Testicular tumour - a review article.

Painless scrotal masses must be investigated with ultrasound imaging and tumour marker assay before being treated with radical inguinal orchidectomy. For unknown reasons, the incidence of this cancer increased in Caucasian population. The incidence of testicular germ cell tumour has doubled in past 40 years. An annual increase of 3-6% is reported in Caucasian population. But the mortality rate has been stable or decreasing due to improvement in treatment. In the past, metastatic testicular cancer was usually fatal, but recent advances in treatment, including high-dose chemotherapy and stem cell rescue, have considerably improved the prognosis. Indeed, testicular cancer is a bright spot in the oncological landscape and is now considered the model for the treatment of solid tumors. We looked into the epidemiology, presentation, classification, work up, staging, various treatment modalities and prognosis of testicular tumour in this article.

A case of ileo-caecal Crohn's disease presenting as acute intestinal obstruction.

We report a case of 42 year old man who presented with one month history of weight loss, gradual abdominal distension and constipation. X-ray of the abdomen showed features of small gut obstruction. A tight stricture at the ileoceacal junction was found to be the cause of obstruction on laparotomy. Distal ileum was found to be severely inflammed with enlarged regional lymph nodes. Right hemicolectomy with resection of distal ileum was done. Histology revealed non caseating granuloma of Chroh's disease. Crohn's disease is relatively rare in Bangladesh. Recent data suggests rising incidence of Crohn's disease (CD) in the Indian sub-continent.