Dermatofibrosarcoma protuberans in a patient with alopecia areata univerisalis

Dermatofibrosarcoma protuberans [DFSP] is an uncommon locally infiltrative, low grade soft tissue sarcoma. Alopecia areata universalis is a severe form of non-scarring alopecia involving the whole body. We are reporting a rare case where both of these occured in the same patient

Dural metastases presenting as an extradural hematoma: a rare presentation

We report a case of an elderly man who presented with hemiparesis and plain CT scan findings highly suggestive of an extradural hematoma as the underlying cause. This patient was later found to have dural metastases secondary to bronchogenic carcinoma. Dural metastases are rare, usually presenting as dural mass, but may also present as chronic subdural or extradural hematoma on non contrast CT scan, leading to an erroneous diagnosis in the unsuspecting

Knowledge, attitudes and practices regarding breast cancer screening in women of various social strata

To find out knowledge, attitudes and practice related to breast cancer among women. A convenience sample of 179 women living in Karachi age 20 years and above was studied. Proforma were filled by interviews. Questions related to breast screening knowledge, attitude and practices in different social class were asked. Out of the total of 179 female respondents, 19% [34] belonged to affluentsocial class, 64% [115] were of middle social class and 17% [29] were poor. There was no significant difference in the age, marital status, occupation and number of children of the respondents of the three groups. There was a significant difference in educational level in between three social groups [p<.000]. Among the graduates 65% represented the middle social class and 69% of the illiterate belonged to poor class.Only 50% [90] of the females knew that breast cancer runs in the family, out of which 56 correct response [p<.005] were from middle class i.e. 62% and of the total only 13% were aware that it was linked with grand mothers history with insignificant inter group variation [p<.086]. Furthermore 55% of poor women, 76.5% of middle class women and 88% of affluent class admit the importance of screening of breast cancer for its prevention [p<.000]. Overall 46% were aware of mammogram, of whom 10% were poor, 48% from middle class and 73% rich [p<.019]. Higher the social class better is the level of education, knowledge, attitude and practice towards the breast cancer screening

unusual cold abscess with a strangulated para-umbilical hernia, in a patient with Stein-Leventhal Syndrome

We report a rare case, in which a massive intra-abdominal tuberculous abscess was a cause of diagnostic confusion, in a young girl previously diagnosed with Stein Leventhal syndrome, when she developed a strangulated para-umbilical hernia