Adénome Pléomorphe Géant à Localisation Submandibulaire: À Propos d’un Cas

Introduction: The pleomorphic adenoma is a benign tumor of the salivary glands. Its extra parotid locations are rare. The aim of this study is to describe the particular management of the pleomorphic adenoma in its unusual location. Observation: This patient was a 35 - year - old patient referred from Zinder Hospital for the management of tumefaction in the mandibular region that had been undergoing surgery for 10 years. The clinical and paraclinical examinations led to the conclusion of a pleomorphic adenoma of the submandibular gland, by imaging and confirmed by the anatomo-pathological examination of the surgical specimen, which measured 15x12x8cm following submandibulectomy with complete tumor resection. The follow-up was simple and no recurrence or malignant transformation was reported after a mean follow-up of one year. Conclusion: The extra-parotid localization of the pleomorphic adenoma is dominated by the submandibular gland. This localization stands out in its clinical and therapeutic peculiarities. Introduction: L’adénome pléomorphe est une tumeur bénigne des glandes salivaires. Ses localisations extra parotidiennes sont rares. L’objectif de ce travail est de décrire la prise en charge particulière de l’adénome pléomorphe dans sa localisation inhabituelle. Observation: Ils’agissait d’un patient de 35 ans, référé de l’Hôpital National de Zinder pour la prise en charge d’une tumeur de la région mandibulaire évoluant depuis 10 ans. Les examens cliniques et paracliniques avaient permis de conclure à un adénome pléomorphe de la glande submandibulaire, par l’imagerie et confirmé par l’examen anatomo-pathologique de la pièce opératoire qui mesurait 15x12x 8cm suite à la submandibulectomie avec résection tumorale complète. Les suites opératoires étaient simples et aucune récidive ni transformation maligne n’a été rapportée après un recul d’un an. Conclusion: La localisation extra-parotidienne de l’adénome pléomorphe est dominée par la glande submandibulaire. Cette localisation se distingue dans ses particularités cliniques et thérapeutiques

Needs of Young African Neurosurgeons and Residents: A Cross-Sectional Study.

Introduction: Africa has many untreated neurosurgical cases due to limited access to safe, affordable, and timely care. In this study, we surveyed young African neurosurgeons and trainees to identify challenges to training and practice. Methods: African trainees and residents were surveyed online by the Young Neurosurgeons Forum from April 25th to November 30th, 2018. The survey link was distributed via social media platforms and through professional society mailing lists. Univariate and bivariate data analyses were run and a P-value < 0.05 was considered to be statistically significant. Results: 112 respondents from 20 countries participated in this study. 98 (87.5%) were male, 63 (56.3%) were from sub-Saharan Africa, and 52 (46.4%) were residents. 39 (34.8%) had regular journal club sessions at their hospital, 100 (89.3%) did not have access to cadaver dissection labs, and 62 (55.4%) had never attended a WFNS-endorsed conference. 67.0% of respondents reported limited research opportunities and 58.9% reported limited education opportunities. Lack of mentorship (P = 0.023, Phi = 0.26), lack of access to journals (P = 0.002, Phi = 0.332), and limited access to conferences (P = 0.019, Phi = 0.369) were associated with the country income category. Conclusion: This survey identified barriers to education, research, and practice among African trainees and young neurosurgeons. The findings of this study should inform future initiatives aimed at reducing the barriers faced by this group

Integrated monitoring in small wooded catchments in Lithuania

In the background monitoring areas (small wooded catchments) agricultural pollution is negligible and the atmosphere is the only source of widescale pollution. We review the chemical compositions in the soil profiles of Auk?taitija, Dzukija and ?emaitija in Lithuania. We describe also trends in groundwater level fluctuations, the chemical composition of groundwater in 1994-1999, compare the chemical and physical properties of runoff water and show results of the simulation of successive data series of soil water flow and soil moisture saturation at different depths by the SOIL model. The simulation results may be used to evaluate water movement and element mobility in the soil

Report on national ICP IM activities in Lithuania

Vytauto Didžiojo universitetasŽemės ūkio akademij

Report on ICP IM activities in Lithuania

Vytauto Didžiojo universitetasŽemės ūkio akademij