[ report about a rare case of tail gut cyst [TGC] in a 90- year-old man with sacrum ulceration]

Tail gut cyst [TGC] is a non common cystic lesion with post anal origin which is occurred in retro rectal region. In this article we studied a 90-year-old man with a tail gut cyst who presented with post sacral ulcer. The patient did not cooperate well with taking history. For further evaluations the patient underwent surgical treatment for detriment and the region was drained off and repaired. At operation retro rectal cystic mass was excised for pathologic studies. Although the incidence of malignancy in TGC is extremely rare, it should be considered in differential diagnosis of retro rectal tumors especially in middle-aged women

Angiomyolipoma with omental involvement in a 35 year old woman: a case report

A 35-year woman, from Zahedan, was admitted to Shaheed Sadoughi hospital for abdominal pain. She was suffering from a sudden left flank pain during 3 weeks ago and bloody stool from two days before reffering to the hospital. After performing paraclinical evaluations, including routine laboratory exams, plain abdominal radiography and CT scan, she underwent left radical nephrectomy with the diagnosis of a retropritoneal mass. Pathologic studies found renal angiomyolipoma with involvement of omentum. As we didn't find a similar case in the search of medical databases, it seems that this is the first report of renal angiomyolipoma with involvement of omentum to our knowledge

[Diagnostic value of sonography in discriminating benign from malignant liver space occupying lesions]

Sonography is a non-invasive, well stablished and low complication technique, which renders the determination of benign and malignant focal liver masses. In this study, diagnostic value of sonography in discriminating liver space occupying lesions and its related factors was evaluated and compared with clinical and pathological results. In this descriptive and diagnostic study, 102 patients with hepatic tumor admitted in Shaheed Sadoughi hospital in Yazd between March 2001 and April 2004 were studied. Patients' age, sex, clinical diagnosis, and pathologic and sonographic results were entered in a questionnaire. Data were analyzed by SPSS software with chi-square and Fisher exact tests. 102 patients with mean age of 52 +/- 18.7 years [range: 4 months- 87 years] were studied. 54 [53%] were male and 48 [47%] female. Of 102 liver mass, Sonography detected 36 benign and 66 malignant tumors, while clinical diagnosis reported 42 benign and 6n malignant tumors. Of 64 malignant tumors diagnosed by pathologic studies, sonography reported 51 malignant and 13 benign tumors. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of sonography in discriminating benign and malignant liver masses were 79.69%, 60.53%, 77.27%, 63.89 and 75.56%, respectively. Regarding the high sensitivity and accuracy of sonography in discriminating benign from malignant liver masses, it can be helpful for evaluation of hepatic tumors. However, sonographic results should confirm by pathologic studies

[Surveying depression in asthmatic patients referred to Shohadaye Kargar hospital in Yazd]

Depression is one the most common mental disorders that has different symptoms such as non-stimulation, sleeping disorders, retirement and social function decreasing. It may occur in patients with chronic diseases, cancer, and asthma. The main purpose of the present study was to determine the relation between asthma and depression. For this cross-sectional study asthmatic patients referred to Shohadaye Kargar hospital in Yazd in 2006 were enrolled. Having completed the informed consent, demographic data, history of asthma and depression test of Beck [13 questions] were inquired. Totally, 330 asthmatic patients [54% male and 46% female] were studied with a mean age of 54/5 +/- 15/5 years [range, 20-88 years]. Asthmatic patients had depression more frequently than general population in Yazd [79% vs. 34%, p<0.0001]. Educated subjects were more commonly affected [twice the illiterate, p<0.05]. Meanwhile, risk of depression showed statistically significant association with age and history of asthma. Depression in more prevalent among asthmatic patients in Yazd, when compared with general population. Therefore, early treatment of asthma can cease depression