Giant cementifying fibroma

A 36 year old female with giant cementifying fibroma is presented. The tumour had replaced one half of the body of the mandible. The management policy and brief review of the disease is discussed.     

Malignant lymphoma of stomach associated with duodenal carcinoid.

We report a 73-year-old man with diffuse large B-cell lymphoma of the stomach in whom distal gastrectomy specimen revealed coexisting carcinoid tumor of the duodenum. Postoperatively the patient received six cycles of chemotherapy (CHOP regimen) and was asymptomatic nine months later.     

Annual changes in the binding of follicle-stimulating hormone to gonads and plasma gonadotropin concentrations in Indian weaver birds inhabiting the subtropical zone.

In birds, annual changes in gonadal weight are much more pronounced in the male than in the female. To analyze the mechanism inducing such a sex difference in the gonadal responsiveness to natural environmental conditions, we measured annual changes in the binding of follicle-stimulating hormone (FSH) to the gonads and the plasma gonadotropin concentration in adult Indian weaver birds inhabiting the subtropical zone. The binding of FSH was highly specific for mammalian FSHs and located primarily in the gonad. The testicular weight and FSH binding showed marked changes during the annual breeding cycle. The testicular weight was maximal in the breeding phase (June, 1987) and minimal in the nonbreeding phase (December, 1987). FSH binding per unit testicular weight was greatest in the nonbreeding phase, while the total FSH binding per two testes was maximal in the breeding phase and minimal in the regressive phase (October, 1987). In contrast, the changes in the ovarian weight and FSH binding to the ovary were less pronounced than those in the testis. Although FSH binding per unit ovarian weight showed a peak in the nonbreeding phase, there was no significant change in the total FSH binding per ovary during the year, indicating the presence of a clear sex difference in the total FSH binding. Scatchard plot analyses of the binding suggested that the dissociation constant (Kd) ranged from 0.35 to 1.53 nM regardless of sex and season and that the changes in FSH binding were due to changes in the number of binding sites. Plasma FSH and luteinizing hormone (LH) levels markedly changed during the year in both sexes. Both FSH and LH levels were maximal in the breeding phase and minimal in the nonbreeding phase regardless of sex, although the rate of change in either hormone tended to be greater in the male than in the female.     

Peroperative enteroscopy and polypectomy in Peutz-Jegher syndrome.

We report a 32-year-old who lady when presented with anemia and was detected to have Peutz-Jegher syndrome. She had malignancies of the colon and ovary over a 2-year follow up and was successfully managed. On screening the family two more members were confirmed to have Peutz-Jeghers syndrome and have been put on surveillance.     

Anesthesia in cancrum oris

A case report describing anesthetic management of a child suffering from cancrum oris is described. The patient presented with respiratory obstruction with necrotic lesions of the skin surrounding the mouth and of oral mucosa. Generalised septicemia was present. It was not possible to pass an endotracheal tube and anesthesia was therefore achieved with intravenous infusion of ketamine without the use of an airway or endotracheal tube.     

CT in complete congenital eventration of diaphragm with aplasia of lung.

Complete eventration of the diaphragm and pulmonary aplasia, though rare anomalies, should be considered in new-borns with respiratory distress. Such anomalous conditions occurring either alone or in combination elude diagnosis and pose problems for management. CT is a very effective, non invasive means of diagnosis which in the past depended largely on invasive procedures such as bronchography, angiography and thoracotomy.