Recurrent epistaxis secondary to nasal haemangioma with a misleading CT angiogram.

The majority of epistaxes are anterior in nature, resolve with simple first aid measures and require no further follow-up. However, some cases pose more of a diagnostic challenge and prove resistant to standard investigation and treatment. We present a case of recurrent epistaxis, refractory to multiple treatment modalities and with CT imaging suggestive of a vascular aetiology which was ultimately disproved.

Ancient schwannoma of the cervical sympathetic chain.

Ancient schwannomas exhibit characteristic histological features. Fine-needle aspiration cytology (FNAC) is of limited use. Radiological evidence demonstrating displacement of blood vessels may aid diagnosis of schwannoma.

Application of liquid-based transepithelial flexible brush cytology in the detection of high-grade laryngeal mucosal lesions.

Background: The aim of this study was to evaluate the effectiveness of liquid-based transepithelial flexible brush cytology (LBTFBC) in the detection of high-grade laryngeal mucosal lesions.

Methods: Diagnostic accuracies of LBTFBC and flexible biopsy (FB) were compared with the gold standard of biopsy under general anaesthesia (BUA) in 49 and 46 patients, respectively. Using a flexible laryngoscope, transepithelial cytology and biopsy specimens were obtained with the aid of flexible brushes and biopsy forceps.

An evaluation of the Shandon Papspin liquid-based oral test using a novel cytologic scoring system.

Objectives: The aim of this study was to evaluate a cost-effective oral liquid-based cytology screening test, Shandon Papspin (PS).

Study Design: We compared the diagnostic accuracy of PS with surgical biopsy in 69 patients. Transepithelial cytology specimens were obtained with the use of cervical cytobrushes.