Rate of prevalence of helicobacter pylori infection in primary gastric lymphoma patients referring to pathology centers of Yazd

Introduction: Lymphomas as a group rank seventh as the most leading cause of death in cancers. Stomach is the most common extra nodal site of primary lymphomas. On the other hand, new information demonstrates that MALT lymphoma responds to Helicobacter antibiotic therapy. We therefore decided to determine the frequency of distribution of Helicobacter Pylori infection in primary gastric lymphoma cases at the pathology centers of Yazd and determine the relationship of Helicobacter Pylori infection with sex, age and chief complaint of these patients. Methods: This was a case series and cross-sectional study and population included patients referring to pathology centers of Yazd for whom diagnosis of primary gastric lymphoma had been suggested. Required data was accumulated with assessment of pathology reports and hospital folders of patients. Also, tissue blocks of studied patients were evaluated for presence or absence of Helicobacter Pylori. After completing the questionnaire, data was analyzed statistically using SPSS 13 , ANOVA and Fisher's Exact tests. Results: 28 patients were included in this study. Prevalence of Helicobacter Pylori infection in the study group was 43.5% and more in female patients and patients aged above 45 years. Helicobacter Pylori infection was more in patients who had dyspepsia as their chief complaint and those with ulcer on endoscopy. Also, the frequency was more in high grade lymphoma cases. Conclusion: In this study we didn’t achieve a statistically significant correlation between primary gastric lymphoma and Helicobacter Pylori infection. We suggest further studies with larger number of cases to determine the prevalence of various grades of lymphoma and their relationship with Helicobacter Pylori in other provinces with conditions similar to Yazd

Plexiform Neurofibroma Tumor in the Parapharyngeal Neck Space

A 4.5 years old boy with left postero superior lateral neck mass admitted to Shahid Rahnemoon hospital in Yazd. The mass had been noticed 2 years ago and there was no improvement after three times antibiotic therapy. On physical examination there were two masses on the neck. One of them was approximately 3×4 cm and the other was 2×2 cm. On of the masses was located in the left posterior auricular area and the other one in anterosuperior border of SCM. Both masses were mobile, non adhesive, with slight tenderness and without inflammatory signs (ie, redness, warmness etc). In surgery, the parapharyngeal deep neck space was filled by the yellowish-white color tumor with its ;worm-like; projections, extended into the jugular foramen superiorly, lateral oropharyngeal wall medially and supra clavicular area inferiorly. Total resection of tumor was done. The patient was discharged after 5 days with good general conditions. Pathologic report was Plexiform neurofibroma

A Case Report of Inflammatory Myopathy and Sideroblastic Anemia

Mitochondrial myopathy, lactic acidosis, and siderobastic anemia (MLA SA) syndrome is one of the newly reported mitochondrial diseases, seven cases of which have been reported. We report a child with inflammatory myopathy, sideroblastic anemia and lactic acidosis .The patient is a 8.5 year old boy with normal cognitive function suffering from chronic progressive weakness in lower extremities, inability to walk since four months and pallor. In paraclinical evaluation, sideroblastic anemia, mild lactic acidosis and elevated muscle enzymes were seen. Inflammatory myopathy (myositis) in muscle biopsy was detected as well .The patient was administered oral prednisolone, folic acid, B6 and underwent regular physiotherapy. He ambulated after four months and resumed education and schooling