Peripheral lymphadenopathy in children, comparison of fine needle aspiration cytology with open biopsy

To compare the results of Fine Needle Aspiration Cytology [FNAC] with open biopsy in cases of Peripheral Lymphadenopathy. A comparative study. Department of Paediatric Surgery and Department of Pathology, Nishtar Medical College and Hospital, Multan from January 2004 to September 2004. Patients presenting with Peripheral Lymphadenopathy in Paediatric Surgery out patient department were included in study. Relevant history and clinical findings were entered in performa and patients were submitted to investigations like FNAC and open lymphnode biopsy, after getting consent, on OPD basis. Results of both FNAC and histopathology in 54 patients were available for comparison at the end of study. FNAC showed tuberculosis in 36 [66.67%], lymphoproliferative process in 16 [29.63%] and poor yield in 2 [3.71%] cases. Whereas open lymphnode biopsy on histopathology confirmed tuberculosis in 42 [77.78%], Hodgkins lymphoma in 4.[7.42%], Non Hodgkins in 6 [11.13%] and reactive hyperplasia in 2 [3.71%] cases. Sensitivity of FNAC in tuberculosis was 85.7% with a specificity of 100% in cases of tuberculosis while it was 71.5% in cases of lymphomatous process with an overall sensitivity of 78.5% in peripheral lymphadenopathy. In our setup lymphnode biopsy should be performed in all suspected cases to avoid long term morbidity and mortality especially in clinically malignant illnesses

Topical application of retinol on neurotmesic sciatic nerves in rats improved the number and myelination of the regenerated nerve fibers

The left sciatic nerve of adult male rats were transected just distal to the bifurcation of the biceps nerve and then gently sutured with fine silk through the neuronal sheath. Equal volumes of retinol solution containing two different amounts of retinol [0.24 mg and 1.2 mg] were placed on the neurotmesic nerve and the 2nd dose placed similary 2 weeks later, The control group exposed to the same procedure but the carrier only was placed instead. Specimens of the damaged nerve were obtained 8 weeks post sectioning for evaluating the effects of retinol relative to the control. The number and degree of myelination of the regenerated nerve fibers, in addition to their diameter [D] and to lesser extent the length [L] of the internodal distance increased significantly [p < 0.001] in the high - dosed and then the low dosed groups relative to the control. On correlating the later parameters [D - L] the values of r were 0.36 and 0.33 respectively and being highly significant while correlation coefficient of the Control was poor [r=0.01]

study on the effect of prostaglandin F2 alpha on blood glucose in normal, diabetic and stressed rats

The aim of the present work was to study the effect of prostaglandin F2 alpha on blood glucose level in normal and diabetic rats and to study its protective effect against stress-induced hyperglycemia and alloxan-induced diabetes. The results obtained showed that injection of prostaglandin F2 alpha reduced the ether stress-induced hyperglycemia, while it has no significant effect on plasma glucose level in normal and diabetic rats. The results showed that it has no protective effect against alloxan-induced diabetes. Interpretation of these results suggested that prostaglandin F2 alpha might act through stimulation of insulin release