Pub Date : 1900-01-01DOI: 10.4103/0331-3131.108135
T. Borah, R. K. Mahanta
In androgen insensitivity syndrome (AIS), the patients are phenotypically females with male karyotype. Affected persons present at puberty with primary amenorrhea with adequate breast development and normal external genitalia. The gonads may be found in lower abdomen, inguinal regions, or sometimes in the labia majora. Rarely, the testes may undergo malignant transformation. So, gonadectomy is indicated in these patients after they attain puberty. Here, we present a case of AIS with primary amenorrhea and bilateral inguinal swelling.
{"title":"Androgen insensitivity syndrome in an Indian adult","authors":"T. Borah, R. K. Mahanta","doi":"10.4103/0331-3131.108135","DOIUrl":"https://doi.org/10.4103/0331-3131.108135","url":null,"abstract":"In androgen insensitivity syndrome (AIS), the patients are phenotypically females with male karyotype. Affected persons present at puberty with primary amenorrhea with adequate breast development and normal external genitalia. The gonads may be found in lower abdomen, inguinal regions, or sometimes in the labia majora. Rarely, the testes may undergo malignant transformation. So, gonadectomy is indicated in these patients after they attain puberty. Here, we present a case of AIS with primary amenorrhea and bilateral inguinal swelling.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125191524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ketamine, a phencyclidine derivative, is a very popular and commonly used parenteral anesthetic agent. It is a safe drug in unskilled hands and a drug of choice in high-risk patients. We report an unusual allergic reaction to Ketamine in a 2.5-year-old child with bilateral congenital inguinal hernia. This is to alert all practitioners to some of the rare but potentially fatal side effects of Ketamine. Anaphylactic reactions to Ketamine are a rare but potentially fatal occurrence. Management includes treatment of acute reactions and avoidance of future reactions. There is no known antidote or reversal agent to Ketamine. So, once it is administered, one must be ready for it to complete full duration of its action. Facilities for resuscitation must be available any time an anesthetic is being administered, no matter how short or minor the surgery is.
{"title":"An unusual reaction to ketamine in a child","authors":"E. Nwasor, P. Mshelbwala","doi":"10.4103/0331-3131.73880","DOIUrl":"https://doi.org/10.4103/0331-3131.73880","url":null,"abstract":"Ketamine, a phencyclidine derivative, is a very popular and commonly used parenteral anesthetic agent. It is a safe drug in unskilled hands and a drug of choice in high-risk patients. We report an unusual allergic reaction to Ketamine in a 2.5-year-old child with bilateral congenital inguinal hernia. This is to alert all practitioners to some of the rare but potentially fatal side effects of Ketamine. Anaphylactic reactions to Ketamine are a rare but potentially fatal occurrence. Management includes treatment of acute reactions and avoidance of future reactions. There is no known antidote or reversal agent to Ketamine. So, once it is administered, one must be ready for it to complete full duration of its action. Facilities for resuscitation must be available any time an anesthetic is being administered, no matter how short or minor the surgery is.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122651455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.100229
Er Abah, A. Akinwande, V. Pam
Surgery (ECCE+ PCIOL) is an unusual possible aetiology of Mooren′s corneal ulceration. A clinical and laboratory evaluation of a case of a 60-year-old male Nigerian who in the immediate postoperative period developed Mooren′s corneal ulceration after an uneventful extracapsular cataract extraction and a posterior chamber intraocular lens (ECCE+PCIOL) implantation at an outreach center is presented. Healing occurred within 2 weeks of medical and surgical intervention, but no remarkable visual improvement. A review of literature from relevant sources with emphasis on management options is also incorporated. Many cases of Mooren′s corneal ulceration remain refractory to treatment even in advanced countries. However, early case finding and prompt referral by trained primary eye care personnel may help to reduce severe visual morbidity in this environment.
{"title":"Mooren′s corneal ulceration in a pseudophakic eye: A case report and literature review","authors":"Er Abah, A. Akinwande, V. Pam","doi":"10.4103/0331-3131.100229","DOIUrl":"https://doi.org/10.4103/0331-3131.100229","url":null,"abstract":"Surgery (ECCE+ PCIOL) is an unusual possible aetiology of Mooren′s corneal ulceration. A clinical and laboratory evaluation of a case of a 60-year-old male Nigerian who in the immediate postoperative period developed Mooren′s corneal ulceration after an uneventful extracapsular cataract extraction and a posterior chamber intraocular lens (ECCE+PCIOL) implantation at an outreach center is presented. Healing occurred within 2 weeks of medical and surgical intervention, but no remarkable visual improvement. A review of literature from relevant sources with emphasis on management options is also incorporated. Many cases of Mooren′s corneal ulceration remain refractory to treatment even in advanced countries. However, early case finding and prompt referral by trained primary eye care personnel may help to reduce severe visual morbidity in this environment.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115713867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.141026
G. Forae, F. Nwachokor, A. Igbe, E. Odokuma, E. Ijomone
Background: Benign breast diseases (BBDs) constitute a source of morbidity and mortality among women globally. Most of these lesions are common in women of reproductive age and are associated with hormonal influences. However, studies have reported an increasing incidence of these lesions in children and adolescents. Aims: The aim was to highlight the spectrum and histological patterns of BBDs among women in Delta State and other Southern states of Nigeria as seen at central hospital, Warri. Materials and Methods: This study was a 7-year retrospective analysis of all histologically diagnosed breast diseases in women. Request forms were scrutinized for clinical bio-data, diagnosis. Hematoxylin and eosin stained-slides of breast biopsies carried out at the central hospital, Warri were archived and studied. Results: A total of 905 breast lesions were received during this 7 years period in the Pathology Department. Of these, 644 cases accounting for (71.2%) were benign lesions, while 261 cases (28.8%) were malignant giving a ratio of 2.5:1. A total of 638 cases occurred in female while only 6 cases occurred in males. The mean age was 31.2 ± 8.4 years, and the peak age incidence was 20-29 years constituting 49.8% cases of BBDs. Fibroadenoma was the most common BBD accounting for 302 cases (46.9%). Fibrocystic disease was the second majority and constituted 126 cases (19.6%). Conclusion: Fibroadenoma constituted the most common histopathological patterns of BBDs in children and adolescents in our environment.
{"title":"Benign breast diseases in Warri Southern Nigeria: A spectrum of histopathological analysis","authors":"G. Forae, F. Nwachokor, A. Igbe, E. Odokuma, E. Ijomone","doi":"10.4103/0331-3131.141026","DOIUrl":"https://doi.org/10.4103/0331-3131.141026","url":null,"abstract":"Background: Benign breast diseases (BBDs) constitute a source of morbidity and mortality among women globally. Most of these lesions are common in women of reproductive age and are associated with hormonal influences. However, studies have reported an increasing incidence of these lesions in children and adolescents. Aims: The aim was to highlight the spectrum and histological patterns of BBDs among women in Delta State and other Southern states of Nigeria as seen at central hospital, Warri. Materials and Methods: This study was a 7-year retrospective analysis of all histologically diagnosed breast diseases in women. Request forms were scrutinized for clinical bio-data, diagnosis. Hematoxylin and eosin stained-slides of breast biopsies carried out at the central hospital, Warri were archived and studied. Results: A total of 905 breast lesions were received during this 7 years period in the Pathology Department. Of these, 644 cases accounting for (71.2%) were benign lesions, while 261 cases (28.8%) were malignant giving a ratio of 2.5:1. A total of 638 cases occurred in female while only 6 cases occurred in males. The mean age was 31.2 ± 8.4 years, and the peak age incidence was 20-29 years constituting 49.8% cases of BBDs. Fibroadenoma was the most common BBD accounting for 302 cases (46.9%). Fibrocystic disease was the second majority and constituted 126 cases (19.6%). Conclusion: Fibroadenoma constituted the most common histopathological patterns of BBDs in children and adolescents in our environment.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"236 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132510216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.100205
S. Hosseini, M. Zarenezhad, A. Hedjazi, M. Khazdooz, S. Falahi
Background: Constipation is a common symptom in children and manometery can be a useful diagnostic method in choosing suitable therapeutic methods for these patients. Aim: The aim of this study was to assess the manometeric findings and determine its role in the management of children with constipation referred to our hospital. Setting and Design: This was a descriptive cross-sectional study. Materials and Methods : It was carried out on patients referred from September 2006 to December 2009 to the children hospital for performance of anorectal manometery because of constipation. They received their treatment according to findings at manometry (normal, absent, dilated, and retentive) with Botolinium toxin (BT) injection, surgery, enema, and medications, respectively. For each patient, variables such as age, sex, chief complaint, manometry result, food regimen, and treatment method were recorded. Symptom severity scale was assessed using a scored questionnaire. Statistical Analysis: Data were analyzed using SPSS 17 and descriptive statistics, t-test, and χ2 . Results: Seventy-one patients were included in our study. The mean age of the participants was 4.98 1.43. Sixteen (22.5%) had acute and 55 (77.5%) had chronic constipation. Seventeen (25.4%) had a diagnosis of Hirschsprung′s disease and 22 patients (31%) had retentive type constipation. Nineteen patients (28.8%) received pull through treatment and 27 (38%) received BT, while 34 (47.9%) received medical treatment. Mean symptom severity score after treatment was 3.88 and 4.59 in males and females, respectively. This difference was statistically significant (P = 0.03). There was no statistically significant difference after treatment according to other variables. Conclusions : In summary, our study results were comparable with studies that reported an effective role for manometry in diagnosis and planning the type of treatment in constipated children. and is a useful physiologic tool for measuring anorectal complex function.
{"title":"Treatment of constipation in children based on anorectal manometery findings","authors":"S. Hosseini, M. Zarenezhad, A. Hedjazi, M. Khazdooz, S. Falahi","doi":"10.4103/0331-3131.100205","DOIUrl":"https://doi.org/10.4103/0331-3131.100205","url":null,"abstract":"Background: Constipation is a common symptom in children and manometery can be a useful diagnostic method in choosing suitable therapeutic methods for these patients. Aim: The aim of this study was to assess the manometeric findings and determine its role in the management of children with constipation referred to our hospital. Setting and Design: This was a descriptive cross-sectional study. Materials and Methods : It was carried out on patients referred from September 2006 to December 2009 to the children hospital for performance of anorectal manometery because of constipation. They received their treatment according to findings at manometry (normal, absent, dilated, and retentive) with Botolinium toxin (BT) injection, surgery, enema, and medications, respectively. For each patient, variables such as age, sex, chief complaint, manometry result, food regimen, and treatment method were recorded. Symptom severity scale was assessed using a scored questionnaire. Statistical Analysis: Data were analyzed using SPSS 17 and descriptive statistics, t-test, and χ2 . Results: Seventy-one patients were included in our study. The mean age of the participants was 4.98 1.43. Sixteen (22.5%) had acute and 55 (77.5%) had chronic constipation. Seventeen (25.4%) had a diagnosis of Hirschsprung′s disease and 22 patients (31%) had retentive type constipation. Nineteen patients (28.8%) received pull through treatment and 27 (38%) received BT, while 34 (47.9%) received medical treatment. Mean symptom severity score after treatment was 3.88 and 4.59 in males and females, respectively. This difference was statistically significant (P = 0.03). There was no statistically significant difference after treatment according to other variables. Conclusions : In summary, our study results were comparable with studies that reported an effective role for manometry in diagnosis and planning the type of treatment in constipated children. and is a useful physiologic tool for measuring anorectal complex function.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128368208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Abdulkadir, L. Umar, H. Musa, S. Musa, Olusegun Abegunde Oyeniyi, Oluwaseyi Ayoola-Williams, Ladi Okeniyi
Background : Sexual abuse of children is a global health and human rights problem that has been largely underreported and understudied in sub-Saharan Africa. Little is therefore known regarding information on the nature of child sexual abuse and the predisposing factors in our communities. Objective : To study the demographic features of individuals involved in sexual abuse and the pattern of presentation of cases at the General Hospital Suleja, Niger state. Materials and Methods : The study is a retrospective analysis of case records of patients who presented to the Out Patient Department of General Hospital Suleja. All cases of sexual abuse seen over an 18 month period from 1 st January 2007 to 30 th June 2008 were reviewed. Data obtained were analysed in Epi-Info software version 3.04 and results presented as percentages, contingency tables, and charts. Results : A total of 81 cases of sexual abuse were recorded over the period of review where children (77 cases) accounted for 95.1% of the cases. There were 41 cases of sexual abuse seen in 2007, while 40 cases were documented within the first half of 2008. All the victims of sexual abuse were girls and all the perpetrators were males of whom six adolescent boys constituted 7.6%. There was no documentation on evaluation and management of sexually transmitted infections, HIV infection, emergency contraception, or scheduled follow-up. Conclusion : The incidence of reported child sexual abuse is on the increase in our communities. There is a need for studies on the predisposing factors to inform policy and preventive strategies as well as efforts to build the capacity of public health systems and care providers to manage cases reporting to our health care facilities.
{"title":"Child sexual abuse: A review of cases seen at General Hospital Suleja, Niger State","authors":"I. Abdulkadir, L. Umar, H. Musa, S. Musa, Olusegun Abegunde Oyeniyi, Oluwaseyi Ayoola-Williams, Ladi Okeniyi","doi":"10.4103/0331-3131.84223","DOIUrl":"https://doi.org/10.4103/0331-3131.84223","url":null,"abstract":"Background : Sexual abuse of children is a global health and human rights problem that has been largely underreported and understudied in sub-Saharan Africa. Little is therefore known regarding information on the nature of child sexual abuse and the predisposing factors in our communities. Objective : To study the demographic features of individuals involved in sexual abuse and the pattern of presentation of cases at the General Hospital Suleja, Niger state. Materials and Methods : The study is a retrospective analysis of case records of patients who presented to the Out Patient Department of General Hospital Suleja. All cases of sexual abuse seen over an 18 month period from 1 st January 2007 to 30 th June 2008 were reviewed. Data obtained were analysed in Epi-Info software version 3.04 and results presented as percentages, contingency tables, and charts. Results : A total of 81 cases of sexual abuse were recorded over the period of review where children (77 cases) accounted for 95.1% of the cases. There were 41 cases of sexual abuse seen in 2007, while 40 cases were documented within the first half of 2008. All the victims of sexual abuse were girls and all the perpetrators were males of whom six adolescent boys constituted 7.6%. There was no documentation on evaluation and management of sexually transmitted infections, HIV infection, emergency contraception, or scheduled follow-up. Conclusion : The incidence of reported child sexual abuse is on the increase in our communities. There is a need for studies on the predisposing factors to inform policy and preventive strategies as well as efforts to build the capacity of public health systems and care providers to manage cases reporting to our health care facilities.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131640082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.141029
L. Owolabi, H. Mohammed, I. Alhaji
Foramen magnum tumors are rare in neurofibromatosis type 1. They may present with bizarre symptoms and may mimic many neurological conditions. We report a case of foramen magnum syndrome secondary to tumor misdiagnosed as cervical spine tuberculosis.
{"title":"Foramen magnum syndrome from a tumor in a neurofibromatosis type 1 patient","authors":"L. Owolabi, H. Mohammed, I. Alhaji","doi":"10.4103/0331-3131.141029","DOIUrl":"https://doi.org/10.4103/0331-3131.141029","url":null,"abstract":"Foramen magnum tumors are rare in neurofibromatosis type 1. They may present with bizarre symptoms and may mimic many neurological conditions. We report a case of foramen magnum syndrome secondary to tumor misdiagnosed as cervical spine tuberculosis.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114140044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.163326
Ohireimen Ohioze, B. James
Background: Good management skills are required by medical doctors to offer optimal service to clients (patients). Though doctors are often managers, basic hospital management principles are lacking in the training curriculum, and may affect how they organize multi-disciplinary teams or units in synergizing healthcare delivery. Aims: This study sought to determine the level of knowledge, attitude, and practice of management principles among private and public medical doctors in Lokoja. Materials and Methods: A cross-sectional study of 160 medical doctors using a pretested 23-item closed-ended questionnaire. Descriptive and bivariate analyses (using the Chi-squared, Pearson′s correlations and Students′ t-tests) were performed to compare categorical and continuous outcomes respectively. Results: A total of 70.9% of respondents were found to have a high knowledge of basic management principles, 80.6% had a positive attitude toward management principles while only 35.6% of respondents actually used formal management principles in their administrative work. Public sector doctors had significantly better knowledge (P < 0.001), positive attitudes (P < 0.003), and higher level of practice (P < 0.004) compared to private sector doctors. There was a positive linear relationship among knowledge and attitude (R = 0.47), knowledge and practice (R = 0.33), and attitude and practice (R = 0.38). Conclusion: Public sector doctors had higher knowledge and better attitudes toward management principles compared to private sector colleagues. Low levels of practice of basic management principles were seen in both groups. This study sets the groundwork for future research.
{"title":"Knowledge, attitude, and practice of basic hospital management principles among medical doctors in Lokoja, Nigeria","authors":"Ohireimen Ohioze, B. James","doi":"10.4103/0331-3131.163326","DOIUrl":"https://doi.org/10.4103/0331-3131.163326","url":null,"abstract":"Background: Good management skills are required by medical doctors to offer optimal service to clients (patients). Though doctors are often managers, basic hospital management principles are lacking in the training curriculum, and may affect how they organize multi-disciplinary teams or units in synergizing healthcare delivery. Aims: This study sought to determine the level of knowledge, attitude, and practice of management principles among private and public medical doctors in Lokoja. Materials and Methods: A cross-sectional study of 160 medical doctors using a pretested 23-item closed-ended questionnaire. Descriptive and bivariate analyses (using the Chi-squared, Pearson′s correlations and Students′ t-tests) were performed to compare categorical and continuous outcomes respectively. Results: A total of 70.9% of respondents were found to have a high knowledge of basic management principles, 80.6% had a positive attitude toward management principles while only 35.6% of respondents actually used formal management principles in their administrative work. Public sector doctors had significantly better knowledge (P < 0.001), positive attitudes (P < 0.003), and higher level of practice (P < 0.004) compared to private sector doctors. There was a positive linear relationship among knowledge and attitude (R = 0.47), knowledge and practice (R = 0.33), and attitude and practice (R = 0.38). Conclusion: Public sector doctors had higher knowledge and better attitudes toward management principles compared to private sector colleagues. Low levels of practice of basic management principles were seen in both groups. This study sets the groundwork for future research.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115123994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.141022
U. Mohammed, M. Samaila, M. Abubakar
Background: Adipose tumors are the most common soft tissue tumors in humans. The reported incidence of lipoma is probably less than the actual incidence because of its insidious growth pattern and minimal associated symptoms. Objective: The objective of this study is to document the pattern of these tumors in a tertiary hospital in Northern Nigeria. Materials and Method: This is a retrospective study of all diagnosed adipose tissue tumor over a 10-year period (January 2002 to December 2011), in the Department of Pathology, Ahmadu Bello University Teaching Hospital. Tissue biopsies fixed in 10% formalin and stained routinely with hematoxylin and eosin were studied. Biodata and sites of involvement were retrieved from patients′ requisition cards. Results: Four hundred and three adipose tissue tumors were diagnosed during this period. Three hundred and ninety-five (98.0%) of the tumors were benign, while 8 (2.0%) were malignant. The male to female distribution was 197 and 206, respectively. Patients ages ranged from 3 months to 75 years with a peak age distribution in the fifth decade (23.6%). The most common site of involvement was the trunk (38.0%), followed by the head and neck region (21.3%) and lower limbs (17.4%). Conventional lipoma was the most common benign tumor, accounting for 328 cases (81.4%), while myxoid liposarcoma was the most common malignant tumor with 4 cases (1.0%). Conclusion: Adipose tissue tumors are not uncommon in our setting and accounted for 6.0% of all tumors seen within the study period. There is a slight female preponderance and the trunk is the most common site of involvement. Benign tumors formed the bulk of lesions recorded.
{"title":"Pattern of adipose tissue tumors in Ahmadu Bello Universty Teaching Hospital, Zaria, Nigeria","authors":"U. Mohammed, M. Samaila, M. Abubakar","doi":"10.4103/0331-3131.141022","DOIUrl":"https://doi.org/10.4103/0331-3131.141022","url":null,"abstract":"Background: Adipose tumors are the most common soft tissue tumors in humans. The reported incidence of lipoma is probably less than the actual incidence because of its insidious growth pattern and minimal associated symptoms. Objective: The objective of this study is to document the pattern of these tumors in a tertiary hospital in Northern Nigeria. Materials and Method: This is a retrospective study of all diagnosed adipose tissue tumor over a 10-year period (January 2002 to December 2011), in the Department of Pathology, Ahmadu Bello University Teaching Hospital. Tissue biopsies fixed in 10% formalin and stained routinely with hematoxylin and eosin were studied. Biodata and sites of involvement were retrieved from patients′ requisition cards. Results: Four hundred and three adipose tissue tumors were diagnosed during this period. Three hundred and ninety-five (98.0%) of the tumors were benign, while 8 (2.0%) were malignant. The male to female distribution was 197 and 206, respectively. Patients ages ranged from 3 months to 75 years with a peak age distribution in the fifth decade (23.6%). The most common site of involvement was the trunk (38.0%), followed by the head and neck region (21.3%) and lower limbs (17.4%). Conventional lipoma was the most common benign tumor, accounting for 328 cases (81.4%), while myxoid liposarcoma was the most common malignant tumor with 4 cases (1.0%). Conclusion: Adipose tissue tumors are not uncommon in our setting and accounted for 6.0% of all tumors seen within the study period. There is a slight female preponderance and the trunk is the most common site of involvement. Benign tumors formed the bulk of lesions recorded.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115691474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4103/0331-3131.100228
T. Katti, Vidhisha S Athanikar, Anand S Ananthrao, Chandrakanth V Rathod
Filariasis is one of the parasitic diseases endemic in India, manifesting as acute, chronic or asymptomatic disease. Wuchereria bancrofti accounts for 90% of cases. Microfilaria in fine-needle aspiration cytology is not a common finding. It has been occasionally detected in association with neoplasms. Coexistence with metastatic deposits is even rarer on cytology. We found it incidentally in metastasis to cervical lymph node from squamous cell carcinoma growing in the middle third of the esophagus on fine-needle aspiration (FNA). This patient presented with left-sided neck swelling for 2 months and complete hemogram and peripheral blood smear were normal. We report this case for the rarity of pathology.
{"title":"Cytodiagnosis of microfilarial lymphadenitis coexistent with metastatic squamous cell carcinoma in a left cervical lymph node: An unusual presentation","authors":"T. Katti, Vidhisha S Athanikar, Anand S Ananthrao, Chandrakanth V Rathod","doi":"10.4103/0331-3131.100228","DOIUrl":"https://doi.org/10.4103/0331-3131.100228","url":null,"abstract":"Filariasis is one of the parasitic diseases endemic in India, manifesting as acute, chronic or asymptomatic disease. Wuchereria bancrofti accounts for 90% of cases. Microfilaria in fine-needle aspiration cytology is not a common finding. It has been occasionally detected in association with neoplasms. Coexistence with metastatic deposits is even rarer on cytology. We found it incidentally in metastasis to cervical lymph node from squamous cell carcinoma growing in the middle third of the esophagus on fine-needle aspiration (FNA). This patient presented with left-sided neck swelling for 2 months and complete hemogram and peripheral blood smear were normal. We report this case for the rarity of pathology.","PeriodicalId":331118,"journal":{"name":"Annals of Nigerian Medicine","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124793082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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