The Forum

A previously healthy 6-year-old female child presented with a progressive swelling in the left shoulder region that had been gradually increasing in size over the past two months. Initially, the swelling was painless but had recently become tender to touch. There was no history of trauma or injury to the shoulder, and the patient did not report fever, weight loss, night sweats, or other systemic symptoms. On local examination, a visible swelling was noted over the left should

A 51-year-old female presented with rectal bleeding and weight loss for 4 months. On Digital Rectal Examination (DRE) the ulcerated inferior edge of the disease is felt at the approximately 5-6 cm from anal verge, anal canal is spared. Colonoscopy revealed a 4 cm fungating, ulcerated mass in the middle &  low rectum, which was diagnosed as moderately differentiated adenocarcinoma. Staging workup classified the tumor as cT2N1M0. CT of the chest and abdomen showed no evidence o

A 49-year-old male with no known comorbidities presented to the emergency room with two episodes of nasal bleeding over the past two months. He reported gradual deterioration of vision in his right eye over the last week, accompanied by progressively worsening pain on the right side of his face. Additionally, he noted right-sided neck swelling that had been increasing in size over the past five days. Clinical Examination: No eye movement on the right side. Deficit in cranial