Persistence of the hypoglossal artery is an unusual congenital abnormality of the carotid arterial system, and the simultaneous occurrence of atheromatous disease in the internal carotid artery and persistent hypoglossal artery is even more uncommon. Carotid surgery in this situation is challenging, and the surgeon must be aware of potential inherent pitfalls. A 74-year-old woman with asymptoma...

By SIDNEY TRUBOWITZ, M.D. T HE OCCURRENCE of amyloidosis in multiple myeloma has been long recognized and the association of the two conditions well established. In 1931, Magnus-Levy’ wrote : ‘ ‘When I, at first purely out of interest in the clinical and metabolic aspects of myeloma, dug deeper into the literature, I was surprised to find a rather large, constantly growing body of data on amylo...

Fibrosarcoma of the paranasal sinuses is extremely rare pathology and there is limited report in the literature. We report synchronous presentation of maxillary sinus fibrosarcoma and gemistocytic astrocytoma which is, to our knowledge, unique in the literature. Both tumors metastases to other organ rarely and the metastatic spread of gemistocytic astrocytoma to fibrosarcoma or vice versa have ...

This case report illustrates an unusual occurrence during the second stage of labor. After appropriate evaluation for life-threatening causes, a psychiatric process must be considered. Although our patient refused further psychological evaluation, we believe that she exhibited a trancelike state during the second stage of labor and suffered from amnesia in which one awakens to the current situa...

The ectopic occurrence of skeletal muscles in skin is an unusual condition. These lesions are named rhabdomyomatous mesenchymal hamartoma now. More accurately speaking, this entity should be called “cutaneous rhabdomyomatous choristoma” because the skeletal muscle is not a normal element in skin. We described a case occurring in perineal region associated with amniotic band syndrome, imperforat...

In this study, endodontic treatments of maxillary second premolars with unusual anatomical configuration were presented. Maxillary second premolars usually have one root with one or two root canals. The occurrence of variations in anatomical configuration is also common; therefore, it must be taken into account in clinical and radiographic evaluation during the endodontic treatment. These teeth...

ed from: Nguyen Xuan Nguyen et al. (January 2010). Study on adoption of the System of Rice Intensification in Northern provinces of Vietnam. A report by commissioned by Oxfam America. On average, each woman from an SRI Farmer Field School promotes 5-8 other farmers to adopt SRI while the rate is only 1-3 for male graduates. Top: FFS graduates in Dông Trù village, Hanoi province, undertake SRI t...

Eccrine porocarcinoma (EPC) is a rare malignant tumour of sweat gland origin representing only 0.005-0.01% of epithelial cutaneous neoplasms. EPC is an unusual tumour to diagnose both clinically and histologically. Several reports describe aggressive behaviour. Due to its rarity, specific guidelines for management are not readily available. We report a series of four cases of EPC analysed in te...

A wandering liver is a rare development in both the adult and pediatric population where the liver is freely displaced along a transverse axis. We describe the first known occurrence in published literature of a wandering liver in an adult individual who also had an intestinal malrotation complicated by a midgut volvulus. The abnormal ability for a liver to wander presents a highly unusual anat...

Lymphatic filariasis is a major public health problem in India. It is unusual to find microfilariae in fine needle aspiration cytology (FNAC) smears of lymph nodes inspite of very high incidence in India. It is estimated that about 553.7 million 1 people are at risk of lymphatic filariasis infection in 243 districts across India. In the absence of clinical features of filariasis, FNAC may help ...