Journal Article Carcinoma cuniculatum: a case metastasizing to skin and lymph nodes Get access P.H. McKEE, McKEE Department of Histopathology, St Thomas's Hospital, Charing Cross Hospital Dr McKee, Medical School, London SEI 7EH. Search for other works by this author on: Oxford Academic Google Scholar J.D. WILKINSON, WILKINSON Dermatology, M.F. CORBETT, CORBETT A. DAVEY, DAVEY Hillingdon P. SAUVEN, SAUVEN Surgery, M. BLACK Clinical Experimental Volume 6, Issue 1 November 1981, Pages 613–618,...

This case report describes an 89-year-old patient with prior cutaneous squamous cell carcinoma who presented a new isolated metastasis and was subsequently treated pembrolizumab, which produced complete clinical response.

To develop a hierarchical task listing of steps required to perform successful Functional Endoscopic Sinus Surgery (FESS). complete technical and human factor analysis tasks resulting in the identification errors, frequency occurrence, severity, reduction through remediation.A triangulation methods was used order derive FESS: 1) literature review carried out published descriptions FESS techniques; 2) observations three FESS; 3) interviews with surgeons on techniques. Data sets were combined...

Triaging patients into and away from preoperative assessment clinics remains a challenge. Anaesthesia Preoperative Assessment Tool (APAT) is web application that delivers an online 22 question survey to at home, uses artificially intelligent algorithm stratify patient risk identify the need for non routine investigation intervention. We assess APATs accuracy acceptability in this prospective observational study. Patients were recruited clinic, where they assessed by consultant anaesthetist....

Tracheostomy is a commonly performed intervention in patients requiring ventilatory support. The insertion of inappropriately sized tracheostomy tubes carries risk decannulation, tissue damage, difficulties, premature tube change or discomfort. Currently, no clear guidelines exist determining the most appropriate size tube. Imaging airway preoperatively could aid clinical judgement and reduce risk. Patients included adult critical care who had preoperative imaging. computed tomography scans...

Abstract Objectives Children with autism spectrum disorder face a broad range of communication and sensory challenges. Many these children also have chronic ENT issues. This study aims to better understand challenges improve our services for disorder. Methods Questionnaires semi-structured interviews were carried out parents Results Thirty-four individuals participated, comprising 9 caregivers 25 staff members. All recognised their critical roles in understanding children's special needs...

Abstract Laryngocoele is a rare entity, defined as an abnormal cystic dilatation of saccule the laryngeal ventricle. Three types laryngocele have been described, based on their relation to thyrohyoid membrane: internal, external or mixed type. Symptoms are variable, including neck swelling, shortness breath, dysphonia and fever, if laryngocoele becomes infected. Patients may also present in extremis with airway obstruction. We case healthy 34-year-old gentleman acute obstruction due infected...

Foreign Accent Syndrome (FAS) is a rare clinical entity in which affected patients experience new pattern of speech resembling an unusual accent. Reported cases are scarce published literature and usually the result neurological insult. FAS as complication from general anesthetic or surgery has not been reported to date. We present case healthy 27-year-old Australian woman who developed following tonsillectomy. Post operatively, patterns resembled Irish discuss potential mechanisms well...

Respiratory Epithelial Adenomatoid Hamartoma is a rare, benign tumour arising typically in the upper aerodigestive tract. It commonly misdiagnosed as either an inflammatory polyp or something more sinister such malignant tumour. Surgical excision, by endoscopic resection, definitive curative treatment. We present case whereby 57-year-old lady presented with unilateral nasal obstruction and few other distinguishable symptoms. She had no red flags her history. On sinuscopy lobulated lesion was...

Laryngeal malignancy encompasses about 1% of all cancers. Chondrosarcoma in the head and neck region represents 0.1% malignancies. Typical presenting symptoms relate to anatomical location these tumours include dysphonia, inspiratory stridor, dysphagia, odynophagia or a mass. Benign malignant cartilaginous cancers larynx have been described, preoperative diagnosis can be difficult. Our report highlights surgical management male patient his 50s with chondrosarcoma thyroid cartilage.

Background: Subglottic lesions present a challenge for emergent airway management. Invariably, these patients in extremis through the resuscitation room of an emergency department. We case series management such controlled fashion.

Parathyroid cysts are a rare clinical entity that may arise in the neck or mediastinum. They more common women and generally present fourth fifth decades of life. Diagnosis parathyroid is challenging, despite thorough radiological cytological investigation, they often mistaken for thyroid pathology. Definitive diagnosis only confirmed following complete surgical resection histopathological analysis. We case woman who was referred to our outpatient clinic with left-sided mass associated...

Use of web-based messaging applications to communicate clinical information is common between non-consultant hospital doctors (NCHDs). This study sought assess messenger use in NCHDs following the introduction a more secure alternative WhatsApp (WhatsApp, Inc., Menlo Park, CA, USA). A 10-item survey was undertaken on two NCHD cohorts. The second cohort received training data protection and an application WhatsApp. Quantitative analysis conducted using IBM Statistical Package for Social...

The synchronous discovery of leiomyosarcoma (LMS) and squamous cell carcinoma (SCC) the larynx is extremely rare. We describe our experience managing a patient with this unusual presentation. A 35-year-old man was initially diagnosed advanced stage (T 4b N 1 M 0 ) laryngeal LMS. Neoadjuvant sarcoma-directed chemotherapy radiation therapy allowed successful pharyngolaryngo-oesophagectomy to be performed in an otherwise inoperable cancer. Histological examination resection specimen revealed...

A man in his 30s with primary hyperparathyroidism underwent an elective four-gland parathyroid exploration intraoperative hormone monitoring. On the fourth postoperative day (POD), patient presented to emergency department severe symptomatic hypocalcaemia. ECG findings were keeping inferior-posterior ST-elevation myocardial infarction (STEMI); however, he was asymptomatic no chest pain. Biochemistry revealed elevated serial troponin levels. Coronary angiogram and transthoracic echocardiogram...

Abstract Equipment failure can be a cause of morbidity during surgical procedures. We present two cases where broken instrument, heart-shaped curved micro-grasper, colloquially termed ‘sweetheart’ micro-forceps, compromised patient safety microlaryngoscopy. discuss the importance thorough protocols and communication between team members to mitigate this risk. Microinstruments used microlaryngoscopy are at risk or breakage due their small size. Surgeons must alert equipment surgery as...