Adenoid cystic cancer
A malignant tumor arising from the epithelial cells. Microscopically, the neoplastic epithelial cells form cylindrical spatial configurations (cribriform or classic type of adenoid cystic carcinoma), cordlike structures (tubular type of adenoid cystic carcinoma), or solid structures (basaloid variant of adenoid cystic carcinoma). Adenoid cystic carcinomas mostly occur in the salivary glands. Other primary sites of involvement include the lacrimal gland, the larynx, and the lungs. Adenoid cystic carcinomas spread along nerve sheaths, resulting in severe pain, and they tend to recur. Lymph node metastases are unusual; hematogenous tumor spread is characteristic.
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29 y F C/o- Constant dry spasmodic cough, nasal blockage,smell and test loss,. Appt- Less Thrst-Less Des- sour, Chilli Avrs- food Sweat- Scanty, Stool- Loose Sleep- Distrub due to cough Mind -Irritable, easily anger Dr suggest your opinion
Dr. P. Let1 Like23 Answers- Login to View the image
A 30 years man with this skin rashes over his right scapular region What is the Dx and Rx Seniors plz guide
Dr. Irfan Khan1 Like23 Answers - Login to View the image
A 27 years married woman suffering with low hemoglobin associated with menorrhagia for 3 years. Blood is profuse, coagulated, dark colour. Hot pt. Appetite-good Craving- cold foods and drinks Thirst- profuse Perspiration- moderate Stool-regular Urine-normal Menses-regular but profuse Mind- Anxious, always in hurry Nervous Weak memory, forgets easily Please respected doctors suggest your views on this case.
Dr. Debasish Sasmal2 Likes21 Answers - Login to View the image
Pain in tongue, often tongue bit. Ill dentures since five years, 52years aged poor women.Tongue swelling, under chin lymph nodes swelling. Teeth are extracted by Dentist in Gov. Hospital. Holding cold water in mouth is amelioration of pain. *Chief Complaints* Pain in tongue. Speaking and eating problem. *History* It occurs three years ago, she treated by Dentist but pain not subside. *Vitals* Anaemic Hb%-9, ESR - 80+, *Physical Examination* Ill dentures dental sharpness causes laceration on tongue, gum infection caused lymph nodes swelling. Glossopharyngeal nerve involved. Tongue swelling causes speaking and eating problem. *Investigations* Need X-ray of gum, but not done. *Diagnosis* Ulceerative Stomatitis I think. *Management* Plantago Q and Merc sol cure swelling tongue, but pain gone by applications of Mullen oil internally and as well as externally. Scar gone by one dose Causticum 1m.
Dr. Pramanick Debasish3 Likes18 Answers - Login to View the image
The term ‘Vitiligo’ may be derived from the Greek ‘vitellius - calf’s white patches’. It is an acquired disorder of loss of skin pigmentation of unknown etiology. Histologically, it is characterized by loss of epidermal melanocytes. Please share your experiences with this disease which has a lot of social stigma.....
Medi- Insights18 Likes16 Answers