ABSTRACT
This was a retrospective analysis of all consecutive breast cancer specimens submitted to the Pathology Department Of Federal Medical Centre, Gombe which renders histopathology services to four states in the North Eastern region of Nigeria. A total of 172 cases of malignant breast tumours were recorded during the 7 years under review. Out of the 172 cases of breast cancers analysed, 7(4%) were in males while the remaining 165(96%) were in females giving a male: female ratio of 1:24. The most common histopathological type of breast cancer found in this study was Invasive Ductal Carcinoma no special type (NST) accounting for 78.8% of cases (Afr J Reprod Health 2011; 15[1]: 107-109)
Subject(s)
Breast Neoplasms , Carcinoma, Ductal, Breast , WomenABSTRACT
Background: Breast cancers tend to be more aggressive in younger patients and some histopathological types like medullary; mucinous and tubular variants have a better prognosis. This study describes the histopathologic pattern and tumour grade of breast carcinoma in younger patients. Methods: This was a retrospective analysis of all consecutive breast cancer specimens submitted to the histopathology department of Federal Medical Centre Gombe during the study period. The data was analyzed with EPI Info 2002 using simple means and percentages. Results: A total of 167 cases of breast carcinoma in 164 females were reviewed with three patients having bilateral disease. The age range of the study population was 22-75 years with a mean age of 44 +/-11.7 years. One hundred and twenty seven patients (76) were aged less than 50 years while the rest were above 50 years. A total of 133 tumours were invasive ductal carcinomas; 107(80.45) of which were in the premenopausal age group and 26(19.55) in post menopausal age. One hundred and six patients (63.5) had low grade tumours (grades 1 and 2) while 61(36.5) had high grade tumours (Grades III and IV tumours). Forty three (70.5) of these high grade tumours were seen in premenopausal age group. Eleven patients had invasive lobular carcinoma of which 4(36.4) were premenopausal while 7(63.6) were post menopausal. Conclusion: It is concluded that younger patients tended to frequently have aggressive and high grade disease
Subject(s)
Age Groups , Breast Neoplasms , Neoplasms by Histologic TypeABSTRACT
Background: Laparoscopic surgery has evolved in a relatively short time to become a popular and integral part of the surgical armamentarium. An overview of developments which have taken place since its inception is presented. Methods: The PubMed database was searched for all eng language literature. Further references were obtained through cross-referencing the bibliography cited in each work and using books from the authors' collection. Conclusion: Laparoscopic surgery has developed rapidly; initially from a basically diagnostic procedure to a therapeutic one which is currently challenging time-honoured traditional methods of surgery. Technological advancements and enthusiasm as well as the desire for scar less surgery appear to be poised to push even further the frontiers of this discipline
Subject(s)
General Surgery , LaparoscopyABSTRACT
Background: Inguinal hernia repair may be the most common procedure in general surgery. Many repairs have been described but none appears completely satisfactory. A brief look at the popular methods of repair from the traditional tissue approximation to the current meshbased techniques is presented. Methods: The PubMed database was searched for all eng language literature. Further references were obtained through cross-referencing the bibliography cited in each work and using books from the authors' collection. Conclusion: The history of inguinal hernia is a rich one; from the traditional tissue approximation techniques to the current mesh-based repairs which are now performed as open or laparoscopic procedures. Recurrent rates have reduced but are still a problem. Perhaps the perfect repair remains elusive because the problem may also be with patients' collagen not just the surgical procedure
Subject(s)
General Surgery , Hernia , Surgical MeshABSTRACT
In this paper; we present a case report of a severe oesophageal stricture in a pregnant woman that was successfully dilated endoscopically with improved maternal and foetal outcomes
Subject(s)
Case Reports , Endoscopy , Esophageal Stenosis , PregnancyABSTRACT
Chest trauma is an important cause of mortality in children worldwide. In this study we present our experience with childhood chest trauma within a five years period. This was a 5-year prospective study of consecutive patients with chest trauma. Data entered into a pre-planned proforma included demographic information, type of injury, mechanism of injury, associated injuries, type of treatment given, outcome of management and duration of hospital stay. There were 36 children aged between 2 and 16 years (mean age: of= 10.5 ± 6.2 years). There were 24 males and 12 females (m:f 2:1). Twenty seven (75%) of the 36 patients had blunt trauma while nine (25%) had penetrating chest injury. Road traffic accident was responsible for chest trauma in 26 (72.2%) children, but 6 (16.7%) other children were victims of civil unrest while 4 (11.1%) fell from heights. Haemo-pneumothorax was common in 10 (27.8%) patients. Twenty five out of the 36(69.4%) patients had associated injuries, 10 (40%) were head injuries, followed closely by abdominal injury in 8 (32%). Chest trauma in children is common in our environment. Majority of the children suffered blunt trauma following road traffic accidents. Prompt recognition and treatment of affected children is needful for a successful outcome