1.Pleomorphic Adenoma Originating from Submandibular Salivary Gland in an 8-year-old Girl: A Case Report
Gani AN ; Megat Shiraz MAR ; Siti Aishah MA ; Norazizah M ; Mazita A ; Sharifah NA
Medicine and Health 2007;2(2):164-168
Pleomorphic adenoma (PA) typically presents as a benign slow growing, painless
neoplasm of the parotid gland. PA arising from the submandibular gland in the paediatric
age group is rare. Surgical excision is the treatment of choice. A case of PA in an 8-yearold
Malay girl is presented. Clinically she presented with a painless right submandibular
mass measuring 2x2cm. A diagnosis of Pleomorphic adenoma was made on Fine Needle
Aspiration Cytology (FNAC). She underwent submandibulectomy uneventfully.
Postoperatively after two years follow up, she is asymptomatic.
2.Paediatric tracheostomy in Hospital University Kebangsaan Malaysia - a changing trend.
S H A Primuharsa Putra ; C Y Wong ; M Y S Hazim ; M A R Megat Shiraz ; B S Goh
The Medical journal of Malaysia 2006;61(2):209-13
Indication for pediatric tracheostomy has changed. Upper airway obstruction secondary to infectious disorders is no longer the commonest indication. The aim of this study was to establish data on indications, outcome and complications of pediatric tracheostomy. A retrospective analysis of pediatric tracheostomies carried out between March 2002 to March 2004 was done. Eighteen patients were identified. The commonest indication was prolonged ventilation (94.5%) followed by pulmonary toilet (5.5%). None was performed for upper airway obstruction. Postoperative complications were encountered in six patients (33.3%), the commonest being accidental decannulation notably in children less than six years of age. Twelve patients (66.6%) were successfully decannulated. The mortality rate was 16.6%. All death were non tracheostomy related. The commonest indication for tracheostomy was prolonged ventilation and tracheostomy in children is relatively safe despite complications.
Tracheostomy procedure
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Complications Specific to Antepartum or Postpartum
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Universities
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trends
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Obstruction
3.Extramedullary plasmacytoma in the maxillary sinus.
M A Megat SHIRAZ ; Y H JONG ; S H Primuharsa PUTRA
Singapore medical journal 2008;49(11):e310-1
Extramedullary plasmacytoma is a rare malignant plasma cell tumour. We report an extremely aggressive case of extramedullary plasmacytoma of the right maxillary sinus, which had metastasised to the brain and rib. A 56-year-old man presented with recurrent epistaxis and acute anaemia. Nasendoscopy revealed a medialised medial wall of the right maxilla and a mass occupying the whole nasopharynx. Magnetic resonance imaging revealed a right maxillary tumour with extension to the ipsilateral nasal cavity, nasopharynx, right sphenoid and ethmoidal sinuses. There was an extra-axial brain metastasis. There were metastases to the right parietal region and left eighth rib. Histopathology examination of the maxillary mass revealed abundant plasma cells with kappa-chain restriction. He was planned for four cycles of chemotherapy. Unfortunately, in view of the advanced stage of disease, he succumbed to his disease during the first cycle of chemotherapy.
Anemia
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complications
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Antineoplastic Agents
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therapeutic use
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Brain Neoplasms
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diagnosis
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pathology
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Fatal Outcome
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Humans
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Magnetic Resonance Imaging
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methods
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Male
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Maxillary Sinus
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diagnostic imaging
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pathology
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Maxillary Sinus Neoplasms
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diagnosis
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diagnostic imaging
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pathology
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Middle Aged
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Nasopharynx
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pathology
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Neoplasm Metastasis
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Plasmacytoma
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diagnosis
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diagnostic imaging
;
pathology
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Radiography