Surgical Management of Biliary Strictures

46 year old lady with triple negative breast cancer underwent a MRM 1year back at Agra. Following surgery, she underwent adjuvant chemotherapy but did not take radiotherapy despite having 5/15 lymph nodes positive. She came to us with a local recurrence and we did a wide local excision for the recurrence. How would you plan her adjuvant treatment?

33 years female right side globular swelling with peeling of skin on the swelling area since 3 years. Pain and oozing present. Diagnosis and treatment?

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 ????

Good afternoon Curofians on this breezy sunday. Hope y'all enjoying your holiday. Case details : 13 year old female, diffuse mass over right paravertebral region on the back. Swelling soft and ill defined. Swelling roughly measured 6x4 cms. FNAC done, aspirated blood mixed granular white material, easy to spread. USG not affordable by the patient. Attached 12 slides. What is your cytodiagnosis? Give precise description, differential diagnosis, further workup and your suggestions. Thank you, Best regards. [Credit : Dr.Kazi Wajid Husain.,MD]

70-year old man presented to clinic with complaint of itchiness over his left buttock. Upon examination there was 8 cm ×12 cm pedunculated mass. It has been growing slowly for the past 5 years and up until recent year it started to produce foul smelling discharge that made him cover it with tissue paper. No constitutional symptoms. No family history of malignancy. Denies high risk behavior.