| Name Of the Patient : |
Mrs. Pratibha Pramod Pujari |
| Age: |
46 Years Female |
| Date: |
25-02-2000 |
| Address : |
11 AshwiniKunj, Pune 16 Maharashtra India |
| Diagnosis : |
Known case of Ca Salivary tumour. |
| Biopsy Report : |
HISTOPATH REPORT(26/1/2000)
Clinically : Palate Tumour, to rule out malignancy.
Specimen : Tumour for HPE.
Gross : Specimen received a single globular pieces 3 cm in l,
1.5 cm W and 0.5 cm t, soft, E/A in A-F.
Microscopically : Sections (A-F) studied showing a compressed
salivary gland tissue with a tumour cells showing cells
arranged a solid sheets, cords, tubules and acini in few foci.
The tumour shows cells with moderate cytoplasm to a bloated up
appearance with clear cytoplasm. The cells show mild to
moderate nuclear atypis. Focally pseudocysts - like foci and
gland - like foci seen filled with eosinophilic secretions.
The intervening stroma is fibro- hyalinized with focal
fibromyxoid change. The tumour appears to have a pushing to
infiltrative margin extending into surrounding salivary gland
and oral mucosa. One focus shows few neoplastic ducts present
perineurally. No cartilaginous fragments or squamous
metaplasia seen.
Diagnosis: In view of above picture indicative of a locally
invasive tumour, the possibility of an unusual presentation of
an adenoid cystic carcinoma is suggested.
Note : As pleomorphic adenoma with malignant transformation,
and polymorphous low grade adenocarcinoma are differential
diagnoses in this case at this site, therefore an expert
opinion from Tata Memorial Hospital would be valuable in this
case.
|
TATA MEMORIAL HOSPITAL(15/02/2000)
Nature of Material received : 6
slides and 6 blocks of salivary gland (67/2000)
Gross observation : Nil.
Microscopical Examination :
Low grade mucoepidermoid Carcinoma of palate. |
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| Status of the Patient : |
A. Operated
B. No chemotherapy.
C. No Radiation |
| Treatment Given : |
Only on our Homeopathic medicine
after operation. |
|
Follow Up Investigation : |
CT Scan of Paranasal Sinuses( 05/01/2001)
Clinically a case of hard palate malignancy - has been
operated.
Previous scan report dates 5/1/2000 has been reviewed.
Plain and contrast CT scan of paranasal sinuses and oral cavity
has been done in axial and coronal planes before and after
intravenous contrast.
Present study reveals normal bony structure of hard palate with
no lytic or sclerotic lesion.
No soft tissue density mass lesion.
Parapharyngeal fat planes are maintained.
Bony outlines of all sinuses are well maintained.
No mucosal thickening or mass is noted in sinuses.
Pharynx appears normal.
Nasal septum is deviated to right side and a left sided
conchabullosa is noted.
IMPRESSION:
Present study reveals normal bony structure of hard palate
with no lytic or sclerotic lesion.
No soft tissue density mass lesion.
Parapharyngeal pat planes are maintained.
HAEMATOLOGY REPORT :
| Parameter |
(12/04/2001) |
(2/01/2002) |
| Haemoglobin |
12.00 gm/dl |
12.20 gm/ dl |
| R.B.C. Count |
4.00
mill/cu mm |
4.10
mill/cu mm |
| W.B.C. Count |
9800 / cu mm |
8400 / cu mm |
|
|
|
Differential Count |
| Neutrophils |
60 % |
51 % |
| Lymphosites |
38 % |
42 % |
| Eosinophils |
1 % |
6% |
| Monocytes |
1 % |
1 % |
| Basophils |
0 % |
0 % |
|
|
|
| Peripheral Smear Examination |
Normocytic & Normochromic Platelets
are adequate |
Normocytic & Normochromic Platelets
are adequate |
Blood Examination
Test Name : Carcino Embryonic Antigen - CEA
Method : C.L.I.A.
Values : 1.60 ng/ml
Interpretation :
Normal Range : Non Smoker : 0 - 3.4
Smoker : 0 -
6.2. |
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| Comment : |
As per as the CT scan , blood reports and
clinically too, till today patient is completely under control
(10/04/2003). |
