A pyramidal lobe of the thyroid gland is a common anatomic variant. However, primary malignancy of the pyramidal lobe is rare with the exception of cancer in a thyroglossal duct cyst. A 61-year-old morbidly obese woman presented with a 30 lb. weight loss and a large asymptomatic submental neck mass that extended to the base of her tongue. The mass was invading the hyoid bone and the sternohyoid...

Graphical Abstract

Among 232 cases of operable breast cancer treated by the 2nd Department of Surgery, Hiroshima University School of Medicine, between 1963 and 1982, 7 cases (3. 0%) were followed by a second primary malignancy. Eighty six percent of the second primary malignancies were found in digestive systems. The incidence of a second primary malignancy was 6. 1%* (5/82) in the irradiated group and 1. 3%* (2...

Multiple neoplastic lesions at separate gastrointestinal sites is rare with incidence of 0.7-11%. Majority primary neoplasms (MPN's) are double while triple/quadruple malignancies extremely a ratio 2.7:1. Patients periampullary having lesion in stomach or gastroesophageal junction rare. These patients requiring Whipple's pancreaticoduodenectomy (PD) resection the adjoining for R0 Resection rare...

Diffuse leptomeningeal glioneuronal tumor is characterized by hydrocephalus, leptomeningeal involvement in the absence of a primary parenchymal mass, and negative cerebrospinal fluid (CSF) cytology. It is an extremely rare and difficult tumor to diagnose as no mass can be biopsied and it mimics infectious, rheumatologic, and inflammatory pathologies. An 11-year-old girl presented with complaint...

Neck lumps are a common yet challenging clinical presentation that can occur in all age groups and have wide variety of aetiologies include both benign malignant conditions. Appropriate workup timely referral critical, particularly when investigating for malignancy. Our case demonstrates rare cause neck lump presented clinically radiologically as primary malignancy, however, was found at histop...

FIG. 1. Results of a barium enema showing a stricture of the descending colon. of Cobalt 60 was given in two parallel opposed fields (15 cm. x 15 cm.), which included the kidney bed and regional lymphatics. A dose of 300 r was given daily alternating between the anterior and posterior portal. A total dose of 5,500 r was delivered over 29 days. The patient remained at work until May 1963 (month ...

multiple adhesive coating is a controversial topic, especially in primary dentition that should be clarified. we evaluated the effect of multiple consecutive adhesive resin coatings on the microshear bond strength (μsbs) of composite resin to primary tooth dentin utilizing a filled (adper single bond plus) and an unfilled (adper single bond) adhesive resin.thirty extracted primary canines were ...