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Case Review |
Clinical Photograph of The Week |
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A 39 year old female presented with 3 years history of painless mass within
the right external auditory canal, associated with hearing loss. She also
gave history of attempted 'excision' of the mass some years ago with
little effect. Otoscopy was not possible because of a bony hard mass
almost completely filling the right EAC with surrounding otorrhoea. Post
auricular exposure revealed the finding shown here, with erosion of
superior EAC wall
>>>>
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What is the Diagnosis ?
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s
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1. 16th Annual general
meeting and scientific conference of otorhinolaryngological
society of Nigeria (ORLSON), November 21 - 24, 2007. See
Here
For
details.
2. . Further Conference
Announcement? Click
Reed our Feed
or Check the Conference
Announcement Page |
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The controversy surrounding precise
definition of 'micrometastasis' led to this thought provoking short
communication
from Italy (Devaney, Rinaldo & Ferlito, Am. J.
Otolaryngol Jul-Aug 2007 28(4): 271-274) that suggests among
others uniform and consistent upper and lower size limits be set and further
proposed that metastasis 0.2mm or less be designated 'isolated tumor
cells', among others
Abstract:
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Objective Techniques are now being developed, which
allow ever smaller metastatic deposits in regional lymph nodes
to be detected; the question is, should they be sought, or does
their presence convey no additional information for treatment
of head and neck carcinoma patients at this time? Preliminary
findings have suggested that the presence of micrometastases
may carry with it some prognostic information, and as a
consequence, the search for micrometastases would, for the
foreseeable future, appear to be a fertile ground for
investigation. To bring some uniformity to this project, it is
suggested that these definitions be adopted: a micrometastasis
measures greater than 0.2 mm but less than 2.0 mm in diameter,
and smaller deposits should be designated as isolated tumor
cells, which, in turn, are subdivided into those isolated tumor
cells detected by light microscopy, immunohistochemistry, or
molecular methods. At this juncture, the import of such
micrometastases remains in the realm of the clinical
investigator—it remains an open question whether the
identification of micrometastases (however they may ultimately
come to be defined) will prove to have an impact on the care of
head and neck cancer patients. |
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Journal Watch :Screening
patients with sensorineural hearing loss for vestibular schwannoma using a
Bayesian classifier, Nouraei, S.A.R et al, 2007..
1.
The otolaryngologyinafrica.net resident's page has been re-designed.
The current forum page is now separated from the archive page. FEEL
FREE to view the new design and recommend to your residents
2. From
http://www.otolaryngologyinafrica.net/grandround/
is a new addition - a recent conference poster presentation. This presentation
is available at
http://www.otolaryngologyinafrica.net/grandround/archive.htm .
3. DODA has been redesigned. Take time to
view the new look of this program at the
DODA Images Page... You may also download
DODA Video, mobile
devices edition, which can be
installed on your cell phone (Note: a multimedia cell phone is required).
4. Otolaryngologyinafrica.net is experimenting with use of SMS
notification of newsletter release. Feel free to air your view on this issue by
emailing
orl-mailer@otolaryngologyinafrica.net .
Till Next Week, Welcome to 2007!
Biodun
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