Neuroendocrine tumor (NET) of gallbladder (GB) is very rare, accounting for 0.5% of all neuroendocrine malignancies and 2% of all GB cancers. It is very difficult to differentiate between carcinoma GB and NET GB. Here, we present a case of NET GB diagnosed in a 40-year-old female. The clinical features were nonspecific and the diagnosis was confirmed only on histopathological examination. The management of carcinoma GB and NET GB is discussed in detail.
The term culture-bound syndrome denotes locality-specific, recurrent patterns of variant behavior and disturbing experience that could conceivably be connected to a specific DSM-IV-TR[2] diagnostic category. A large number of these examples are indigenously thought to be "illness", or at least afflictions, and most have local names. Culture-bound syndromes are generally limited to specific societies or culture areas and are localized, folk, diagnostic categories that frame coherent meanings for certain repetitive, patterned, and troubling sets of experiences and observations. Present overview paper has focused on various syndromes/disorders that are specific to India or Indian culture.
In Nova Scotia, strategic environmental assessments (SEAs) are used to scope the potential impacts of offshore oil and gas activities in the early stages of regulatory decision-making. This study examined stakeholder perceptions and involvement in SEAs for offshore oil and gas decisions on areas being opened by the provincial government for development. Stakeholder comments from 12 SEAs (2003–2019) were evaluated, and 25 interviews with strategic actors involved in the assessments were undertaken and coded. The results reveal actors in Nova Scotia are divided over the effectiveness of a sector-specific SEA: while federal–provincial governments and the regulator were satisfied with SEA function, non-governmental stakeholders questioned the credibility of the regulator as well as the intent and utility of SEAs. Policy recommendations are outlined to remedy gaps in SEA processes, notably implementing integrated management via marine spatial planning in the region.
Dermatofibrosarcoma protuberans (DFSP) is a rare cutaneous sarcoma. Bednar tumor (BT) or pigmented DFSP is a rarely reported variant of it. The only differentiating feature between them is the presence of melanocytes on histopathological examination. We report a case of a 23-year-old female who presented with a recurrent lump in the right thigh that on histopathological evaluation was diagnosed as BT. Less than hundred cases of BT have been recorded to date, with only five cases originating from the thigh. Clinicopathological features of recurrent cases have been compared as local recurrence is less commonly reported.
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