benign neoplasias. The various lesions included - Squamous cell carcinoma, Verrucous carcinoma, Carcinoma-in-situ, Leukoplakia, Fibroma, Lipoma, Squamous cell papilloma, Lymphoid hyperplasia, Pseudoepitheliomatous hyperplasia, Haemangioma, Schwannoma, Atypical Pleomor -phic adenoma, Pleomorphic adenoma, Epidermal cyst, Retention cyst, Parasitic infestation, Tubercular pathology, Granulation tissue, Chronic Sialadenitis and Chronic non-specific inflammatory pathology. A larger epidemiopathological study in this region needs to be carried out for detailed statistical analysis.Benign lesions were the predominant pathology. Squamous cell carcinoma was the commonest malignant lesion. Histopathological typing of the lesion is mandatory to confirm or rule out malignancy and is essential for the rational management thus avoiding mutilating surgery.


Agrawal R.,Rohilkhand Medical College Hospital | Kumar M.,Rohilkhand Medical College Hospital | Agrawal L.,Rohilkhand Medical College Hospital | Kumar Agrawal K.,Rohilkhand Medical College Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Primary ovarian leiomyoma is a rare benign tumour of the ovary, which is seen in women who are aged between 20 years to 65 years. Ovarian leiomyomas can be confused with other spindle cell tumours which display gross anatomical and histological similari-ties. A case of a primary leiomyoma of the ovary in a pre-meno-pausal female is being presented here, due to its huge size and unusual presentation.


PubMed | Rohilkhand Medical College & Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Cataract surgery is one of the most frequently performed intra-ocular surgeries, of these manual Small Incision Cataract Surgery (SICS) is a time tested technique of cataract removal. Any corneal incisional surgery, including cataract surgery, can induce dry eye postoperatively. Various factors have been implicated, of which oneis the inflammation induced by the surgery. Lactoferrin, a glycoprotein present in tears is said to have anti-inflammatory effects, and promotes cell growth. It has been used orally in patients of immune mediated dry eye to alleviate symptoms.This study was aimed to evaluate the dry eyes induced by manual Small Incision Cataract Surgery, and the effect if any, of oral lactoferrin on the dry eyes.A single centre, prospective randomised controlled trial with a concurrent parallel design. The study was carried out on patients presenting in the OPD of Rohilkhand Medical College hospital for cataract surgery.Sixty four patients of cataract surgery were included in the study. Patients with pre-existing dry eyes, ocular disease or systemic disease predisposing to dry eyes were excluded from the study. The selected patients were assigned into two groups by simple randomisation-Control Group A-32 patients that did not receive oral lactoferrin postoperatively. Group B-32 patients that received oral lactoferrin 350 gm postoperatively from day 1 after SICS. All patients were operated for cataract and their pre and postoperative (on days 7, 14, 30 and 60) dry eye status was assessed using the mean tear film break-up time (tBUT) and Schirmer test 1 (ST 1) as the evaluating parameters. Subjective evaluation of dry eye was done using Ocular Surface Disease Index (OSDI) scoring. Data was analysed for 58 patients, as 6 did not complete the follow up.Unpaired t-test was used to calculate the p-values.There was a statistically significant difference between the tBUT values of the Control and Lactoferrin group from day 14 onwards. The tBUT of control group on day 60 was 7.86 (0.86) seconds as compared to 13.9( 0.99) seconds in the lactoferrin group. The Schirmer test 1 values also showed a statistically significant difference between the two groups- 15.86 ( 5.83) seconds in the control group versus 30.9 (1.66) in the lactoferrin group on day 60. OSDI score showed 42.8% patients complaining of at least mild dry eye symptoms in the control group, as compared to 26.6% patients in the lactoferrin group on day 60.Small Incision Cataract Surgery induces dry eye postoperatively. Oral lactoferrin given postoperatively improves tear film status and dry eye after cataract surgery.


PubMed | Rohilkhand Medical College Hospital
Type: Journal Article | Journal: Journal of cytology | Year: 2016

Primary apocrine sweat gland adenocarcinomas are a rare entity, with only a few case reports so far. Many of these carcinomas are slow-growing with a high recurrence rate. A distinct cytological diagnosis can be made, and metastatic adenocarcinomas are always considered as a differential diagnosis on cytology. Our case was a 35-year-old male who presented with a discharging axillary sinus and swelling for the past 1 year. A clinical suspicion of tuberculous sinus was raised that however, remained unsupported by laboratory investigations. There was quite a high suspicion of apocrine adenocarcinoma on cytological examination that was confirmed by histopathology and immunohistochemistry. The patient was successfully treated with total excision and a wide margin. We report this case in view of its rarity and its occurrence in a 35-year-old young male, and emphasize that an initial cytological suspicion should be raised for primary apocrine adenocarcinoma in case of an axillary tumor, especially keeping in consideration the poor prognosis of the same and chances of early metastasis.

Loading Rohilkhand Medical College Hospital collaborators
Loading Rohilkhand Medical College Hospital collaborators