ABSTRACT
Background: Clinical examination may suffice in making diagnosis of most dermatologic disorders but histopathological examination is often required to confirm the diagnosis and further categorize the lesions. Authors carried out this study to analyse the demographic and histomorphological characteristics of skin lesions, to determine the frequency of various dermatological disorders in the region and to evaluate the agreement between clinical and histopathological diagnosis.Methods: Punch biopsies of skin lesions received in histopathology section, were included in the study. Cases over a period of six months were analysed. Clinical details were recorded and histopathological analysis done. Special stains were applied wherever required.Results: Of the 120 cases studied, maximum cases fell in the category of 31-40 years, with male predominance. Authors observed wide variety of non-neoplastic and neoplastic lesions. Infectious diseases were the most common of all pathologies. Leprosy was the most common histopathological diagnosis. Complete clinicopathologic correlation was seen in 51.67% of cases while partial correlation was noted in 23.33% making a total of 75%. 25% histopathological diagnosis were inconsistent with the clinical diagnosis.Conclusions: Histopathology is a gold standard investigation and plays a very important role in confirmation of clinical diagnosis of various skin lesions. Punch biopsy is a relatively easy outpatient procedure to perform.
ABSTRACT
Background: FNAC not only confirms the presence of metastatic disease, but also gives the clue regarding the nature and origin of primary malignancy Aim and objective: To Assess the usefulness of FNAC in diagnosis of metastatic lymph node. Data were arranged according to lymph node involved and morphological diagnosis. Study design: Study material comprises of 56 lymph node aspirate diagnosed metastatic carcinoma in cytology out of total 383 cases of Lymphnode aspiration in a one year. Method: All FNACs were performed using a 22 gauge needle. An average minimum of 4 slides were made, Slides were routinely stained with both leishmann, Giemsa and Papanicolaou (PAP) stains. Results: Out of total 383 lymph node aspirate 56 cases showed metastasis Lymphnode while 327 cases showed other lesion of lymph node. Cervical lymph node was the commonest group involved. Metastasis from squamous cell carcinoma was the most common diagnosis made on cytology. Conclusion: In our study we feel that FNAC of lymph nodes as a first line of investigation in developing countries. It is not only useful in the diagnosis of suspected or unsuspected metastatic neck nodes, but can also help in starting the specific therapy in time thus reducing mortality and morbidity.
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Background: Musculoskeletal injuries needing urgent care are often amongst the commonest conditions at the first referral health facilities. They are initially being treated by non-specialist doctors, nurses and paramedics. By the time the patients reach a specialized tertiary care centre they have malunited or ununited limb bone fractures or established infected non unions or non-unions with broken implant or mal positioned implants. Objective: to find the prevalence of neglected musculoskeletal injuries in the region. Methods: A retrospective study was done at one of the tertiary care hospital in Bareilly Uttar Pradesh. The records of all the patients above 18 years who had musculoskeletal injury of more than one month duration and the patients below 18 years who had musculoskeletal injury more than three weeks duration during the period of year 2013were retrieved. The necessary information was collected on semi structured schedule. Data Analysis was done with help of SPSS version 10.0 Statistical Software. Results: Total number of neglected musculoskeletal injuries received was 197 out of which males were 79 % and females 21 %.There were 62% patients from rural background and remaining 38% from urban. On evaluation of monthly data it was found that the maximum numbers of neglected musculoskeletal injury cases, 29 were admitted in the month of July, and minimum 2 in the month of September. Age wise maximum number of cases was in the age group of below eighteen 51 cases, followed by age group between forty and forty nine, 39 cases and the least in age group above seventy, 6 cases .In the extremities lower limb was more involved as the score reached 109 cases, while upper limb had 68 and spine 20.Conclusion: There is an urgent need to address the issue of neglected musculoskeletal injuries for which a manifold approach is needed at all levels.
ABSTRACT
Female genital tract is most common site for tumours in females. The most common type of female genital tract cancers are – cervical, ovarian and endometrial carcinoma. There are other less common tumours including tumours of vagina, vulva and fallopian tubes. The Uterine corpus represents the second most common site for malignancy of the female genital systems. Cervical carcinoma is the second most common cancer in women worldwide. Tumours of the ovary represent about 30% of all cancers of female genital tract. Cancer of the vagina is relatively rare, accounting for about 1%- 2% of gynaecological malignancies. Tumours of the fallopian tube are much less common than the corresponding ovarian neoplasms. In view of major importance of the subject, this review study was undertaken to understand the topic in a better prospective.