Journal of Medicine, Radiology, Pathology and Surgery


A clinicopathological insight of high-risk periocular basal cell carcinoma in a Central Karnataka tertiary care center

K. R. Chatura, Sravani Doradla, Shivayogi Kusagur, M. Archana

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:1–5] [No. of Hits: 26]

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  • [Abstract]
  • [DOI : 10.15713/ins.jmrps.140]


Introduction: Basal cell carcinoma (BCC) is a common example of basaloid tumor accounting for approximately 70% of all skin cancers. Periocular skin and eyelids are common sites of neoplastic lesions of the head and neck. Even though BCC is a slowly growing tumor with no metastases, it poses a threat in the periocular region due to its closeness to vital structures.

Materials and Methods: The study comprised periocular BCCs diagnosed from July 2011 to June 2016. Clinical details were collected for the specimens. Microscopic findings were analyzed on hemotoxylin and eosin stained sections.

Results: Of the 123 periocular tumors in a period of 5 years, 27 were malignant epithelial tumors. Of these, 23 cases were BCC, common in females (20 cases), and the most common age group was 60-69 followed by 70-79 years. Most common presentation was an ulcerated lesion and 31.8% of the lesions were in the medial canthus.

Conclusion: All our cases were periocular lesions, so they were of high risk. Two patients were genetically predisposed and younger than 40 years, and two patients had recurrences. The referral patterns will be influenced by the concept of risk type (low or high) for BCC. Identification of lesions at the earliest can reduce the associated morbidity and recurrences.

Keywords: Basal cell carcinoma, high risk, periocular

How to cite this article: Chatura KR, Doradla S, Kusagur S, Archana M. A clinicopathological insight of high-risk periocular basal cell carcinoma in a Central Karnataka tertiary care center. J Med Radiol Pathol Surg 2018;5:1-5

Received: 01 September 2018;

Accepted: 20 October 2018


Laryngeal cancer imaging and its extension evaluation: Intelligent analysis of 100 cases diagnosed at Setif Hospital in Algeria

Babouche Farid, Draouet Sebti, Hamdi-Cherif Mokhtar, Bouharati Imene

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:6–10] [No. of Hits: 17]

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  • [Abstract]
  • [DOI : 10.15713/ins.jmrps.141]


Background: Clinical examination and endoscopic biopsy are often not sufficient in the analysis of the evolution of laryngeal cancers. The imaging extension of laryngeal tumors is based on the helical multiband scanner.

Aims: Some deep extensions of the initial tumor pathology are only accessible using imaging. This is decisive in the therapeutic choice. It is the same in the case of ganglionic extensions in the management of lymphocytic tumors. The precise identification of these is necessary in the therapeutic orientation.

Materials and Methods: In our study, we give an overview of the imaging techniques used in the follow-up of 100 patients at the University Hospital of Setif in Algeria, and the impact of our imaging results on the prognosis and clinical management of these patients.

Results: From the results obtained in imaging of these patients, there are findings relating to volumes, shapes, density, location, and extension. These variations are very complex to analyze using conventional mathematical tools. We propose a system that uses artificial intelligence techniques for their analysis.

Conclusion: A fuzzy inference system is proposed. The input variables of the system express the tumor characteristics that are mapped to the output variable that expresses the therapeutic protocol to be adopted.

Keywords: Artificial intelligence, clinical management, fuzzy logic, imaging, laryngeal cancers, scanner

How to cite this article: Babouche F, Draouet S, Hamdi-Cherif M, Bouharati I. Laryngeal cancer imaging and its extension evaluation: Intelligent analysis of 100 cases diagnosed at Setif Hospital in Algeria. J Med Radiol Pathol Surg 2018;5:6-10.

Received: 11 September 2018;

Accepted: 21 October 2018


Assessment of salivary flow rate and salivary pH in subjects with smoking and smokeless form of tobacco habits

G. Shubha, Shruthi S. Fasalkar, B. N. Praveen, Sanjana Patrick, A. R. Shubhasini, G. Keerthi

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:11–15] [No. of Hits: 22]

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  • [Abstract]
  • [DOI : 10.15713/ins.jmrps.142]


Background: Saliva is a complex secretion of the oral cavity and is the first fluid to get exposed to the harmful constituents of tobacco products. Repeated exposure to tobacco results in structural and functional changes of saliva. Thus, estimation of salivary flow rate (SFR) and salivary pH was done in subjects having smoking and smokeless form of tobacco habit.

Methodology: The study was conducted in a workplace setting. Subjects with the habit of smoking, smokeless tobacco, or combined habits of smoking and smokeless tobacco were included in this study. Schirmer tear strips and pH strips were used to assess SFR and pH.

Results: On comparison of SFR between control group and habit groups, a statistically significant reduction of SFR was observed in habit groups. On comparison of salivary pH, a statistically significant reduction was observed only in smokeless tobacco usage group when compared with control group. A significant reduction in SFR and borderline reduction in pH was observed in subjects with lesions.

Conclusion: Assessment of SFR using modified Schirmer tear strips is a non-invasive, inexpensive, easy to perform, and well-tolerated test for measuring dry mouth, which readily identifies patients who are asymptomatic for xerostomia and hyposalivation due to tobacco habits.

Keywords: Oral potentially malignant disorders, salivary flow rate, salivary pH, tobacco

How to cite this article: Shubha G, Fasalkar SS, Praveen BN, Patrick S, Shubhasini AR, Keerthi G. Assessment of salivary flow rate and salivary pH in subjects with smoking and smokeless form of tobacco habits. J Med Radiol Pathol Surg 2018;5:11-15

Received: 02 August 2018;

Accepted: 21 September 2018


Burning mouth syndrome: A case report

Swati Saxena, Tejavathi Nagaraj, Poonam Sahu, Arundhati Biswas

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:16–18] [No. of Hits: 18]

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  • [Abstract]
  • [DOI : 10.15713/ins.jmrps.143]


Burning mouth syndrome (BMS) or oral dysesthesia syndrome causes chronic pain in the orofacial region without any detectable causes. The most commonly manifested clinical features are xerostomia, burning sensation in the mouth, and dysgeusia. These manifestations ideally show a diurnal pattern, in which they are less in the morning and worsen as the day progresses and classically subside at the night time. BMS has multifactorial etiology. This report describes a case of BMS in a 35-year-old female patient.

Keywords: Burning mouth syndrome, dysgeusia, multiple caries, xerostomia

How to cite this article: Saxena S, Nagaraj T, Sahu P, Biswas A. Burning mouth syndrome: A case report. J Med Radiol Pathol Surg 2018;5:16-18.

Received: 11 August 2018;

Accepted: 26 September 2018


Restoring emotional and psychological vision of a child with custom-made ocular prosthesis - A case report

Jogeswar Barman, Barasha Goswami, Nirupam Paul

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:19–22] [No. of Hits: 16]

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  • [DOI : 10.15713/ins.jmrps.144]


Loss of eye at an early stage of life not only affects the facial esthetics but also imparts a pervasive impact on the psychological health of the patient and often leads to social disability. A custom-made ocular prosthesis is an easy and promising mean of the rehabilitation of such defect helps in leading the patient into a normal social life. Hence, the present article describes a simplified technique of the fabrication of ocular prosthesis to rehabilitate an enucleation defect in 3½-year-old girl followed by surgical removal of retinoblastoma.

Keywords: Custom made, enucleation, ocular prosthesis

How to cite this article: Barman J, Goswami B, Paul N. Rehabilitation of ocular defect with custom-made ocular prosthesis - A case report. J Med Radiol Pathol Surg 2018;5:19-22.

Received: 22 August 2018

Accepted: 21 September 2018


Intralesional injections in oral submucous fibrosis - A series of case reports

Tejavathi Nagaraj, Durga Okade, Arundhati Biswas, Poonam Sahu, Swati Saxena

[Year:2018] [Month:September-October] [Volume:5 ] [Number:5] [Pages No:23–26] [No. of Hits: 24]

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  • [DOI : 10.15713/ins.jmrps.145]


Oral submucous fibrosis (OSMF) is a chronic insidious disease and is well-recognized as a premalignant condition. It is a collagen-related disorder associated with betel quid chewing and characterized by progressive hyalinization of the submucosa. It is a well-recognized potentially malignant condition of the oral and oropharyngeal mucosa with initial inflammation followed by progressive fibrosis of the underlying connective tissues. The aim of this article is to report three cases of OSMF which was treated with intralesional injection of corticosteroids, hyaluronidase, and local anesthesia which showed remarkable improvement in the clinical symptoms.

Keywords: Corticosteroids, hyaluronidase, oral submucous fibrosis, premalignant

How to cite this article: Nagaraj T, Okade D, Biswas A, Sahu P, Saxena S. Intralesional injections in oral submucous fibrosis - A series of case reports. J Med Radiol Pathol Surg 2018;5:23-26.

Received: 19 August 2018;

Accepted: 28 September 2018