Hitesh Verma

Alveolar soft part sarcoma of the mandible: A rare case

Alveolar soft part sarcoma (ASPS) is an enigma both for clinicians and pathologists. It is a rare soft tissue neoplasm affecting young adults. A 72-year-old female presented with a history of painful ulcer on the right side of the oral cavity associated with bleeding and difficulty in chewing. She underwent wide local excision of the lesion with segmental mandibulectomy and supraomohyoid neck dissection. Histopathological examination was suggestive of ASPS with involvement of resection margins. The patient developed rapid relapse after surgery and did not respond to chemotherapy and radiotherapy. She ultimately died of disease 10 months postsurgery.

Pleomorphic Sarcoma of Larynx

Background: Malignant fibrous histiocytoma (MFH) is a malignant type of sarcoma with uncertain origin and it may arise from bone and soft tissue. In 3% cases it involves head and neck and it is rare in larynx. Case report: We present a rare case of a 55-year-old male diagnosed as pleomorphic sarcoma (PS) of larynx. Conclusion: Plemorphic sarcoma, commonest subtype of MFH, should be kept in mind as a differential diagnosis in aggressive tumors of larynx. Clinical significance: Pleomorphic sarcoma of larynx may be diagnosed as rare tumor of larynx and may need aggressive treatment.

Outer auditory canal cholesteatoma

Outer auditory canal cholesteatoma (OACC) is a rare form of cholesteatoma of temporal bone, and it accounts for 0.1%–0.5% of new patients at clinics of otolaryngologist. We are presenting here a rare case of cholesteatoma of OAC where excision was done with canal wall down mastoidectomy with preservation of tympanic membrane and structure medial to it and reconstruction of OAC with conchal cartilage. Complete disease removal with soft wall reconstruction is a viable method for OACC.

Tumours of Deep Lobe of Parotid Gland: Our Experience

Parotidectomy surgeries are being routinely performed by ENT surgeons nowadays. Parotid tumours can present with a variety of manifestations ranging from a barely noticeable mass to a large tumour with facial paralysis. Most benign parotid tumours are located in the superficial lobe though rarely deep lobe may also be involved, while malignant tumours are generally seen to involve both the lobes of the gland. We present clinico-radiological-pathological profile of 25 patients who underwent parotid surgeries for tumours involving deep lobe alone or the whole gland, and were operated at our institute during the period from January 2011 to December 2012. This study was a retroprospective observational analysis with the aim of analyzing the epidemiology, radiological, surgical and histopathological profile of these patients. Among 25 patients who underwent parotid surgeries, 17 patients underwent total conservative parotidectomy, while 5 patients underwent radical parotidectomy. In 3 patients, extended radical parotidectomy was performed. We also report the complications and follow-up of these patients. We concluded that fine needle aspiration cytology (FNAC) findings and final histopathological report may not always correlate.