2.A rare case of multiple cutaneous malignancies.
Nazli ZAINUDDIN ; Irfan MOHAMAD
Brunei International Medical Journal 2011;7(4):211-214
Multiple primary malignancies of the upper aerodigestive tract occurring in the same patient are not commonly reported. The incidence varies from 1% to 20%. Second primary malignancy occurring at the same anatomical location is more common than those that arise from a distant location. We report a case of a 52-year-old Malay man who was previously treated for nasopharyngeal carcinoma with chemoradiotherapy and subsequently developed a basal cell carcinoma complicated by multiple recurrences and squamous cell carcinomas of the temporal region and the nose. Such an occurrence has not been previously reported in the literature.
3.Chronically blocked nose
Irfan MOHAMAD ; Chentilnathan PERIASAMY
Brunei International Medical Journal 2012;8(4):185-185
5.When the symptoms remain, the diagnosis may need a change: a missed foreign body
Archives of Orofacial Sciences 2016;11(1):15-17
The unilateral nasal symptom should trigger a treating physician to a certain diagnosis. The differential
diagnosis includes foreign body, rhinolith and tumour. The chronicity of symptom helps a lot with the diagnosis.
Foreign body for example, tends to present with positive history of insertion, mainly by children or the acute
symptom of local infection. In the presence of prolonged symptom, rhinolith should be suspected especially when
the patient presents with pathognomonic nasal obstruction with foul smelly discharge. A referral should be made
for a nasoendoscopy evaluation whenever a rhinitis-like symptoms remain after a period of medical treatment for
allergy. We share a case of a missed diagnosis of a rhinolith after six years of symptoms.
Keywords: nose; obstruction; rhinolith; unilateral
6.Papillary Thyroid Carcinoma Presenting with Intraluminal Tracheal Mass Symptoms
The Medical Journal of Malaysia 2013;68(2):164-165
Papillary thyroid carcinoma is a common thyroid
malignancy reported world wide. It affects females more
commonly in the 4th to 6th decades of life. The patients
usually present with a painless anterior neck mass and
occasionally with lymph node involvement. We report a case
of an elderly male who presented with hoarseness and
hemoptysis, which warranted bronchoscopy. Biopsy of the
intraluminal tracheal mass revealed the diagnosis of
papillary thyroid carcinoma. Computed tomography scan of
the neck confirmed the presence of the primary lesion in the right thyroid lobe with invasion into the adjacent trachea and esophagus.
7.The louder the bigger: A case of jugular phlebectasia in a child
Irfan Mohamad ; Ramaprabah Kandiah
Malaysian Family Physician 2019;14(3):77-79
Jugular phlebectasia has been increasingly recognised with the advent of non-invasive diagnostic
methods. Phlebectasia differs from varix, as it is an abnormal outward dilatation of a vein without
tortuosity. It presents as a soft, compressible mass, apparent upon straining or execution of the
Valsalva maneuver. The differentials for neck masses are broad, but if the swelling appears on the
Valsalva maneuver, the type of mass narrows down to a laryngocele, superior mediastinal mass or
phlebectasia. A simple non-invasive investigation, such as ultrasonography, is used as a diagnostic
tool. We report a case of jugular phlebectasia that was suspected clinically and confirmed via
ultrasound to be a vascular lesion which changed its size upon straining.
8.Lingual tonsillitis post tonsillectomy: a rare cause of odynophagia
Irfan Mohamad ; Kambiz Karimian Fard ; Hazama Mohamad
Archives of Orofacial Sciences 2010;5(1):29-30
Lingual tonsil is a part of Waldeyer’s ring. It consists of
lymphoid follicles and subject to proliferation and hypertrophy. Palatine tonsillitis, by far is the commonest cause of odynophagia originating from
oropharyngeal region. Lingual tonsillitis is a rare occurrence. We reported a patient who presented with severe odynophagia after two months of
palatine tonsillectomy. Examination revealed the lingual tonsils were inflamed and covered with exudates.
9.Bilateral pulmonary aspiration of teeth and the migration of a foreign body from one main bronchus to another.
Mohamad, Irfan ; Mohamad, Hazama ; Ismail, Hashimah
The Medical Journal of Malaysia 2010;65(4):309-10
Foreign body aspiration in the adult airway is very rare. A neglected foreign body can occur when the patient is mentally challenged or is in an unconscious condition such as following trauma. The diagnosis can be delayed because there is no typical history of choking or breathing difficulty.
10.MJMS at the Dawn of Its Electronic Era
Wan Ilma Dewiputri ; Irfan Mohamad
Malaysian Journal of Medical Sciences 2011;18(1):1-5
This special editorial assessed the recent developments in Malaysian Journal of Medical
Sciences (MJMS) and examined the characteristics of the submission, peer review, and publication
processes for MJMS. This retrospective analysis used information about the manuscripts submitted
to MJMS during the one-year period (from 1 June 2010 to 31 May 2010) since the start of current
online submission and review system (ScholarOneTM Manuscripts, Thomson Reuters). In addition,
we also discussed the future directions of MJMS. Finally, we would like to recommend an annual
internal audit for MJMS, which is very useful to monitor the growth of this journal progressively.