brahmanand cancer

These horrifying pictures are of facial tumors suffered by patients of Xeroderma pigmentosum.This is a genetic condition in which body ability to repair genetic damage is greatly impaired. As a result theses children are greatly susceptible to damaging effects of UV rays. They develop facial skin tumors  or in other exposed part of body. This patient had these skin tumors which were excised and skin grafted. Bilateral neck dissection was done as it showed enlarged lymph nodes. Patient tolerated surgery as were happy to get rid of horrendous deformity it was causing. All margins were negative and nodes were negative. Dr Adhishwar  Sharma MBB,BS MS Gen Surgery PGIMER Chd Mch Plastic Surgery brahmanandclinic.com 8860650846, adhishwar7@gmail.com

pre op photo pre op photo Incision being planned Excised Tumor finished surgery PMMC flap being raised excised tumor Final results T4N2M9 buccal mucosa tumor excised with good margins ,neck dissection done. Reconstruction done with PMMC. Tracheostomy was done for airway removed after one week. Dr Adhishwar Sharma MBBS ,MS General Surgery PGIMER Chandigarh Mch Plastic Surgery 8860650846 ,adhishwar7@gmail.com

pre op tumor pre op  nerve sheath tumor being disseccted parent nerve and tumor excised tumor tumor away from nerve fascicle MRI Scan of Tumor 21 year old boy developed swelling in inner aspect of arm for 6 months . Painless slow growing and tender on touch. He had no distal nerve deficit or any neurovascular problem due to swelling .MRI Scan revealed that it is a nerve sheath tumor . Patient was posted for surgery and tumor was dissected free of nerve fascicle and removed . Post op patient suffered no deficit and recovered . Biopsy came as benign Schwannoma. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846,adhishwar7@gmail.com brahmanandclinic.com