Rapidly progressing necrotic ulcerations and sinuses in specific cutaneous Hodgkin's disease Sir, A 25-year-old gentleman presented with a progressively enlarging swelling over the right side of the neck for seven months. He also had a large fungating ulcer over the right supraclavicular region with extensive edema of the chest wall and right upper limb for three months. He complained of high s...

A 65-year-old man was referred to our hospital with extensive swelling of the left leg (Picture A). His serum levels of lactate dehydrogenase and soluble interleukin-2 receptor were elevated to 1,000 IU/L (reference range, 120-240 IU/L) and 3,922 U/mL (reference range, 122-496 U/mL), respectively. Magnetic resonance imaging of the leg showed an enlarged left thigh composed of the quadriceps fem...

A 14-year-old girl was examined for a right lateral neck swelling and radiographic mediastinal widening. Biopsy of a right supraclavicular lymph node demonstrated the nodular sclerosing form of Hodgkin's lymphoma. An 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (F18-FDG-PET/CT) study showed several pathological areas of lymph-node uptake in the upper mediastum and rig...

Cysticercosis is a parasitic infection caused by the larvae of the tapeworm Taenia solium. Neurocysticercosis is the most common form of presentation. Extraneural lesions are solitary, rare and small in size which usually involves subcutaneous tissue, skeletal muscles and eyes. Human cysticercosis can occur after ingestion of pork tapeworm eggs, through feco-oral route by ingesting fecally cont...

In the Dissection Team of the Second Chair of Anatomy at the School of Medicine of the University of Buenos Aires, Argentina, during the routine dissection of 78 cadavers (corresponding to 156 supraclavicular fossae),10% formalin fixed, we found the supraclavicularis proprius muscle over the lower part of the left supraclavicular fossa in an adult Caucasian male cadaver. We described this rare ...

A 31-year-old man without any known underlying disease presented with a 5-day history of intermittent fever and diffuse abdominal pain. He complained of a gingival lesion and painless neck swelling of 1 month’s duration, and fatigue and poor appetite of 3 months’ duration. A 10 kilogram weight loss was also noted. He came from Vietnam and worked as a construction worker in Taiwan for 1 year. Th...

Clavicle fractures are common; however, complications are unusual. Two such complications, subclavian artery pseudoaneurysm and brachial plexopathy, are rare events that can cause significant morbidity and mortality. We report the case of a 53-year-old man who presented with shoulder swelling and right arm weakness for 1 week. Three weeks before, he had fallen and fractured his right clavicle. ...

We report an unusual case of primary hydatid cyst of the mandibular angle without glands involvement, in the left supraclavicular region of the neck with no involvement of any other regions of the body. In July 2012, a 25-yr old woman, from Golestan Province, Northeast Iran was admitted to our ENT Clinic, with one-year history of a progressively increasing swelling, pain and gradually growing m...

A case of lung adenocarcinoma and extensive deep vein thrombosis in a patient with Peutz-Jeghers syndrome (PJS) is presented. A 31-year-old Chinese man complained of shoulder pain and swelling of the right arm. A series of diagnostic procedures revealed a primary adenocarcinoma in the left upper lobe with cervical and supraclavicular lymph node metastases accompanied by deep vein thrombosis in ...

A 60 year old male farmer, chronic smoker, presented with complaints of productive cough since 1 month, swelling of the face and neck since 3 weeks and dyspnoea since 10 days, which was worse at night. There, was history of loss of appetite and considerable weight loss. There was no history of fever. On examination vitals were stable. The patient had right cervical lymphadenitis and right supra...