Carotid body Tumor in a father and daughter

Carotid body tumors are uncommonly seen in the clinical practice. Many times, when they are small in size they are mistaken as the lymphnodes in the neck. Some times people consider biopsies suspecting tuberculosis or other patholgies. attempted. Carotid body tumors are also seen in the families, like in this photo a father and daughter are seen with tumors.

World No Tobacco Day - May 31st 2009
100 million people lives are at risk due to the use of tobacco.
In India, 25ooo are killed by bad effects of tobacco. It is important that fact is recognized and people should act. The govt has taken a stand by banning smoking in the public places. But public should take interest and avoid the death due to the side effects of smoking. 70% of the tobacco users in India are smoking bidis. we need to educate the commo man now to avoid the tobacco and there should be special monitoring programs for the tobacco control actions by the government like we have for Tuberculosis, HIV and Malaria. This is very important to avoid the cancers, cardiovascular problems in the society.
Pinjala R K

Large Abdominal Aortic Aneurysm

In many hospitals, large aortic aneurysms are diagnosed after an initial ultrasound examination which is later confirmed on CT scanning

Excision of Thrombosed
Varicose Veins
Thrombosis of the varicose veins may induce local inflammatory symptoms with bulging and pain. Local pigmentation over the thrombosed veins is also common. Medical therapies, compression bandages may relieve the symptoms during course of 2-3 weeks. There is a possibility that the same thrombosis may also recur again in some patients after recanalization. Surgical excision of the thrombosed varicose veins along with neighboring varicose veins with reflux will facilitate early recovery without any major risk of pulmonary embolism. It would be necessary to consider Thrombo-prophylaxis with LMWH in the peri-operative period.

Leiomyosarcoma from vein wall

Tumors from the vessel walls are rare. Leiomyosarcoma from the Iliac vein wall can present as mass, deep vein thrombosis. Complete excision is the best possible treatment for them. Reconstruction of the resected is to be considered if possible. Usually these grafts may get thrombosed after some time without any problems due to the development of collateral veins. Prognosis is poor if there are metastasis to the liver and lung. Their 5 yr survival is reported to 32%. Till now less than 100 cases of leiomyosarcoma were reported from extremity veins.

Two Post graduates from Dept of Vascular surgery, Chennai General Hospital - visiting (Fellowship) Nizam's Institute of Medical Sciences, Hyderabad, AP, India

We are pleased to invite the postgraduates in vascular surgery from Chennai general hospital to visit our department. There are very few centres training vascular surgeons in our country. Nizam's Institute of Medical Sciences has been imparting training to the vascular surgeons for the past 20 years. The department of vascular surgery is adequately supported by all the other sub-specialities. The common man is able to get specialized vascular surgical services. The young surgeons are able to get an opportunity to see different presentations of vascular disease and classical and special treatments provided to these patients. All those doctors who were trained in this department are now independently practicing vascular surgery in differrent parts of India.