Pub Date : 2014-01-01DOI: 10.4103/1116-5898.134533
N. Sharma, M. Bajpai, S. Panda, A. Verma, Mini Sharma
Objective: The objective of the following study is to assess the outcome of treatment with tunica vaginalis flap cover in cases of proximal penile hypospadias cripples. Materials and Methods: This retrospective study included cases of proximal penile hypospadias cripples managed by thiersch-duplay urethroplasty. Cases were divided into three groups. Group I included cases with tunica vaginalis flap, group II with dartos flap and group III included staged hypospadias repair on Bracka′s principle. All cases were managed by a uniform protocol. Outcome was assessed at day 10 after stent removal and at first follow-up. Urethroplasty was considered successful in case with no leak. P value was considered to be significant if less than 0.05. Results: Out of 67 cases, 18 cases were in group I, 24 cases were in group II and 24 were in group III. They formed the study group. Leak at the time of stent removal was present in 1/18 (5.57%), 4/24 (16.67%), 2/24 (8.33%) cases in group 1, II and III respectively (P = 0.04 and 0.4). Leak at the time of first follow-up was present in 1/18 (5.55%), 5/24 (20.83%) and 3/24 (25%) cases in group I, II and III respectively (P = 0.03 and 0.3). Complete disruption of urethroplasty was present in 1/18 (5.57%), 2/24 (8.83%) and 1/24 (4.16%) cases in group I, II and III respectively (P = 0.1). The overall success rate in group I, II and III were 15/18 (83.83%), 13/24 (54.16%) and 18/24 (75%) respectively (P = 0.01 and 0.1). Conclusions: Tunica vaginalis flap reinforcement in cases of hypospadias cripples is a viable and reliable option. This should be favored over dartos flap.
{"title":"Tunica vaginalis flap cover in hypospadias cripples: Our experience in a tertiary care center in India","authors":"N. Sharma, M. Bajpai, S. Panda, A. Verma, Mini Sharma","doi":"10.4103/1116-5898.134533","DOIUrl":"https://doi.org/10.4103/1116-5898.134533","url":null,"abstract":"Objective: The objective of the following study is to assess the outcome of treatment with tunica vaginalis flap cover in cases of proximal penile hypospadias cripples. Materials and Methods: This retrospective study included cases of proximal penile hypospadias cripples managed by thiersch-duplay urethroplasty. Cases were divided into three groups. Group I included cases with tunica vaginalis flap, group II with dartos flap and group III included staged hypospadias repair on Bracka′s principle. All cases were managed by a uniform protocol. Outcome was assessed at day 10 after stent removal and at first follow-up. Urethroplasty was considered successful in case with no leak. P value was considered to be significant if less than 0.05. Results: Out of 67 cases, 18 cases were in group I, 24 cases were in group II and 24 were in group III. They formed the study group. Leak at the time of stent removal was present in 1/18 (5.57%), 4/24 (16.67%), 2/24 (8.33%) cases in group 1, II and III respectively (P = 0.04 and 0.4). Leak at the time of first follow-up was present in 1/18 (5.55%), 5/24 (20.83%) and 3/24 (25%) cases in group I, II and III respectively (P = 0.03 and 0.3). Complete disruption of urethroplasty was present in 1/18 (5.57%), 2/24 (8.83%) and 1/24 (4.16%) cases in group I, II and III respectively (P = 0.1). The overall success rate in group I, II and III were 15/18 (83.83%), 13/24 (54.16%) and 18/24 (75%) respectively (P = 0.01 and 0.1). Conclusions: Tunica vaginalis flap reinforcement in cases of hypospadias cripples is a viable and reliable option. This should be favored over dartos flap.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"24 1","pages":"7 - 11"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380565","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 : 2014-01-01DOI: 10.4103/1116-5898.127096
Yawale Iliyasu, Leona W Ayers, Almustapha A Liman, Garba D Waziri, Sani M Shehu
Epstein-Barr virus (EBV) is said to infect more than 90% of humans worldwide with latent infection for life. A recognized carcinogen, EBV is linked to malignant lymphoma (ML) subtypes of Burkitt's lymphoma (BL), plasmablastic lymphoma, diffuse large cell lymphoma (DLBCL) and Hodgkin's lymphoma (HL). We report the association of EBV with ML in a segment of our patient population. Paraffin blocks from the archives of ABUTH, Zaria were used to construct tissue microarray sections stained using 30 monoclonal antibodies for common Non-Hodgkin's lymphoma/ Hodgkin's lymphoma antigen and chromogenic in situ hybridization (CISH) for EBV-encoded RNA were done. Fewer associations of ML with EBV were found than reported from elsewhere in Africa.
{"title":"EPSTEIN -BARR VIRUS ASSOCIATION WITH MALIGNANT LYMPHOMA SUBGROUPS IN ZARIA, NIGERIA.","authors":"Yawale Iliyasu, Leona W Ayers, Almustapha A Liman, Garba D Waziri, Sani M Shehu","doi":"10.4103/1116-5898.127096","DOIUrl":"10.4103/1116-5898.127096","url":null,"abstract":"<p><p>Epstein-Barr virus (EBV) is said to infect more than 90% of humans worldwide with latent infection for life. A recognized carcinogen, EBV is linked to malignant lymphoma (ML) subtypes of Burkitt's lymphoma (BL), plasmablastic lymphoma, diffuse large cell lymphoma (DLBCL) and Hodgkin's lymphoma (HL). We report the association of EBV with ML in a segment of our patient population. Paraffin blocks from the archives of ABUTH, Zaria were used to construct tissue microarray sections stained using 30 monoclonal antibodies for common Non-Hodgkin's lymphoma/ Hodgkin's lymphoma antigen and chromogenic in situ hybridization (CISH) for EBV-encoded RNA were done. Fewer associations of ML with EBV were found than reported from elsewhere in Africa.</p>","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4302412/pdf/nihms-647117.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33002978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.4103/1116-5898.134532
A. Osemwenkha, J. Osaikhuwuomwan
Aim: The aim of the following study is to document the outcome of cervical cerclage in pregnancy. Materials and Methods: A retrospective analysis was undertaken of patients who had cervical cerclage for cervical incompetence at the Obstetrics and Gynecology Department of the University of Benin Teaching Hospital, Benin-City, Nigeria from January 2007 to December 2012. The cerclage was termed successful if the pregnancy was carried to term. Multiple demographic and clinical characteristics and their relationship to cerclage outcome were analyzed. Results: The records of 123 patients who underwent cerclage over the 6 years period reviewed were analyzed. The mean age was 33.3 ± 3.9 and majority (68.3%) were multiparous, with most of them (90.2%) having had a previous miscarriage. Majority (90.2%) had elective cerclage and 4 (3.3%) had emergency cerclage. Overall majority of patients delivered at 37 and 38 weeks gestation 23.6% and 19.5% respectively. Outcome of cerclage was adjudged successful in 92 (74.8%) of cases and failed in 31 (25.2%) cases. The most frequent complication was pre-viable or preterm rupture of membranes (14.6%). Cerclage outcome was not influenced by age, parity, gestational age at cerclage or experience of the surgeon. The mean duration for which pregnancy was prolonged after an emergency cerclage was 2.6 ± 2.4 weeks and emergency procedure was significantly associated with a failed cerclage. Of the 111 patients with previous miscarriages who had cerclage procedure, 68 (61.3%) had term deliveries and 23 (20.7%) preterm births. Fetal salvage rate of 98 (79.7%) was observed. Conclusion: Use of cerclage for suspected cases of cervical incompetence can have an important beneficial effect in carefully selected cases of cervical incompetence even amongst pregnant black African women.
{"title":"Cervical cerclage in a Nigerian tertiary hospital: A review","authors":"A. Osemwenkha, J. Osaikhuwuomwan","doi":"10.4103/1116-5898.134532","DOIUrl":"https://doi.org/10.4103/1116-5898.134532","url":null,"abstract":"Aim: The aim of the following study is to document the outcome of cervical cerclage in pregnancy. Materials and Methods: A retrospective analysis was undertaken of patients who had cervical cerclage for cervical incompetence at the Obstetrics and Gynecology Department of the University of Benin Teaching Hospital, Benin-City, Nigeria from January 2007 to December 2012. The cerclage was termed successful if the pregnancy was carried to term. Multiple demographic and clinical characteristics and their relationship to cerclage outcome were analyzed. Results: The records of 123 patients who underwent cerclage over the 6 years period reviewed were analyzed. The mean age was 33.3 ± 3.9 and majority (68.3%) were multiparous, with most of them (90.2%) having had a previous miscarriage. Majority (90.2%) had elective cerclage and 4 (3.3%) had emergency cerclage. Overall majority of patients delivered at 37 and 38 weeks gestation 23.6% and 19.5% respectively. Outcome of cerclage was adjudged successful in 92 (74.8%) of cases and failed in 31 (25.2%) cases. The most frequent complication was pre-viable or preterm rupture of membranes (14.6%). Cerclage outcome was not influenced by age, parity, gestational age at cerclage or experience of the surgeon. The mean duration for which pregnancy was prolonged after an emergency cerclage was 2.6 ± 2.4 weeks and emergency procedure was significantly associated with a failed cerclage. Of the 111 patients with previous miscarriages who had cerclage procedure, 68 (61.3%) had term deliveries and 23 (20.7%) preterm births. Fetal salvage rate of 98 (79.7%) was observed. Conclusion: Use of cerclage for suspected cases of cervical incompetence can have an important beneficial effect in carefully selected cases of cervical incompetence even amongst pregnant black African women.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"24 1","pages":"1 - 6"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380556","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 : 2013-01-01DOI: 10.4103/1116-5898.127102
Chukwuemeka E. Ojiyi, E. Dike, C. Okeudo, Akujiobi C Nzewuihe, Maria J Uzoma
Background: Cervical cancer is the leading cause of cancer deaths in women in the developing countries. Human papilloma virus (HPV) has been implicated as the causative agent. Cervical cancer can primarily be prevented by vaccinating girls and women against HPV infection. Acceptability is demonstrated by the willingness of health workers to use these strategies themselves and to recommend them to their daughters and others. Aim: The aim of this study is to determine the awareness and acceptability of HPV vaccine among female health workers and female medical students in Orlu, Imo State, South-eastern Nigeria. Materials and Methods: A questionnaire based cross-sectional survey using 150 female health workers including female clinical medical students selected randomly from the Imo State University Teaching Hospital, Orlu. Results: The awareness of HPV vaccine was high (74.0%). The majority (57.3%) got the information either from conferences or class lectures. Other sources of information were radio, television and journals 5 (28.0%), while 14.6% got the information from their colleagues. Most of the health workers (67.3%) would recommend the vaccine to their adolescent daughters and clients. Most (64.6%) of the respondents did not think that the vaccine would lead to promiscuity. A good number of the respondents think that the vaccine would reduce the incidence of cervical cancer. Conclusion: The awareness of HPV vaccine and among female health workers in Orlu is high. This is very encouraging these female health workers will help in the dissemination of information regarding the use of this vaccine in the primary prevention of cervical cancer.
{"title":"Human papilloma virus vaccine: Awareness and acceptability amongst female medical students and health workers in a University Teaching Hospital in Eastern Nigeria","authors":"Chukwuemeka E. Ojiyi, E. Dike, C. Okeudo, Akujiobi C Nzewuihe, Maria J Uzoma","doi":"10.4103/1116-5898.127102","DOIUrl":"https://doi.org/10.4103/1116-5898.127102","url":null,"abstract":"Background: Cervical cancer is the leading cause of cancer deaths in women in the developing countries. Human papilloma virus (HPV) has been implicated as the causative agent. Cervical cancer can primarily be prevented by vaccinating girls and women against HPV infection. Acceptability is demonstrated by the willingness of health workers to use these strategies themselves and to recommend them to their daughters and others. Aim: The aim of this study is to determine the awareness and acceptability of HPV vaccine among female health workers and female medical students in Orlu, Imo State, South-eastern Nigeria. Materials and Methods: A questionnaire based cross-sectional survey using 150 female health workers including female clinical medical students selected randomly from the Imo State University Teaching Hospital, Orlu. Results: The awareness of HPV vaccine was high (74.0%). The majority (57.3%) got the information either from conferences or class lectures. Other sources of information were radio, television and journals 5 (28.0%), while 14.6% got the information from their colleagues. Most of the health workers (67.3%) would recommend the vaccine to their adolescent daughters and clients. Most (64.6%) of the respondents did not think that the vaccine would lead to promiscuity. A good number of the respondents think that the vaccine would reduce the incidence of cervical cancer. Conclusion: The awareness of HPV vaccine and among female health workers in Orlu is high. This is very encouraging these female health workers will help in the dissemination of information regarding the use of this vaccine in the primary prevention of cervical cancer.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"14 - 17"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380507","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 : 2013-01-01DOI: 10.4103/1116-5898.127112
B. Singhal, Virendra Kumar, S. Sagar, C. Singh
Inflammatory fibroid polyp (IFP) is a rare non-neoplastic condition, which has been reported to cause gastrointestinal (GI) bleeding and simple mechanical obstruction of the pylorus or small intestine, but rarely intussusception. Only 1-5% of all bowel obstructions in adults are due to intussusception; >90% of cases are associated with lead point lesions. We are presenting a rare case of adult intussuception caused by an IFP as a lead point lesion. Computed tomography (CT) scan is the investigation of choice for diagnosis of intussusception as well as to identify benign or malignant nature of lead point lesions. En bloc resection of the involved bowel, without attempt at reduction, is the recommended surgical procedure for adult intussusception.
{"title":"Adult jejunoileal intussusception caused by inflammatory fibroid polyp","authors":"B. Singhal, Virendra Kumar, S. Sagar, C. Singh","doi":"10.4103/1116-5898.127112","DOIUrl":"https://doi.org/10.4103/1116-5898.127112","url":null,"abstract":"Inflammatory fibroid polyp (IFP) is a rare non-neoplastic condition, which has been reported to cause gastrointestinal (GI) bleeding and simple mechanical obstruction of the pylorus or small intestine, but rarely intussusception. Only 1-5% of all bowel obstructions in adults are due to intussusception; >90% of cases are associated with lead point lesions. We are presenting a rare case of adult intussuception caused by an IFP as a lead point lesion. Computed tomography (CT) scan is the investigation of choice for diagnosis of intussusception as well as to identify benign or malignant nature of lead point lesions. En bloc resection of the involved bowel, without attempt at reduction, is the recommended surgical procedure for adult intussusception.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"26 - 28"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380546","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 : 2013-01-01DOI: 10.4103/1116-5898.127091
A. Olu-Eddo, G. Forae
Aim and Objective: The purpose of this study was to determine the frequency and morphological patterns of non-melanoma skin cancers (NMSCs) in University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Materials and Methods: Data of surgical biopsies from the skin received at the Department of Histopathology over a 26-year period (from January 1982 to December 2007) were reviewed. The sources of information were surgical pathology day books, duplicates of histology request form and reports. Corresponding slides were retrieved for histopathology examination. Data were analyzed with SPSS version 17. Results: A total of 187 skin malignancies were encountered. Of these, 63 accounting for 33.7% were NMSCs. Squamous cell carcinoma (SCC) accounted for 45 cases, constituting 24.1% of all malignant skin tumors and 71.4% of NMSCs. Basal cell carcinoma (BCC) accounted for 18 cases (9.6%) of all malignant skin tumors and 28.6% of NMSCs. The peak incidence of SCC and BCC was in the 5 th decade of life. The mean age for SCC and BCC was 51.4 ± 1.3 and 46.3 ± 5.2 years, respectively. The male to female ratios for SCC and BCC were 2.4:1 and 1.6:1, respectively. Conclusion: In conclusion, SCC was the most common NMSC. This is similar to reports of other studies in Africans and Black Americans. In contrast, in Caucasian series, BCC was the most common NMSC. The head and neck region was the most common site of these skin cancers.
目的和目的:本研究的目的是确定尼日利亚贝宁市贝宁大学教学医院(UBTH)非黑色素瘤皮肤癌(NMSCs)的频率和形态模式。材料和方法:回顾了26年来(1982年1月至2007年12月)在组织病理学部门收到的皮肤手术活检数据。资料来源为手术病理日记本、病理申请表及报告副本。取相应的载玻片进行组织病理学检查。数据采用SPSS version 17进行分析。结果:共发现皮肤恶性肿瘤187例。其中63例为NMSCs，占33.7%。鳞状细胞癌(SCC) 45例，占所有恶性皮肤肿瘤的24.1%，占NMSCs的71.4%。基底细胞癌(BCC)占所有恶性皮肤肿瘤的18例(9.6%)，占NMSCs的28.6%。SCC和BCC的发病率高峰出现在50岁左右。SCC和BCC的平均年龄分别为51.4±1.3岁和46.3±5.2岁。SCC和BCC的雌雄比例分别为2.4:1和1.6:1。结论:SCC是最常见的NMSC。这与其他针对非洲人和美国黑人的研究报告相似。相比之下，在高加索系列中，BCC是最常见的NMSC。头颈部是这些皮肤癌最常见的部位。
{"title":"Patterns of non-melanoma skin cancer in Benin City, Nigeria: A teaching hospital experience","authors":"A. Olu-Eddo, G. Forae","doi":"10.4103/1116-5898.127091","DOIUrl":"https://doi.org/10.4103/1116-5898.127091","url":null,"abstract":"Aim and Objective: The purpose of this study was to determine the frequency and morphological patterns of non-melanoma skin cancers (NMSCs) in University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Materials and Methods: Data of surgical biopsies from the skin received at the Department of Histopathology over a 26-year period (from January 1982 to December 2007) were reviewed. The sources of information were surgical pathology day books, duplicates of histology request form and reports. Corresponding slides were retrieved for histopathology examination. Data were analyzed with SPSS version 17. Results: A total of 187 skin malignancies were encountered. Of these, 63 accounting for 33.7% were NMSCs. Squamous cell carcinoma (SCC) accounted for 45 cases, constituting 24.1% of all malignant skin tumors and 71.4% of NMSCs. Basal cell carcinoma (BCC) accounted for 18 cases (9.6%) of all malignant skin tumors and 28.6% of NMSCs. The peak incidence of SCC and BCC was in the 5 th decade of life. The mean age for SCC and BCC was 51.4 ± 1.3 and 46.3 ± 5.2 years, respectively. The male to female ratios for SCC and BCC were 2.4:1 and 1.6:1, respectively. Conclusion: In conclusion, SCC was the most common NMSC. This is similar to reports of other studies in Africans and Black Americans. In contrast, in Caucasian series, BCC was the most common NMSC. The head and neck region was the most common site of these skin cancers.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"2 - 5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380456","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 : 2013-01-01DOI: 10.4103/1116-5898.127099
D. Obaseki, W. Akhiwu, J. Aligbe, A. Igbe, G. Eze, G. Forae
Objective: The objective of this study was to determine the frequency, morphological patterns, age and sex and site distribution of vascular tumor in Benin-City, Nigeria. Materials and Methods: The study was a 12 year retrospective analysis of all histologically confirmed vascular tumors seen over a 12 year period at the Pathology Department, University of Benin Teaching Hospital, Benin-City, Nigeria. Results: A total of 162 vascular tumors representing 18.6% of all soft-tissue tumors were analyzed. 136 (83.9%) were benign, 24 (14.7%) were malignant while 2 (1.3%) cases were of borderline malignancy. Hemangioma was the most frequently encountered tumor in this series constituting 71% of all vascular tumors and 84.6% of the benign tumors. Kaposi′s sarcoma (KS) was the most common malignant vascular tumor comprising 14.8% of these lesions. The majority of these tumors were located in the head and neck region (39.5%) followed by the upper and lower extremities accounting for 16.7% and 14.2% respectively. Conclusion: This study has shown that hemangioma is the most predominant vascular tumor and that KS is the most common malignant vascular tumor in this setting. This is similar to previous reports from other researchers locally and internationally.
{"title":"Morphologic patterns of vascular tumors in Benin City, Nigeria: A 12 year retrospective review","authors":"D. Obaseki, W. Akhiwu, J. Aligbe, A. Igbe, G. Eze, G. Forae","doi":"10.4103/1116-5898.127099","DOIUrl":"https://doi.org/10.4103/1116-5898.127099","url":null,"abstract":"Objective: The objective of this study was to determine the frequency, morphological patterns, age and sex and site distribution of vascular tumor in Benin-City, Nigeria. Materials and Methods: The study was a 12 year retrospective analysis of all histologically confirmed vascular tumors seen over a 12 year period at the Pathology Department, University of Benin Teaching Hospital, Benin-City, Nigeria. Results: A total of 162 vascular tumors representing 18.6% of all soft-tissue tumors were analyzed. 136 (83.9%) were benign, 24 (14.7%) were malignant while 2 (1.3%) cases were of borderline malignancy. Hemangioma was the most frequently encountered tumor in this series constituting 71% of all vascular tumors and 84.6% of the benign tumors. Kaposi′s sarcoma (KS) was the most common malignant vascular tumor comprising 14.8% of these lesions. The majority of these tumors were located in the head and neck region (39.5%) followed by the upper and lower extremities accounting for 16.7% and 14.2% respectively. Conclusion: This study has shown that hemangioma is the most predominant vascular tumor and that KS is the most common malignant vascular tumor in this setting. This is similar to previous reports from other researchers locally and internationally.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"9 - 13"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380467","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 : 2013-01-01DOI: 10.4103/1116-5898.127110
C. Ihegihu
This is a case report of a day-old 5.6 kg female baby delivered by cesarean section of a known diabetic and hypertensive mother who presented with gangrene of the right forearm and hand. The diagnosis of congenital gangrene in this neonate was purely clinical and maternal diabetes associated with hypertension an etiological possibility.
{"title":"Congenital gangrene of the right forearm and hand in a neonate of a diabetic mother","authors":"C. Ihegihu","doi":"10.4103/1116-5898.127110","DOIUrl":"https://doi.org/10.4103/1116-5898.127110","url":null,"abstract":"This is a case report of a day-old 5.6 kg female baby delivered by cesarean section of a known diabetic and hypertensive mother who presented with gangrene of the right forearm and hand. The diagnosis of congenital gangrene in this neonate was purely clinical and maternal diabetes associated with hypertension an etiological possibility.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"36 1","pages":"24 - 25"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380534","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 : 2013-01-01DOI: 10.4103/1116-5898.127106
A. Majumdar, D. Sarkar, Angshuman Jana, A. Jana, Soumali Biswas
Hepatoid adenocarcinoma is one of the rarest tumors of the stomach. These tumors produce alpha-fetoprotein (AFP), which can be used as a diagnostic marker. The prognosis is poor compared to conventional adenocarcinoma of the stomach. A case of AFP-producing hepatoid adenocarcinoma stomach in a 55-year-old woman is presented. The patient underwent partial gastrectomy. We focus on the clinical features, imaging, histopathological and biochemical characteristics of the hepatoid variety of adenocarcinoma stomach.
{"title":"Alpha fetoprotein producing adenocarcinoma, a rare but unique subtype of gastric epithelial malignancy","authors":"A. Majumdar, D. Sarkar, Angshuman Jana, A. Jana, Soumali Biswas","doi":"10.4103/1116-5898.127106","DOIUrl":"https://doi.org/10.4103/1116-5898.127106","url":null,"abstract":"Hepatoid adenocarcinoma is one of the rarest tumors of the stomach. These tumors produce alpha-fetoprotein (AFP), which can be used as a diagnostic marker. The prognosis is poor compared to conventional adenocarcinoma of the stomach. A case of AFP-producing hepatoid adenocarcinoma stomach in a 55-year-old woman is presented. The patient underwent partial gastrectomy. We focus on the clinical features, imaging, histopathological and biochemical characteristics of the hepatoid variety of adenocarcinoma stomach.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"23 1","pages":"18 - 20"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380515","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 : 2013-01-01DOI: 10.4103/1116-5898.127109
C. Okafor, C. Okafor, V. Oguaka, Izuchukwu Christian Obionwu
A 36-year-old primiparous woman with one living child presented to our facility with 4 years history of secondary infertility and 20 weeks gestational age sized painful solid pelvic mass. Ultrasound scan, hysterosalpingography and intravenous urography revealed degenerated fibroids, bilateral tubal occlusion and single ectopic right pelvic kidney. Laparotomy revealed the absence of the left ovary and fallopian tube. This is a very rare finding. Whenever unilateral renal agenesis is found, the patient should be investigated for possible genital anomaly.
{"title":"Unilateral absence of the Fallopian tube and ovary with ipsilateral renal agenesis","authors":"C. Okafor, C. Okafor, V. Oguaka, Izuchukwu Christian Obionwu","doi":"10.4103/1116-5898.127109","DOIUrl":"https://doi.org/10.4103/1116-5898.127109","url":null,"abstract":"A 36-year-old primiparous woman with one living child presented to our facility with 4 years history of secondary infertility and 20 weeks gestational age sized painful solid pelvic mass. Ultrasound scan, hysterosalpingography and intravenous urography revealed degenerated fibroids, bilateral tubal occlusion and single ectopic right pelvic kidney. Laparotomy revealed the absence of the left ovary and fallopian tube. This is a very rare finding. Whenever unilateral renal agenesis is found, the patient should be investigated for possible genital anomaly.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"31 1","pages":"21 - 23"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70380525","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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