Have reducing tonsillectomy rates in England led to increasing incidence of invasive Group A Streptococcus infections in children?

Objectives: To determine whether there is a correlation between falling tonsillectomy numbers and increasing numbers of tonsillitis admissions and invasive Group A β-haemolytic streptococcus (iGAS) infection in children aged 14 and under in England.

Design: An observational cross-sectional study was performed.

Setting: The data extracted covered the period from 1991 until 2014.

The demographic features, clinical outcomes, prognosis and treatment options for patients with sarcomatoid carcinoma of the urinary bladder: a single centre experience.

Introduction: Carcinosarcoma of the bladder is a very rare neoplasm. The pathogenesis of carcinosarcomas is not clearly understood and remains a subject of debate. Whilst there is some research conceptualizing the histopathological findings of bladder carcinosarcomas, the demographic features, clinical outcomes, prognosis and treatment options remain unclear.

Immediate versus delayed reconstruction following surgery for breast cancer.

Background: Breast cancer is the most prevalent cancer in women and has a lifetime incidence of one in nine in the UK. Curative treatment requires surgery, and may involve adjuvant and neo-adjuvant therapy. In many women, post-mastectomy breast reconstruction is essential to restore body image and improve quality of life.

Small bowel liposarcoma--a rare cause of small bowel perforation.

A 76-year-old patient was admitted with right-sided lower abdominal pain. CT scan of the abdomen demonstrated a fatty mass arising around the bowel in the left iliac fossa causing local distortion of the vasculature. His clinical condition rapidly deteriorated with worsening abdominal signs necessitating an exploratory laparotomy.

An unusual case of sex cord tumor with annular tubules with malignant transformation in a patient with Peutz-Jeghers syndrome.

We report a case of a 54-year-old Caucasian woman with an earlier diagnosis of Peutz-Jeghers Syndrome (PJS) and sex cord tumor with annular tubules (SCTAT). The sex cord stromal tumors showed aggressive malignant behavior with repeated recurrence and metastasis. This is an unusual behavior of SCTAT in patients with PJS, with only 2 such cases reported earlier.

Necrotising fasciitis following anterior cruciate ligament reconstruction. A case report.

Necrotising fasciitis is a rapidly progressive and life threatening soft tissue infection that primarily involves the superficial fascia. It can be a difficult condition to diagnose in its early stages and requires aggressive surgical and supportive management if devastating consequences are to be avoided. We describe a case of necrotising fasciitis following an anterior cruciate ligament (ACL) reconstruction using a hamstring graft.