Sudha Rani

Germ cell tumors of the ovary : A clinicopathologic study of 121 cases from Nepal

Background:  Although many reports have been published about germ cell tumors of the ovary in developed countries, there has been no such documentation from Nepal. The retrospective study presented here reports the clinicopathologic profile of germ cell tumors of the ovary studied at B. P. Koirala Institute of Health Sciences, Dharan, Nepal.

Post-kala-azar dermal leishmaniasis in Nepal.

Abstract

Lymphangioma Circumscriptum of the Vulva Mimicking Genital Wart: A Case Report and Review of Literature

Lymphangioma circumscriptum (LC) is an uncommon dermatologic problem that rarely affects the vulva and it is considered to be a localised developmental defect of lymphatic tissue in the dermis. We report a case of vulval LC, clinically diagnosed as genital wart, in a 48‐year‐old woman without evidence of secondary lymphatic damage. The patient required extensive vulval surgery and there was no recurrence after 16 months.

Kala Azar Associated With Malaria

22-year-old man presented with complaints of mildto moderate-grade fever with chills and rigor, cough with scanty expectoration, and progressive weight loss of 1 month’s duration. On examination, he was pale, febrile, and had normal vital signs. Multiple superficial lymph nodes in the cervical and axillary regions were palpable, varying from 1.5 to 2.5 cm in diameter. The glands were nontender, matted, firm, and mobile. Liver and spleen were enlarged 2 and 3 cm below the costal margin, respectively. Other systems were normal. A clinical diagnosis of disseminated tuberculosis was considered. Laboratory investigations revealed the following values: hemoglobin, 5.2 g/dL; total leukocyte count, 3400/mm 3 , with a differential count of 57% polymorphs, 41% lymphocytes, and 2% monocytes. Erythrocyte sedimentation rate (Westergren) was 76 mm in the first hour, and the platelet count was 1 50 000/mm 3 . Peripheral blood smear showed normocytic hypochronic to macrocytic red cells, neutrophils with prominent toxic granules, and no malar

Neurogenic Cyst of Ovary : An Unusual Massive Monodermal Teratoma

An unusual massive benign cystic monodermal teratoma of the ovary in a 14‐year‐old girl is reported. The multilocular cyst measured 80 times 70 times 80 cm and contained 23 / of fluid. The cyst wall composed of purely mature central nervous system tissue with a prominent microvasculature resting on a thin rim of ovarian cortical tissue. Immunohistochemical stains supported the diagnosis. To the best of our knowledge only one such case has been described in the literature.

Juvenile polyps in the small intestine presenting as jejunojejunal intussusception in a 10-year-old child: report of a case.

Abstract.We report herein the case of a 10-year-old child with small bowel obstruction caused by jejunojejunal intussusception of a juvenile polyp. To the best of our knowledge, this is only the third case reported of a juvenile polyp in the small intestine and the first case to be documented in the English literature.

Chromoblastomycosis: Report of Two Cases from Nepal

Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissue caused by dematiaceous fungi. The first case, a 67‐year‐old male farmer, presented with itchy hyperkeratotic, scaly plaques with scarring and black dots on the lateral aspects of his left arm and dorsum of his left hand of 28 years duration. The case was clinically diagnosed as chromoblastomycosis. The second case, a 75‐year‐old farmer, presented with erythematous, crusted, scaly plaques on the dorsum of the left foot of 30 years duration. Initially, a clinical diagnosis of lupus vulgaris was made, but treatment with anti tuberculosis therapy showed no improvement. On the basis of histopathological examinations of skin biopsies and isolation of fungus on culture, both cases were diagnosed as chromoblastomycosis. To the best of our knowledge, these two cases are the first case reports of chromoblastomycosis from Nepal and are presented for their academic interest.