Breast cancer is the most common cancer in women and is the second most common cause of cancer-related death. Despite the relatively high prevalence of this disease, breast cancer manifestations in the head and neck are relatively rare. Supraclavicular lymphadenopathy and bony metastases to the mandible and maxilla are the most common manifestation of breast cancer in the head and neck. Head and neck metastases are the first presentation of distant disease in approximately one-third of cases. The prognosis of breast cancer with distant metastases to the head and neck is generally poor, and the management of these lesions is controversial. Overall extent of disease and individual patient prognosis must guide treatment decisions. Atypical cases including maxillary sinus mass, jugular foramen mass, and dermal metastases are presented. Metastatic breast cancer is a rare diagnosis in the head and neck, yet metastatic disease from an infraclavicular primary deserves inclusion on any comprehensive differential diagnosis list. In women, breast carcinoma is the most common infraclavicular primary to metastasize to the head and neck.
Health World’s ‘best’ vaccines could soon come to poor countries -By Vishnu /11/5/21 In the 6 months since Covid vaccines became available, those based on mRNA technology have scored top marks. So far, there are only two – made by Pfizer and Moderna – and both show 95% efficacy. Other types of vaccines are usually 80% or less efficacious. This difference affects not only the protection you get as an individual but also the protection available to the ‘herd’ or society. With a better vaccine a country can reach ‘herd immunity’ faster by vaccinating fewer people. But mRNA vaccines are still confined to the rich world. This is partly because supply is limited and those countries placed their orders first. Another reason is these vaccines get spoilt if they are not stored at extremely cold temperatures. The Pfizer shot initially required storage at -80°C. Poor countries couldn’t afford to buy specialised freezers for it in bulk. A fragile molecule Why do mRNA vaccines need ultra-cold stora
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