Adenocystic carcinoma
A malignant tumor arising from the epithelial cells. Microscopically, the neoplastic epithelial cells form cylindrical spatial configurations (cribriform or classic type of adenoid cystic carcinoma), cordlike structures (tubular type of adenoid cystic carcinoma), or solid structures (basaloid variant of adenoid cystic carcinoma). Adenoid cystic carcinomas mostly occur in the salivary glands. Other primary sites of involvement include the lacrimal gland, the larynx, and the lungs. Adenoid cystic carcinomas spread along nerve sheaths, resulting in severe pain, and they tend to recur. Lymph node metastases are unusual; hematogenous tumor spread is characteristic.
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While childhood immunization has made remarkable progress, adult vaccination remains overlooked in many parts of India. In your opinion, what is the biggest barrier to increasing adult vaccination rates in India?
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A survey revealed more than 95% of vaccine preventable diseases (VPD) associated adult deaths have been reported in India. Pneumonia accounts for 39% (146/374) and meningitis for 24.3% (91/374) of invasive pneumococcal disease (IPD), causing 38,811 confirmed cases and 2,266 deaths in 2017. Insurance Information Bureau of India also stated that “certain infectious and parasitic diseases” was the top insurance claim category in 2016-17. In light of this, it’s clear: Controlling VPDs in adults through timely vaccination is crucial. What’s your take on adult vaccination in India? Should India be doing more to integrate it into routine healthcare and national health programs?
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Quick Brains Quiz - 27th April 2025 Topic - Case Based Quiz Check how quickly can you solve these questions using your clinical knowledge.
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Check out the answers of Quick Brains Quiz. Quiz posted on - 27th April 2025 Topic - Case Based Quiz.
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