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Papers by Rajesh Kumar Saket

Research paper thumbnail of Locally Aggresive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

Journal of medical science and clinical research, Aug 8, 2015

Research paper thumbnail of Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report

Asian Pacific journal of health sciences, Jul 1, 2015

Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been r... more Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been report ed arely. The incidence ranges from 1 in 20,000 to 1 in 1, 00 000 pregnancies. This condition is a consequence of dizygotic twinning. The fetus, in such cases, is chromosomall y normal as opposed to the mole. We report one such case where a twin pregnancy consisted of a viable 12 week old fetus and its normally formed placenta coexisting w ith a complete hydatidiform mole in the other twin sac. T here is a greater risk of persistent trophoblastic disease (50– 60%) in cases where a complete mole coexists with a fetus as opposed to single molar pregnancies (14%) .By reporting this case, we strive to highlight the nee d for more vigilant obstetric surveillance in such patients by serial beta-HCG estimation, and sonographic evaluation in conjunction with doppler and MRI when available.

Research paper thumbnail of Locally Aggressive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

1 Associ.Prof. Deptt Of Radiodiagnosis GMC Haldwani 2,3,4,5 Resident Deptt Of Radiodiagnosis GMC ... more 1 Associ.Prof. Deptt Of Radiodiagnosis GMC Haldwani 2,3,4,5 Resident Deptt Of Radiodiagnosis GMC Haldwani Corresponding Author Dr Rajesh Kumar Saket P.G.Student, Deptt. Of Radiodiagnosis, Dr Shusheela Tiwari Hospital, Rampur Road Haldwani, Nainital (UK) 263139, Mob No 09627098684 Email: rajeshsaketssmc@gmail.com ABSTRACT Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps 1,2 . Without knowledge of the typical clinical presentation and the complete study of imaging findings, the entity tends to be clinically and radiologically confused with neoplastic processes and even malignancy. 5 Their diagnosis and management requires more detailed evaluation in respect to classical antrochoanal polyps. In both antrochoanal polyps and angiomatous nasal polyps, bone destruction is seen as a rare exceptional finding. We present an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression of n...

Research paper thumbnail of Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report

Asian Pacific Journal of Health Sciences, 2015

Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been r... more Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been report ed arely. The incidence ranges from 1 in 20,000 to 1 in 1, 00 000 pregnancies. This condition is a consequence of dizygotic twinning. The fetus, in such cases, is chromosomall y normal as opposed to the mole. We report one such case where a twin pregnancy consisted of a viable 12 week old fetus and its normally formed placenta coexisting w ith a complete hydatidiform mole in the other twin sac. T here is a greater risk of persistent trophoblastic disease (50– 60%) in cases where a complete mole coexists with a fetus as opposed to single molar pregnancies (14%) .By reporting this case, we strive to highlight the nee d for more vigilant obstetric surveillance in such patients by serial beta-HCG estimation, and sonographic evaluation in conjunction with doppler and MRI when available.

Research paper thumbnail of Locally Aggresive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

Journal of Medical Science And clinical Research, 2015

Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to... more Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps 1,2. Without knowledge of the typical clinical presentation and the complete study of imaging findings, the entity tends to be clinically and radiologically confused with neoplastic processes and even malignancy. 5 Their diagnosis and management requires more detailed evaluation in respect to classical antrochoanal polyps. In both antrochoanal polyps and angiomatous nasal polyps, bone destruction is seen as a rare exceptional finding. We present an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression of neoplastic mass but biopsy was negative for malignancy. The biopsy confirmed the final impression of angiomatous nasal polyp. Angiomatous antrochoanal polyps are rare variants that require special attention both at diagnosis and during surgery. The signs of bone destruction and epistaxis suggest additional pathologies including inverted papilloma, lobular capillary haemangioma and carcinoma as differential diagnoses.

Research paper thumbnail of MRI Analogue Signs in the Imaging of the Spine and Sacroiliac Joints in Patients with Ankylosing Spondylitis …..….the Many Faces

International journal of scientific research, 2016

Ankylosing spondylitis is an archetype of seronegative spondyloarthropathies (SpA).The spine and ... more Ankylosing spondylitis is an archetype of seronegative spondyloarthropathies (SpA).The spine and the sacroiliac joints are the primary targets of this chronic idiopathic inflammatory arthritis. MRI is the most sensitive technique in the detection of axial skeletal involvement, permitting earlier diagnosis. Assessment of structural changes in ankylosing spondylitis (AS) is essential for diagnosis, management (disease activity) and outcome. MRI of the sacroiliac joints has been shown to be much sensitive and superior compared to plain radiography in depicting sacroiliitis and shown to be of paramount importance in the earliest detection of active sacroiliitis.

Research paper thumbnail of Locally Aggresive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

Journal of medical science and clinical research, Aug 8, 2015

Research paper thumbnail of Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report

Asian Pacific journal of health sciences, Jul 1, 2015

Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been r... more Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been report ed arely. The incidence ranges from 1 in 20,000 to 1 in 1, 00 000 pregnancies. This condition is a consequence of dizygotic twinning. The fetus, in such cases, is chromosomall y normal as opposed to the mole. We report one such case where a twin pregnancy consisted of a viable 12 week old fetus and its normally formed placenta coexisting w ith a complete hydatidiform mole in the other twin sac. T here is a greater risk of persistent trophoblastic disease (50– 60%) in cases where a complete mole coexists with a fetus as opposed to single molar pregnancies (14%) .By reporting this case, we strive to highlight the nee d for more vigilant obstetric surveillance in such patients by serial beta-HCG estimation, and sonographic evaluation in conjunction with doppler and MRI when available.

Research paper thumbnail of Locally Aggressive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

1 Associ.Prof. Deptt Of Radiodiagnosis GMC Haldwani 2,3,4,5 Resident Deptt Of Radiodiagnosis GMC ... more 1 Associ.Prof. Deptt Of Radiodiagnosis GMC Haldwani 2,3,4,5 Resident Deptt Of Radiodiagnosis GMC Haldwani Corresponding Author Dr Rajesh Kumar Saket P.G.Student, Deptt. Of Radiodiagnosis, Dr Shusheela Tiwari Hospital, Rampur Road Haldwani, Nainital (UK) 263139, Mob No 09627098684 Email: rajeshsaketssmc@gmail.com ABSTRACT Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps 1,2 . Without knowledge of the typical clinical presentation and the complete study of imaging findings, the entity tends to be clinically and radiologically confused with neoplastic processes and even malignancy. 5 Their diagnosis and management requires more detailed evaluation in respect to classical antrochoanal polyps. In both antrochoanal polyps and angiomatous nasal polyps, bone destruction is seen as a rare exceptional finding. We present an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression of n...

Research paper thumbnail of Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report

Asian Pacific Journal of Health Sciences, 2015

Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been r... more Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been report ed arely. The incidence ranges from 1 in 20,000 to 1 in 1, 00 000 pregnancies. This condition is a consequence of dizygotic twinning. The fetus, in such cases, is chromosomall y normal as opposed to the mole. We report one such case where a twin pregnancy consisted of a viable 12 week old fetus and its normally formed placenta coexisting w ith a complete hydatidiform mole in the other twin sac. T here is a greater risk of persistent trophoblastic disease (50– 60%) in cases where a complete mole coexists with a fetus as opposed to single molar pregnancies (14%) .By reporting this case, we strive to highlight the nee d for more vigilant obstetric surveillance in such patients by serial beta-HCG estimation, and sonographic evaluation in conjunction with doppler and MRI when available.

Research paper thumbnail of Locally Aggresive Nasal Polyp Masquerading As A Malignant Mass – A Case Report

Journal of Medical Science And clinical Research, 2015

Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to... more Angiomatous nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyp, constituting 4 to 5% of all nasal polyps 1,2. Without knowledge of the typical clinical presentation and the complete study of imaging findings, the entity tends to be clinically and radiologically confused with neoplastic processes and even malignancy. 5 Their diagnosis and management requires more detailed evaluation in respect to classical antrochoanal polyps. In both antrochoanal polyps and angiomatous nasal polyps, bone destruction is seen as a rare exceptional finding. We present an interesting case of angiomatous nasal polyp. CT finding also supported the clinical impression of neoplastic mass but biopsy was negative for malignancy. The biopsy confirmed the final impression of angiomatous nasal polyp. Angiomatous antrochoanal polyps are rare variants that require special attention both at diagnosis and during surgery. The signs of bone destruction and epistaxis suggest additional pathologies including inverted papilloma, lobular capillary haemangioma and carcinoma as differential diagnoses.

Research paper thumbnail of MRI Analogue Signs in the Imaging of the Spine and Sacroiliac Joints in Patients with Ankylosing Spondylitis …..….the Many Faces

International journal of scientific research, 2016

Ankylosing spondylitis is an archetype of seronegative spondyloarthropathies (SpA).The spine and ... more Ankylosing spondylitis is an archetype of seronegative spondyloarthropathies (SpA).The spine and the sacroiliac joints are the primary targets of this chronic idiopathic inflammatory arthritis. MRI is the most sensitive technique in the detection of axial skeletal involvement, permitting earlier diagnosis. Assessment of structural changes in ankylosing spondylitis (AS) is essential for diagnosis, management (disease activity) and outcome. MRI of the sacroiliac joints has been shown to be much sensitive and superior compared to plain radiography in depicting sacroiliitis and shown to be of paramount importance in the earliest detection of active sacroiliitis.