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Introduction: Worldwide, cervical cancer remains the most common gynecological cancer and the fourth most commonmalignancy in women, with over 526,000 women globally developing this tumor as reported in 2015 and 239,000 women dyingof the disease every year. To date, there are limited data of cervical cancer in Kashmir, India.Objectives: The aim of the present study was to analyze the demographic spectrum of cervical cancer in Kashmir.Materials and Methods: This was a retrospective study. All the patients who had histopathologically confirmed cervical cancer,registered at Regional Cancer Center of Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, were included, between2008 and 2015. All the patient characteristics including age, presentation, type of cancer, stage of cancer, parity, and treatmentreceived in each case were studied in detail.Results: The present study included 120 patients of cervical cancer. The median age of patients was 51 years. Majority of ourpatients were multiparous (88.3%) and from a rural background (74%). The most common presenting complaint was abnormal vaginalbleeding (70%) followed by abdominal pain (19%). Squamous cell carcinoma was the most common type of cervical carcinomaseen in 95% of patients followed by adenocarcinoma (5%). Most of the patients (66.67%) presented at late Stages (II, III, and IV).Conclusion: Early detection will reduce the number of deaths of cervical cancer patients. Asignificant number of cervical cancer patientsin Kashmir present with an advanced stage of disease. Cervical cancers are observed at a middle age group that is >40 years of age.People should be educated for an early consultation for symptoms, and high-risk individuals should be encouraged for screening. Thehealth programs about cervical cancer should be carried out in open places to give more information about cervical cancer to the public.
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Introduction: Ovarian cancer is the fourth most common cause of cancer deaths world wide and also the commonest causeof death among all gynecological cancers.Aims and Objectives: To study the clinico demographic profile and treatment patterns of Ovarian Ca in our population.Material and Methods: We conducted an analytical, non-randomized, cross-sectional study on the Clinico-Demographic profileof 731` patients with Ovarian Carcinoma who reported to our OPD between 2008 to 2015.Results: The mean age of patients was 45±1. 49 years. Most common age group of our patients at presentation was 46-60 years.Majority of patients 70% in our study were from rural area. The major clinical presentation of ovarian in our study was pelvic pain(36%) followed by abdominal distention (34%) and ascites (22%). Most common type of ovarian cancer was of surface epithelialtype (94%) followed by sex cord stromal tumor (3%) and germ cell tumour (1. 6%). Most of the cases 61% in the present studyhad presentation at advanced stages (stage III & IV) while as only 39% cases had presented at early stages (stage I & II).Majority of the patients having ovarian tumors underwent surgical staging with surgery in 88% cases. Chemotherapy was themost common adjuvant therapy in 38% patients who had malignant ovarian pathology and had advanced stage of diseases.while as 7 patients (1%) received radiotherapy for brain and bone mets.Conclusion: Majority of patients were from rural background with pelvic pain as most common presenting symptom Most ofour cases presented in late stages of disease. Greater awareness among our community is needed to reduce the morbidityand mortality associated with Ovarian Ca
ABSTRACT
Background: The most common causes of blunt abdominal trauma are motor vehicle collisions, falls from height, assaults, and sports accidents. Computed tomographic (CT) examination of the head, neck, chest, abdomen, and pelvis has become an essential element in the early evaluation and decision-making algorithm for hemodynamically stable patients who sustained abdominal trauma. Although the decision to surgically intervene is usually based on clinical criteria rather than findings from images. CT information often increases diagnostic confidence and decreases rates of unnecessary exploratory laparotomy. Aim and objective: To study the pattern of Thoraco-abdominal injuries due to Blunt Trauma in Kashmiri population. Methods and materials: Study was done in the department of Radiodiagnosis and Imaging, GMC Srinagar. 64 patients with Positive extended FAST (focused assessment with sonography for trauma) done by expert in emergency Radiology were subjected to contrast enhanced CT. Results: According to our Study, Lung was the most commonly injured organ being injured in 67% cases followed by Spleen and Liver, being injured in 59% and 45% cases respectively. Most common pattern of lung injury was Contusion. Grade III was the most common grade of injury followed by Grade IV injury amongst splenic and liver injuries. Rib was the most commonly injured bone. Suhail Rafiq, Ishfaq Kuchay, Sheema, Sajad Dar. Assessment of Thoraco-abdominal injury pattern due to blunt trauma in Kashmiri Population by contrast enhanced Computerized Tomography (CECT). IAIM, 2019; 6(6): 23-31. Page 24 Conclusion: Multidetector CT has very high accuracy for optimal evaluation of the patients with Blunt trauma. CT plays a vital role in deciding mode of treatment whether medical or surgical for patients with blunt trauma. Lung was the most commonly injured organ in our study followed by Spleen and liver.