Recurrent laryngeal nerve palsy after thyroidectomy

A series of 200 thyroidectomy performed during the last four years is presented. Of these 26 patients were males and 174 females, with a mean age of 33.85 years. Clinically 126 [63.0%] patients were euthyroid, 47 [23.5%] hyperthyroid and 9 [4.5%] hypothyroid. Thyroid scintiscanning showed nodular pattern in 172 [86%] and uniform uptake in 28 [14%] cases. FNAC reported nodular goiter as the commonest lesion [22.61%] followed by benign lesions in 20.5% cases. Recurrent laryngeal nerve palsy [RLNP] occurred in 10 cases [5%], out of which 7 were unilateral and 3 bilateral. It is stressed that meticulous attention should be paid to the fine details of surgery in order to avoid this complication

Surgical, bilary tract diseases at Larkana: an overview

A three year prospective study of surgical biliary tract disorders at Larkana revealed 140 admissions with a male to female ratio of about 1:8. Maximum number of patients i.e. 86 [61.43%] belonged to age group 31-50 years, the range being seven to 73 years. Common presenting symptoms were upper abdominal pain [92.85%], flatulent dyspepsia [59.28%] and nausea/vomiting [57.85%] while diagnosis included cholelithiasis [72.88%], acute cholecystitis [7.86%] and carcinoma gall bladder [5%]. Chronic cholelithiasis [84.80%] was reported to be the commonest histopathology followed by acute-on-chronic cholelithiasis and adenocarcinoma of gall bladder [4.80%]. One hundred and fourteen patients underwent surgery, cholecystectomy [82.48%] being the commonest procedure performed. wound infection [17.54%], wound haematoma [7%] and biliary leakage [3.50%] were noted as the most frequent complications. We conclude that surgical biliary tract diseases, like cholelithiasis, are not uncommon in Larkana as was once thought

Cancer breast Larkana experience

Retrospective study of 378 cases of CANCER BREAST reported at Larkana Institute of Nuclear Medicine and Radiotherapy [LINAR] during 1985-1992 [8 years] is presented. Averagely about 47.25 cases reported per year. Left breast was involved in 198 cases [52.38%] and right breast in 1 80 cases [47.62%]. Maximum number of cases 233 [58.99%] belonged to age group 31-50 years. There were 359 [94.98%] females and 19 [5.02%] males. Patients belonging to Larkana District, 147 cases [38.88%] topped the list, followed by Khairpur, 55 cases, [14.55%], Sukkur, 52 cases, [13.75%], and Jacobabad 52 cases [13.75%]. Lymphadenopathy was present in 46.29% of cases and metastasis in 34.39% of cases. Surgery was done in 303 cases [80.15%] with simple mastectomy in 182 cases [60.06%] being the commonsest proceedure. 291 [76.98%] patients received chemotherpay, 315 [83.33%] Radiotherapy and 100 [26.45%] hormone therapy. Histopathology was done in 268 cases [70.89%] with infiltrating duct cell carcinoma in 222 cases [82.85%], being the most common lesion. Since the patients present with advanced disease, it is recommended that early reporting should be stressed through media

Lymphoma of breast

A case of lymphoma of breast in a young lady is described, inspite of aggressive treatment consisting of surgery, chemotherapy and radiotherapy, the patient could not survive long