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N R Tulasi

Publications and source records attributed to N R Tulasi.

7 recordsLinked to original sources

A spectrum of coexistent tuberculosis and carcinoma in the breast and axillary lymph nodes: report of five cases.

Tuberculosis (TB) and breast cancer are common diseases in developing countries. Their coexistence in the breast and axillary lymph nodes is, however, rare. It can lead to overstaging of the breast cancer. Treatment compliance may also be difficult when two major illnesses exist. Five cases of coexistent breast cancer and TB are presented with regard to presentation and outcome, with a review of the literature.

Adult↗

Scintigraphic diagnosis of thyroid cancer. Correlation of thyroid scintigraphy and histopathology.

Scintigraphy is part of the routine examination of thyroid disease, yet there are few published reports on its utility and pitfalls. Out of 2025 consecutive thyroid examinations after excluding 230 cases of proven thyroid malignancies, 403 patients who underwent surgery were studied for histopathologic correlation. There were 232 with cold nodules, 143 with multinodular goiters (MNG) and 28 with uniformly increased uptake suggestive of toxic goiter. Malignancy was reported in 72 of the 232 cold nodules (31%). In solitary nodules, the examination was useful in selecting cases for surgery and, in cold lesions, for planning of surgery. In the majority of patients with MNG or thyrotoxicosis who were operated on, scintigraphy provided no additional information. MNG requires scintigraphy only in selected cases where there is strong suspicion of malignancy. Contrary to reports in the literature, papillary carcinoma was found to be associated with MNG in our patients.

Adolescent↗

Lymphangioma circumscriptum.

Lymphangioma circumscriptum (LC) of the vulva is a rare complication of radiotherapy to pelvis. We report two cases of LC of the vulva occurring after radiotherapy to pelvis for carcinoma cervix. Patients were managed conservatively.

Adult↗