Comparison of pap smear quality with anatomical spatula method and the common method [spatula- cytobrush]: a single blind clinical trial

Cervical cancer is the third most common cancer in women in the world. Papanicolaou smear is known as a standard test for cervical cancer screening; however, the most important challenge is high rates of false negative results. The aim of this study was to compare the quality of smears obtained by anatomical spatula and spatula-cytobrush. The most important factor in false negative result is inappropriate tool of sampling. One hundred married women participated in this single blind clinical trial. All participants were interviewed; two samples were obtained from every participant: one with spatula-cytobrush and another one with anatomical spatula. All slides were encoded and were assessed by two pathologists. Then, data were analyzed by means of kappa coefficient. Cell adequacy was 96.1% in anatomical spatula method and 91.2% in spatula-cytobrush method [p= 0.016]. The rates for endocervical cells and metaplasia cells in anatomical spatula method were 70.6% and 24.5% respectively and these amounts were 69.6% and 24.5% respectively in the spatula-cytobrush method [p <0.001]. No one reported any pain and the amount of bleeding was 38.2% in both methods [P>0.05]. Regarding infection and inflammatory reactions there was no statistically significant difference between two methods [p>0.05]. Based on our findings in this study, results of sampling with anatomical spatula method were more acceptable and better than those with spatula-cytobrush sampling

Testicular Patch as lymphatic conduit in canine hind limb

Management of lymphedema is a challenging issue in surgery. A variety of operations have been used, albeit with little success. To investigate the efficacy of testicular patch as a lymphatic conduit. An incision was made on the inguinal area of 10 dogs and all lymph nodes of inguinal area were excised. The tunica albuginea and parenchyma near the hilum of testes were taken and transferred to the site of excised lymph nodes. Microscopic study showed neovascularization of lymphatic duct in 80% of samples. Testicular patch graft can be used as a lymphatic conduit and implemented in the management of lymphedema

Thymolipoma in association with myasthenia gravis: a case report and literature review

A 55 year old man with symptoms of my asthenia gravis was found to have a 65 gram thymolipoma. The patient experienced marked improvements in neuromuscular symptoms following removal of the tumor. A literature review showed that ten other cases of thymolipoma have been found in association with myasthenia gravis. The clinical improvement after removal of the tumor in these cases including our case, suggests that thymolipoma may possibly play a role similar to that of thymoma in the pathogenesis of myasthenia gravis