SECTION 1: DEFINITIONS
Definitions....................................................................................................................................................1
SECTION 2: LONG CASES
1. Toxic Goiter ............................................................................................................................................... 16
2. Solitary Thyroid Nodule (Nontoxic).................................................................................................. 38
3. Papillary Carcinoma Thyroid with Lymph Node Metastases................................................... 45
4. Multinodular Goiter ............................................................................................................................... 60
5. Early Breast Cancer................................................................................................................................. 67
6. Advanced Breast Cancer....................................................................................................................... 87
7. Epigastric Lump....................................................................................................................................... 98
8. Right Hypochondrial Lump without Jaundice...........................................................................113
9. Right Iliac Fossa Mass (Suspected Ileocecal Tuberculosis).....................................................121
10. Suspected Carcinoma of the Cecum..............................................................................................127
11. Appendicular Mass...............................................................................................................................139
12. Obstructive Jaundice...........................................................................................................................144
13. Varicose Veins.........................................................................................................................................158
14. Peripheral Occlusive Vascular Disease...........................................................................................176
15. Lymphoma ..............................................................................................................................................194
16. Renal Swelling........................................................................................................................................209
17. Pseudocyst of Pancreas......................................................................................................................220
18. Retroperitoneal Tumor........................................................................................................................226
19. Testicular Malignancy..........................................................................................................................233
20. Portal Hypertension.............................................................................................................................245
21. Mesenteric Cyst .....................................................................................................................................260
SECTION 3: SHORT CASES
22. Nonthyroid Neck Swelling.................................................................................................................265
23. Tuberculous Cervical Lymph Node.................................................................................................268
24. Cervical Metastatic Lymph Node (Carcinoma of Unknown Primary)
and Neck Dissections ..........................................................................................................................277
25. Carcinoma Tongue with Submandibular Lymph Node ..........................................................289
26. Carcinoma of Gingivobuccal Complex (Indian Oral Cancer).................................................299
27. Parotid Swelling.....................................................................................................................................304
28. Submandibular Sialadenitis..............................................................................................................316
29. Ranula, Plunging Ranula, Sublingual Dermoid and Mucous Cyst.......................................320
xvi Clinical Surgery Pearls
30. Thyroglossal Cyst, Lingual Thyroid, Ectopic Thyroid, Subhyoid
Bursa and Carcinoma Arising in Thyroglossal Cyst...................................................................323
31. Branchial Cyst, Branchial Fistula, Cystic Hygroma and Carotid Body Tumor...................329
32. Soft Tissue Sarcoma of the Extremities.........................................................................................336
33. Neurofibroma, Von Recklinghausen’s Disease ...........................................................................344
34. Lipoma (Universal Tumor)..................................................................................................................350
35. Sebaceous Cyst/Epidermoid Cyst/Wen/Dermoid Cyst............................................................353
36. Ulcer...........................................................................................................................................................358
37. Malignant Melanoma ..........................................................................................................................367
38. Basal Cell Carcinoma/Rodent Ulcer................................................................................................380
39. Squamous Cell Carcinoma (Epithelioma).....................................................................................385
40. Carcinoma Penis....................................................................................................................................392
41. Congenital Arteriovenous Fistula/Hemangioma/Compressible Swelling.......................400
42. Unilateral Lower Limb Edema ..........................................................................................................409
43. Hydrocele of Tunica Vaginalis Sac (Epididymal Cyst, Spermatocele, Varicocele,
Hematocele, Chylocele, etc.).............................................................................................................418
44. Inguinal Hernia/Femoral Hernia......................................................................................................426
45. Incisional Hernia (Ventral Hernia, Postoperative Hernia).......................................................444
46. Epigastric Hernia (Fatty Hernia of the Linea Alba)....................................................................450
47. Paraumbilical Hernia, Umbilical Hernia in Adults and Children...........................................452
48. Desmoid Tumor, Interparietal Hernia (Interstitial), Spigelian Hernia .................................457
49. Gynecomastia/Male Breast Carcinoma.........................................................................................460
50. Fibroadenoma/Cystosarcoma/Breast Cyst/Fibroadenosis/Fibrocystic
Disease/Mastalgia/Mastopathy/Chronic Mastitis/Nipple Discharge .................................467
SECTION 4: RADIOLOGY AND IMAGING
Radiology Questions and Answers ..................................................................................................476
SECTION 5: IMPORTANT TABLES AND CHARTS
General .....................................................................................................................................................537
Trauma......................................................................................................................................................543
Burns..........................................................................................................................................................548
Neck ...........................................................................................................................................................551
Breast.........................................................................................................................................................552
Abdomen.................................................................................................................................................555
Vascular.....................................................................................................................................................563
Limbs.........................................................................................................................................................566
Anorectal..................................................................................................................................................570
Index