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C S Pramesh

Publications and source records attributed to C S Pramesh.

At least 37 records · Page 2Linked to original sources
PubMed2005

Injury of an aberrant subclavian artery: a rare complication of video assisted thoracoscopic esophagectomy.

An aberrant right subclavian artery is an uncommon anomaly. When associated with esophageal cancer, it can cause diagnostic confusion as the symptoms are similar. If unrecognized and injured during esophageal surgery, it can lead to disastrous complications. We report a patient in whom this aberrant artery was injured during a thoracoscopic mobilization of the esophagus. The embryological and radiologic aspects of this anomaly and its clinical significance are discussed. Pre-operative diagnosis will require a high index of suspicion, as the clinical and radiological features are not specific. If injury occurs, an immediate vascular reconstruction will prevent limb ischemia and hence knowledge of this entity is of utmost importance.

Aorta, Thoracic↗
PubMed2004

Epidermotropic cutaneous metastases from hypopharyngeal carcinoma.

Cutaneous metastases from laryngeal and hypopharyngeal squamous carcinomas are extremely rare. A high index of clinical suspicion, supplemented with histopathologic evidence, aids in the diagnosis. The prognosis is extremely poor, and treatment is aimed only at palliation of symptoms and improving quality of life.

Carcinoma, Squamous Cell↗
PubMed2004

Angiosarcoma of the pleura.

Angiosarcoma is a rare, highly malignant tumor arising from endothelial cells of small blood vessels. They usually occur in the skin, deep soft tissues, breast and liver. Pleural angiosarcomas are extremely rare and are restricted to case reports in medical literature. It is very difficult to distinguish them from malignant mesotheliomas on clinical, radiological and even histopathological features. Immunohistochemistry is valuable in making the diagnosis, showing negative reactivity for mesothelial markers and positivity for vascular markers. Prognosis is generally dismal except in occasional cases where the disease is localized and amenable for surgical resection. We report a 55-year-old man who presented to us with chest pain, cough and hemoptysis and was diagnosed to have a pleural angiosarcoma.

Hemangiosarcoma↗