Journal of Mahatma Gandhi University of Medical Sciences and Technology

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Volume 6, Number 3, September-December 2021

RESEARCH ARTICLE

Sukhveer Tanwar, Shikha Dhal, Sumit Goyal

Adaptive Radiotherapy in Locally Advanced Head and Neck Cancers: Impact on Target Volume Shrinkage and Organ at Risk and its Clinical Outcome

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:3] [Pages No:79 - 81]

Keywords: Adaptive, Cancer, Tumor volume

   DOI: 10.5005/jp-journals-10057-0185  |  Open Access |  How to cite  | 

Abstract

Positional uncertainties due to tumor shrinkage and weight loss, leads to decrease therapeutic ratio due to higher treatment toxicity and decreased local control rates. Adaptive Radiotherapy refers to changing treatment plan during the treatment sessions to account for this decreased therapeutic ratio. Total of 50 patients were treated with image-guided radiotherapy for locally advanced head and neck cancers. Replan was done at 17th fraction. The cross-comparison of dosimetric analysis of GTV 100 and PTV 95 was statistically significant. Mean volume reduction rate in ipsilateral parotid and contralateral parotid was in our study mean shrinkage in volume of right parotid 13–10.4 cc, left parotid 14–10.5 cc, respectively. Patients who had TVRR ≥20% at interim replan done after 17 fractions at 4th week had complete response at 6 months after treatment while in patients with TVRR <20%, 42% had complete response at 6 months. Out of 50 patients enrolled in the study 32 patients (64%) had complete response on clinical evaluation and follow-up CT scan.

CASE REPORT

Anitha Seervi, Neha Sethi, Sangeeta Hudda, Jaya Choudhary, Maneesh K Vijay, Chetna Mehrol, M L Yadav, Manju Raghava

Placental Site Trophoblastic Tumor: A Rare Pathological Entity

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:3] [Pages No:82 - 84]

Keywords: CC, Gestation, GTN, hCG, Histopathology, PSTT

   DOI: 10.5005/jp-journals-10057-0180  |  Open Access |  How to cite  | 

Abstract

Placental site trophoblastic tumor (PSTT) is a very rare type of gestational trophoblastic neoplasm that originates from the placental implantation site. They occur mainly in women who have a history of abortion, ectopic pregnancy, or molar pregnancy. Here, we report a case of PSTT in a 35-year-old P6L6 female who presented with complaints of continuous bleeding per vagina and spotting for 8 months and underwent three times dilatation and evacuation for retained products of conception. The patient underwent exploratory laparotomy but the patient still had a history of pain abdomen and bleeding per vagina. On biochemical evaluation, the patient had raised beta-hCG levels. Contrast-enhanced computed tomography scan (CECT) lower abdomen revealed bulky uterus and heterogeneous hemorrhagic areas in the endometrium with right tube ovarian mass. Endometrial biopsy was done which showed retained gestational tissue and no chorionic villi. Then patient underwent a total abdominal hysterectomy with bilateral salpingectomy. The final diagnosis of PSTT was made on the basis of the clinical picture and morphological features.

CASE REPORT

Deeksha Khurana, Asha Jetwani, Ashwini B Prasad, Deepak Raisingani

Management of a Mutilated Molar Using Custom Cast Post: A Case Report

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:85 - 88]

Keywords: Cast post, MTA, Mutilated

   DOI: 10.5005/jp-journals-10057-0182  |  Open Access |  How to cite  | 

Abstract

Restoration of mutilated teeth is always a challenge in dentistry, especially when coronal structure is inadequate to provide resistance and retention form. The remaining tooth structure must be restored meticulously as it acts as a foundation for the renovation and influences the overall strength of the restored tooth. The classical approach for successful management of such arduous cases would be the utilization of post and core after endodontic therapy with subsequent placement of a full-coverage crown. This case report presents the rehabilitation of badly mutilated mandibular molar using custom-made cast post and core.

CASE SERIES

Aashish K Gupta, Neha Sethi, Maneesh K Vijay, Sangeeta Hudda, Chetna Mehrol, M L Yadav, Manju Raghava

Paget's Disease of Breast: One-year Experience of a Superspecialty Cancer Hospital

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:89 - 92]

Keywords: Infiltrating ductal carcinoma, Paget\'s disease, Pagetoid spread

   DOI: 10.5005/jp-journals-10057-0187  |  Open Access |  How to cite  | 

Abstract

Paget's disease of the breast is an uncommon type of cancer of nipple-areola complex and it is frequently associated with an underlying in situ or invasive carcinoma. If there is persistent eczematous involvement of the nipple, which does not respond to the local treatment, then suspicion for Paget's disease must be considered. It constitutes 1–4.3% all breast cancer cases and is frequently associated with an underlying malignancy. Paget's disease of the nipple is a rare disease that requires high suspicion and a good knowledge of symptomatology for quick diagnosis. The present study is based on four cases of Paget's disease which were evaluated further to identify the underlying cause.

CASE REPORT

Vishwajeet A Burungale, Vineet Mishra, Anjaneya S Kathait, Hemant K Mishra, Ripudaman S Champawat

Unusual Presentation of Central Neurocytoma in Posterior Part of Third Ventricle Extending into Fourth Ventricle

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:4] [Pages No:93 - 96]

Keywords: Hydrocephalus, Central neurocytoma, Ventricular tumor

   DOI: 10.5005/jp-journals-10057-0188  |  Open Access |  How to cite  | 

Abstract

Central neurocytomas (CNs) are usually located in the lateral ventricles. Primary origin in the third ventricle is very rare. We discuss the clinical signs and radiological findings of this tumor. We report a case of a third ventricle CN extending through a cerebral aqueduct in the fourth ventricle in a 40-year-old male patient, who initially presented with progressive headache, vertigo, and blurred vision for 3–4 months. Magnetic resonance imaging of the brain revealed a slightly enhanced tumor in the third ventricle with small necrotic areas, calcification, and obstructive hydrocephalus. Total surgical removal of the tumor was performed. The tumor was diagnosed as a CN on histopathological studies. CNs located in the third ventricle are rare. Total tumor excision is associated with a favorable prognosis.

CASE REPORT

Neha Choudhary, Jai Chowdhary, Piyush Chandra, Hemant K Mishra

Solitary Plasmacytoma: A Case Report

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:3] [Pages No:97 - 99]

Keywords: Lytic lesion, Magnetic resonance imaging, Multiple myeloma, Plasmacytoma

   DOI: 10.5005/jp-journals-10057-0189  |  Open Access |  How to cite  | 

Abstract

Solitary plasmacytoma of bone (SPB), also called osseous plasmacytoma, SPBs have male preponderance and are two times more common in male as compared to females. Approximately 55 years is the median age of patients for SPB.To avoid progression to multiple myeloma, localized radiation therapy is the first-line treatment. A 45-year-old female visited our hospital due to complaint of pain in right hip and right knee. X-ray CT and MRI showed lytic lesions and heterogeneously hypointense on STIR images in the proximal metaphyseal region of the right femur, pathology showed plasmacytoma.

COMMENTARY

Hansika Popli, Manu Batra, Deeksha Gijwani, Drishti Chopra, Nivedita Yadav, Kartik Sokhal

Accessibility of Oral Healthcare Treatment Packages under Government Health Schemes in Rajasthan: A Critical Appraisal

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:2] [Pages No:100 - 101]

Keywords: Government, Health, Rajasthan

   DOI: 10.5005/jp-journals-10057-0184  |  Open Access |  How to cite  | 

Abstract

Indian Government has introduced a variety of health insurance schemes with low or no premiums and significant sums insured in the hope of making good healthcare accessible to different strata of society. Rajasthan covers 10.4% of total nation's area with 7th largest by the population. The state government has continuously strived toward providing health care to the population irrespective of the genre. The Rajasthan Government introduced Bhamasha Swasthya Bima Yojana (BSBY) in year 2015 which aimed at providing healthcare including major as well as minor dental procedures to the economic weaker section. Latest of all schemes is Ayushman Bharat Yojana. This article is about the accessibility of oral health care and treatment packages, their benefit to patients given under these two main schemes given by Government of Rajasthan.

SURVEY

Yashi Sharma, Bharathi N Padiyar, Mili R Meghpara

Knowledge and Awareness of School Teachers of Jaipur in Emergency Management of Traumatic Dental Injuries

[Year:2021] [Month:September-December] [Volume:6] [Number:3] [Pages:5] [Pages No:102 - 106]

Keywords: Emergency, School teachers, Traumatic dental injuries

   DOI: 10.5005/jp-journals-10057-0186  |  Open Access |  How to cite  | 

Abstract

Introduction: Accidents in the school environment due to falls are very common and are the prime cause of traumatic dental injuries. Hence, it is of great importance to assess the knowledge of people present at the site of accident. Aim: To evaluate knowledge and awareness of school teachers of Jaipur about emergency management of dental trauma. Methodology: A custom-made questionnaire was distributed amongst 187 school teachers consisting of three parts. The first part of the questionnaire consisted of personal and professional details. The second part assessed teachers’ general knowledge about trauma and its prevalence. The third part consisted of case scenarios about some common traumatic dental injuries (TDIs). Chi-square test was done to describe the strength of the associations. Results: The overall knowledge of school teachers regarding management of TDIs was found to be satisfactory. Conclusion: Despite good knowledge and awareness regarding management of dental trauma, school teachers of Jaipur had a good attitude toward learning about management of dental trauma.

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