ABSTRACT
Introduction: Ovarian tumors are important in perimenopausal women as they are more likely to be malignant. Aim: The aim was to study the various histological pattern of ovarian tumors and their clinical presentation in perimenopausal age group. Materials and Methods: The study was carried out in the departments of Gynaecology and Obstetrics and Pathology in a teaching hospital for two years from June 2007 to May 2009. All patients presented with ovarian tumors of perimenopausal age group (40- 50 years) were included. Detailed clinical information, radiological findings and histopathological reports were recorded. Results: A total 52 ovarian tumors were included in this study. Most common histological types were surface epithelial tumors (92.3%), out of which 54.2% were benign, 41.7% were malignant and 4.2% were borderline. Serous cystadenoma was the most common benign tumor and serous cystadenocarcinoma was the commonest malignant tumor. Abdominal discomfort was the commonest presenting symptom both in benign and malignant tumors (85.7% and 45.4% respectively). Most of the malignant tumors were presented in stage III (50%), followed by stage II (27.3%). Conclusion: In this: study, we found a relatively higher proportion of ovarian malignancies. So, any ovarian tumor in perimenopausal age group is more likely to be malignant and that require a thorough evaluation and management. Further research should be advocated in this field.
ABSTRACT
Unusual presentation of a BT leprosy patient with multiple nerve abscess and an approach to diagnosis and management of the problem have been described. The article will refamiliarize the reader with unusual nature of presentation, diagnosis and management of nerve abscess associated with leprosy.
Subject(s)
Abscess/etiology , Adult , Arm , Humans , Leprosy/complications , Male , Neuritis/etiology , Skin Ulcer/etiologyABSTRACT
Twenty freshly diagnosed, previously untreated, adult male patients with paucibacillary leprosy were treated with Multi drug therapy (MDT) according to WHO regimen (1982). The patients remained in the hospital throughout the course of the study. At the end of six months treatment, they were evaluated clinicobacteriologically and histologically for evidence of the disease activity. Active disease was present in 55% of the patients at the end of six months treatment. DDS had to be discontinued in one patient who developed hepatitis.
Subject(s)
Adult , Biopsy , Clofazimine/therapeutic use , Dapsone/therapeutic use , Drug Therapy, Combination , Humans , Leprosy/drug therapy , Male , Rifampin/therapeutic use , Skin/pathology , Time FactorsABSTRACT
O exame de contatos intrafamiliares entre parentes de 1o. grau de 400 pacientes de hanseniase revelou 101 casos adicionais.Sao analisados os modelos de distribuicao dos tipos de hanseniase observados nos contatos em relacao aqueles encontrados nos casos "index". Fez-se uma tentativa para avaliar os fatores geneticos na determinacao dos tipos de hanseniase em um paciente