RESUMEN
Lipomas of the colon are uncommon but cause diagnostic difficulty when they are symptomatic. The clinical and pathological features of 17 cases of colonic lipomas diagnosed at the University Hospital of the West Indies between 1970 and 1999 are reported. Ten cases were symptomatic, two of these being diagnosed with adult intussusception. Six patients had incidental lipomas in bowel resected for other pathology while one lipoma was diagnosed on sigmoidoscopy. Increased awareness of these lesions will enhance pre-operative diagnostic accuracy.
Asunto(s)
Anciano , Femenino , Humanos , Masculino , Lipoma , Neoplasias del Colon/epidemiología , Lipoma , Indias Occidentales/epidemiología , Neoplasias del Colon/diagnósticoRESUMEN
Thirty-five patients with chronic pancreatitis (CP) treated with over a 15-year period were studied. There were 29 men and 6 women with a mean age of 47 years (range 21-67). Twenty-seven (77%) were chronic alcoholics, two (6%) had gallstones, one had stenosis of the Ampulla of Vater and in five (14%) no obvious cause was found. Thirty patients (86%) presented with abdominal pain. Chronic diarrhoea was present in 8 (23%), and steatorrhoea was documented in 6 of these. Fifteen (43%) had pancreatic calcifications. Five developed pseudocysts and 16 (46%) developed diabeted mellitus. Twelve patients required surgery. Three continue to have severe recurrent relapses of pain but the majority (91%) have had a relatively stable course with medical management.
Asunto(s)
Pancreatitis/etiología , Pancreatitis/terapia , Alcoholismo/complicaciones , JamaicaRESUMEN
The pathological records of appendicectomy specimens from patients with suspected acute appendicitis at the University Hospital of the West Indies during the 5-year period 1984-1988 were studied. The numbers of cases, their ages, sex and seasonal incidence were similar to those of other studies. The over-all false positive diagnosis rate was 25%(16%in males, 38%in females). The main diagnostic difficulty was in young females in whom surgery for suspected appendicitis often proved unnecessary.
Asunto(s)
Humanos , Lactante , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Masculino , Femenino , Apendicectomía/estadística & datos numéricos , Apendicitis/diagnóstico , Apendicitis/patología , Factores Sexuales , Estudios Retrospectivos , Diagnóstico Diferencial , Errores DiagnósticosRESUMEN
A prospective study of 200 Fine Needle Aspiration Cytology specimens from 194 patients with thyroid nodules at the University Hospital of the West Indies in Jamica showed a 95% accuracy when the results were compared with histopathology reports of the subsequent thyroidectomy surgical specimens in 86 patients. The false negative rate was 3% (for neoplasia), and there was a false positive rate of 10.5%. Fine Needle Aspiration Cytology thus proves to ben an accurate, specific and sensitive method of assenssment of thyroid nodules which ultimately reduces unnecessary surgical intervention