Ampullary Cancer!!

A 60yr ols male presented withnpain abdomen . h/o weight loss , night sweats and loss of appetite. Patient was investigated, reports attached. Pls discuss how to proceed ????

Specimen sent as a gastric fundic gland polyp from a 42 year old man

4 years child(male) presented with 2masses on the anterior abdominal wall...on u/s the 2 masses related to subcutaneous region...what are the diagnosis please?

A 22 years old male was brought to ER by police after he was intercepted at airport for having suspicious activity on arrival. He then complaints of abdominal discomfort but otherwise healthy. X-ray KUB done. Diagnosis ?

a20 yr old down's syndrome girl with uncontrolled epilepsy was brought by her family for rapidly progressing neck pain and dysphagia. endoscopy very edematous pharynx and larynx. xray neck showed prevertebral widening with gas formation, straightening of cervical vertebrae and suspected foreign body at post cricoid level. ? large retropharyngl abcess on questioning the parents they give history that she hurriedly had fish a few days ago. As it was a high risk condition she wasn't taken up at many places. it was heart wrenching looking at her , she's unable to understand what's happening to her all that she wasn't able to swallow anything and had excruciating pain. she was taken up for exploration under GA under high risk thanks to my anaesthetist who dared to give her anesthesia. intra op big sharp fish bone was found at post cricoid region anteriorly abutting laryngeal mucosa posteriorly piercing pharyngeal mucosa, after it's removal 20 ml of foul smelling pus evacuated. it was very difficult to make her retain her ryles tube post surgery, with a lot of her mischief we managed to keep it for 4 days and she made a good diet speedy recovery. *parents of MR children should never leave them unattended when they are consuming food with Sharp particles like meat, and small round food items (can cause aspiration). *we have to take calculated risks *retropharyngeal abcess should be managed before they turn into near fatal mediastinitis.