Placenta previa accreta; comparison of outcome of antenatal diagnosed cases in previous caesarean scar with undiagnosed cases of placenta previa accreta in previous caesarean scar

To compare outcome of antenatal diagnosed cases of placenta previa accreta in previous caesarean scar with undiagnosed cases of placenta previa accreta in previous caesarean scar.Cohort Study. The study was carried out in department of Obstetrics and Gynecology Nishtar Hospital Multan. Population: Total 206 cases were included in the study divided into two groups. Group A had 103 antenatal diagnosed cases of placenta previa accreta in previous caesarean scar and Group B comprised 103 cases un-diagnosed having placenta previa accreta in previous caesarean scar. Outcome Measure: Outcome was determined in terms of morbidity [i.e Hysterectomy] and mortality. It was found that hysterectomy was performed in 47 [45.6%] vs 36 [35%] diagnosed and un-diagnosed cases respectively. 9 [8.7%] vs 2[1.9%] cases died in diagnosed and undiagnosed Cases respectively. No significant difference in term of morbidity was found between diagnosed and un- diagnosed cases of placenta previa accreta in previous caesarean scar. Mortality was high in diagnosed cases of placenta previa accreta in previaous caesarean scar

Lump breast; role of FNAC in diagnosis

Lump breast is a fairly common presenting complaint for which patient seeks medical advice and becomes anxious about the diagnosis. Fine needle aspiration cytology [FNAC] for the diagnosis of lump breast has been proved as a simple, rapid and economical procedure. The present study was done to evaluate the diagnostic accuracy of fine lump breast in our set-up compared with open biopsy. The study was conducted in surgical department of Nishtar hospital Multan and Frontier Medical College Abbottabad. One hundred female patients with lump breast were selected for the study and their medical history was recorded. The age range was 15-65 years. All of the patients under went FNAC of the lump breast followed by open biopsy for comparison. The results reveal that this study shows a sensitivity of 87.5% for FNAC to pick malignant lesions and specificity of 82.4% while over all diagnostic accuracy 84%. Fine needle aspiration cytology is safe, easy, cheap and accurate procedure. Its sensitivity and specificity is fairly high and is a good alternative to open biopsy. FNAC should be routinely used and open biopsy should be performed in doubtful cases only