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Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."
Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011
Dr. Shankar P.R.
"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."
Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011 Anuradha
Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.
Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020
Case report
Full Version
Pyogenic Granuloma or Haemangioma- A Diagnostic Dilemma in a 13-year-old Female
Correspondence Address :
Dr. Shweta Singh,
Associate Professor, Department of Oral and Maxillofacial Pathology, Saraswati Dental College and Hospital, Faizabad Road, Lucknow-226028, Uttar Pradesh, India.
E-mail: dr.shwettaa@gmail.com
Pyogenic granulomas and haemangiomas are well-known benign lesions of the oral cavity. Although pyogenic granulomas are known to have a gingival preference, while capillary haemangiomas are more commonly found on the lips, cheeks, tongue, and palate. There are several lesions in the oral cavity that resemble haemangiomas microscopically. Pyogenic granuloma is one of these lesions, characterised by the proliferation of endothelial cells, and is often indistinguishable from true haemangiomas microscopically. The clinical diagnosis of such a rare phenomenon can be quite difficult, as they can sometimes resemble more serious lesions, such as malignancies. Hereby, the authors present a case report of capillary haemangioma in the maxillary left posterior region of the jaw in a 13-year-old female, which was clinically diagnosed as pyogenic granuloma. The patient presented with a painless swelling, and no significant findings were observed on radiographic examination. The present case report aimed to resolve the dilemma in the diagnosis of vascular tumours and malformations, and to assess their histological, biological behaviour, and clinical presentation.
Benign tumour, Oral haemangioma, Vascular lesions
A 13-year-old female patient complained primarily of a painless swelling in the left posterior maxillary region for five years. The swelling started at the size of a peanut and slowly grew to a large size, which was associated with bleeding while brushing and eating.
On clinical examination, the growth was pedunculated, showing a lobular pattern intraorally, completely occupying the left palatal region. The lesion measured about 4.5×3 cm in diameter, extending anteroposteriorly from 24-27 and mesiodistally from the free gingival margin to the midline of the palate, extending 1 cm towards the right side of the palate. The surface of the growth was smooth with small red to pink dots known as petechiae. On palpation, the swelling was non tender and soft to firm. Bleeding on palpation was present, and the swelling was non pulsatile in nature. Grade-I mobility was also observed on 24,25,26,27. Radiographic findings were insignificant (Table/Fig 1)a,b.
Based on clinical observations, a provisional diagnosis of pyogenic granuloma was given. Complete excision of the lesion was performed under local anaesthesia with compression/pressure pack to reduce bleeding. The specimen was preserved and sent in 10% neutral buffered formalin for histopathological examination.
On histopathological examination, the Haematoxylin and Eosin (H&E) stained section revealed the presence of superficially ulcerated stratified squamous epithelium underlying a fibrovascular and inflamed connective tissue stroma. A large number of young proliferating congested blood capillaries of different shapes and sizes, lined by a single layer of flattened endothelial cells, were observed. Central areas also showed the presence of elongated endothelial-lined feeder blood vessels. A mixed inflammatory infiltrate, chiefly composed of lymphocytes and plasma cells, was also observed (Table/Fig 2)a-d. Based on histopathological examination, the final diagnosis of “Capillary Haemangioma” was made.
After complete surgical excision, the patient was recalled for routine follow-up examinations to check the status of healing and recurrence. After one month, the lesion had completely healed, and no signs of recurrence had been recorded (Table/Fig 3)a-d.
Haemangiomas are regarded as benign proliferative lesions of vascular tissue that may appear at birth or develop later in life, manifesting within the first month of life (1). Haemangiomas can be defined as a heterogeneous group of clinically benign vascular lesions with similar histological features (2). Haemangiomas are one of the most prevalent benign vasoformative tumours of early childhood and generally appear as a period of rapid proliferation followed by gradual regression, usually within the first month of life (3),(4),(5). There are no malignant changes in cell proliferation (6),(7).
The clinical presentation of capillary haemangiomas can be either sessile or pedunculated. They present as soft, smooth, or irregular swellings that appear bulbous in outline. The colour may vary from reddish to purple, and there may be blanching on applying pressure. Haemangiomas located on the palate can be classified as capillary type (8),(9). Haemangiomas are rare in the oral cavity; the gingiva, lips, buccal mucosa, and tongue are the most common intraoral sites, while the maxilla, mandible, and nasal bone are rarely affected (3),(10).
Haemangiomas and pyogenic granulomas of the hard palate may mimic each other clinically as well as histopathologically, making them a diagnostic enigma (3). The present case is of high significance, 2as there are currently very few literature available diagnosing capillary haemangioma due to its association with the hard palate, which is very rare in young women.
Haemangiomas can mimic other types of lesions, such as vascular malformations and pyogenic granulomas, clinically, radiographically, and histologically (Table/Fig 4) (9),(11),(12),(13),(14). Vascular malformations are present at birth and continue to grow with the child, whereas haemangiomas are lesions that develop later in life and are usually not present at birth. The hallmark of vascular malformations is proportional growth throughout an individual’s life (1). Histopathologically, haemangiomas consist of many small capillaries lined by a layer of endothelial cells. The connective tissue stroma of variable densities can be observed (15). Sometimes, haemangiomas may show similarities to young granulation tissue, and notable endothelial cell proliferation may appear indistinguishable from a few cases of pyogenic granuloma (16).
Vascular malformations are localised or diffuse errors of embryonic development. Vascular anomalies are currently classified based on a system developed in 1982 by Mulliken and Glowacki, which takes into account the histology, biological behaviour, and clinical presentation of these entities (9). On the other hand, pyogenic granuloma is a proliferative vascular lesion frequently confused with haemangioma, as observed in the present case. In the oral cavity, pyogenic granulomas are typically found on the gingiva, with interdental papillae being the most common site in 70% of cases. Based on histological findings, Pyogenic Granuloma can be categorised into two types: Lobular Capillary Haemangioma (LCH) type and non LCH type. LCH is characterised by the proliferation of blood vessels organised into lobular aggregates, even when the appearance of the lesion shows no specific changes or oedema, capillary dilation, or inflammatory reaction of granulation tissue (15).
Such unusual manifestations can be quite confusing and can lead to inaccurate diagnoses of other lesions, such as peripheral giant cell granuloma, Epulis granuloma, squamous cell carcinoma, Kaposi’s sarcoma, etc., (11),(16).
In the present case, a provisional diagnosis of pyogenic granuloma was made based on the clinical presentation. The diagnosis of capillary haemangioma was confirmed based on histopathological examination. It is advisable to perform a biopsy of all clinically diagnosed cases of pyogenic granulomas and capillary haemangiomas to rule out more serious conditions like carcinoma and sarcomas (11). Radiographs should be taken to rule out any bony destruction suggestive of malignancy, central haemangiomas, or to identify foreign bodies (16).
Oral haemangiomas are rare benign tumours typically diagnosed in children, and the majority of these lesions will involute over time. Intraoral capillary haemangioma is an uncommon pathological entity that must be included in the differential diagnosis of benign oral tumours. This entity may be confused with pyogenic granuloma and requires careful evaluation to make a final diagnosis. Simple surgical excision of capillary haemangioma may result in bleeding during and after surgery and should, therefore, be performed with caution. Regular follow-up appointments should be maintained for monitoring.
DOI: 10.7860/JCDR/2024/66353.18904
Date of Submission: Jul 03, 2023
Date of Peer Review: Aug 25, 2023
Date of Acceptance: Oct 11, 2023
Date of Publishing: Jan 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jul 08, 2023
• Manual Googling: Sep 15, 2023
• iThenticate Software: Oct 07, 2023 (3%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
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