Malignant Phylliodes Tumours: Results of Breast Conserving Surgery and Immediate Reconstruction

Background: Malignant phylliodes tumour (MPT) is a rare breast tumor. Surgery is the mainstay in treatment but varies from local resection to modified radical mastectomy. In this study; we present our experience using wide local excision or subcutaneous mastectomy and immediate breast reconstruction in the management of MPT. Methods and Results: Twenty-three recurrent MPT and ten patients with histological evidence of MPT were included. All patients with recurrent MPT (n=23) had subcutaneous mastectomy; tow centimeter wide excision of the scar and immediate breast reconstruction with either Latissimus Dorsi (LD) myocutaneous flap (n= 10) or Latissimus Dorsi muscle flap (n=13). Seven of the newly diagnosed patients had wide local excision of the tumor; reconstruction with LD muscle flap; tow had wide local excision and reduction of contra lateral breast; and one had subcutaneous mastectomy and silicon implant. The margin resection varied between five and fifteen centimeter in wide local resection group and subcutaneous mastectomy group respectively and the size of tumors varied between five and fifteen centimeters in diameter. Discussion: During the follow up period; which ranged between twenty-four and eighty-four months one local recurrence; was recorded (3.03) and none of the patients had distant metastasis or regional lymph nodes involvement. This approach has secured wider excision of MPT; offered breast reconstruction; and has reduced the chances of recurrence in our patients

efficacy of the volatile oils of three plants for controlling lucilia sericata

Myiasis is one of the most important parasitic diseases, which affects the human welfare. The volatile oils of 3 plants were tested against adult Lucilia sericata. The LC50 was 80 ppm by Anethum graveolens, 180 ppm by Conyza dioscoridis and 130 ppm by Mentha microphylla. The slope functions were 1.9, 1.79, and 2.2, respectively. The whole results discussed

Value of the quantitative buffy coat capillary tube test [QBC] in the microscopic diagnosis of bancroftian filariasis

The diagnostic performance of the commercial quantitative buffy coat capillary tube technique was compared with the standard diagnosis of filariasis by microscopical examination of Giemsa stained thick blood films. The comparison was conducted among 83 subjects. The QBC test was highly sensitive than the thick blood film in detection of microfilaremic patients. The percentage of positive cases among 35 subjects with fever and enlarged lymph nodes in the axilla or in the groin was 48.6% versus 42.8% by thick blood film. The sensitivity was 94.4% versus 83.3% in 18 subjects with lymphatic varices or hydrocele. The sensitivity of the QBC capillary tubes was poor [20%] versus 6.6% among 30 filarial patients with different degrees of lymphatic edema. It is concluded that the QBC capillary test is very simple, rapid and convenient as a diagnostic method for microfilaremic patients but not suggested to be used neither in the quantitation of the parasite numbers or in species identifications

Oestrus ovis [sheep nasal fly] infesting the eyes and the nose of a camel keeper family

Myiasis is a medical and veterinary health problem in many animal rearing countries. It is not a new problem in Egypt. A family of 5 persons was infested in the eyes [5] and nose [2] with the larvae of Oestrus ovis. It was concluded that the physicians in the MOH rural health units should keep in mind ophthalmomyiasis when dealing with non-specific catarrhal conjunctivitis, particularly those people who are concerned with rearing of farm animals