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Breast Cancer in Young Nigerian Women 尼日利亚年轻妇女的乳腺癌
C. Ohanaka
Breast cancer is rare in young women aged 30 and below. Out of a total of 374 patients admitted and managed for breast cancer in a period of 12 years, 14 (3.74%) were aged 30 and below (mean 26.31 years); Their parity ranged between 0 and 4 (mean 1.5) and the duration of symptoms before presentation ranged between 3 weeks and 3 years. 6 cases involved the right breast, 4 the left and 3 were bilateral. All the patients presented with advanced breast cancer (stage 4 disease). Ten had invasive ductal Ca while one each had lobular carcinoma, lymphoma and malignant phyllodes tumour respectively. Management was multimodal: neovadjuvant chemotherapy, tamoxifen, mastectomy and referral for radiotherapy. Two developed features of depressive illness in the course of treatment; 6 died within 6 months of presentation, 1 after 3 months, 1 refused mastectomy discharged herself against in favour of traditional healers. The remaining 6 were lost to follow-up. It is confirmed that as else where, in Nigerians breast cancer in younger women is associated with a high degree of morbidity and mortality as well as physical and emotional stress. Keywords: Young women, breast cancer, Nigeria.Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 86-90
乳腺癌在30岁及以下的年轻女性中很少见。在12年期间,共有374名乳腺癌患者入院并接受治疗,其中14名(3.74%)年龄在30岁及以下(平均26.31岁);他们的胎次在0和4之间(平均1.5),症状出现前的持续时间在3周到3年之间。右乳6例,左乳4例,双乳3例。所有患者均为晚期乳腺癌(4期)。浸润性导管癌10例,小叶癌、淋巴瘤和恶性叶状瘤各1例。治疗是多模式的:新辅助化疗,他莫昔芬,乳房切除术和转诊放疗。抑郁症在治疗过程中出现的两个特征;6人在6个月内死亡,1人在3个月后死亡,1人拒绝乳房切除术,自己出院反对传统治疗师。其余6例未随访。经证实,在尼日利亚,与其他地方一样,年轻妇女的乳腺癌与高发病率和死亡率以及身体和精神压力有关。关键词:年轻女性,乳腺癌,尼日利亚。尼日利亚外科科学杂志Vol. 17 (2) 2007: pp. 86-90
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引用次数: 3
Operating Room Deaths 手术室死亡
F. Amadasun, N. Edomwonyi
A ten-year retrospective survey of the rate and pattern of death of patients within the operating theatre suites was carried out at the University of Benin Teaching Hospital, Benin City, Nigeria. Of the 12,743 patients who were admitted to the operating theatre suites in the period, excluding obstetric cases, 47 (i.e. 0.37%) deaths were recorded, consisting of 24 males and 23 females, aged between 5 months and 72 years. Thirty-two (68%) of the deaths were associated with emergency procedures, and fifteen (32%) were elective. Thirty-six of the patients (76.6%), had general anaesthesia. The patients' medical condition contributed to 51% of the deaths, followed by anesthesia (38.3%) and surgery (8.5%). Twenty-four of the deceased (51.1%), were booked for abdominal surgery, while head/neck procedures accounted for 14 (29.8%). The death rate of 37 per 10,000 seems high, when compared to western values, but is akin to figures from similar institutions in developing countries like ours. Keywords : Perioperative mortality, intraoperative mortality, anasthetic death, complications Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 80-85
在尼日利亚贝宁市的贝宁大学教学医院对手术室套房内病人的死亡率和死亡模式进行了十年回顾性调查。在此期间,除产科病例外,共有12,743名患者入住手术室,其中47人(即0.37%)死亡,包括24名男性和23名女性,年龄在5个月至72岁之间。32例(68%)死亡与急救程序有关,15例(32%)是选择性的。全麻36例(76.6%)。患者的医疗状况占死亡的51%,其次是麻醉(38.3%)和手术(8.5%)。死者中有24人(51.1%)预约了腹部手术,14人(29.8%)预约了头颈部手术。与西方的价值观相比,每10 000人中有37人的死亡率似乎很高,但与我们这样的发展中国家类似机构的数字相似。关键词:围手术期死亡率,术中死亡率,麻醉死亡,并发症尼日利亚外科杂志Vol. 17 (2) 2007: pp. 80-85
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引用次数: 0
Management of Giant Cell Tumour: A Nigerian Experience 巨细胞瘤的管理:尼日利亚的经验
Eyesan Su, D. Obalum, O. Nnodu, F. Abdulkareem, A. Ladejobi
Giant cell tumours (GCT) are the commonest bone tumours worldwide. It is rarely malignant but when it does it progresses to fibrosarcoma with high mortality. Otherwise it causes poor cosmesis, disability and pathological fractures. A total of 19 cases of histologically established Giant cell tumour of the bone were reviewed prospectively in a 5 year study. 14 cases were benign, 4 malignant and one was a malignant transformation. Lesions around the knee accounted for 42.2% of the cases, but the radius was the commonest single bone affected with 26.3%. Eleven patients had curettage, five of them had autogenous bone grafting while the remaining six had bone grafting and plate augmentation. One patient had fore-quarter amputation while seven had tumour resection.There was no recurrence recorded among those that had currretage and autogenous bone grafting. 33% of those that had curettage and bone cementing as well as 16.6% of those that had resection presented with recurrence. One patient died within 3 months of surgery due to metastasis to the lungs, liver and spleen. Mean follow up was 9.2 months (range of 2 to 60 months). With early presentation, curretage and bone grafting is often effective; late presentation however has an increased risk of recurrence due to soft tissue involvement, dearth of investigative tools and financial constraints. Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 91-95
巨细胞肿瘤(GCT)是世界上最常见的骨肿瘤。它很少是恶性的,但当它发展成纤维肉瘤时,死亡率很高。否则会造成美观不良、残疾和病理性骨折。本文对19例组织学证实的骨巨细胞瘤进行了为期5年的前瞻性研究。良性14例,恶性4例,恶性转化1例。膝关节周围病变占42.2%,但桡骨是最常见的单一骨,占26.3%。11例患者行刮除术,其中5例行自体骨移植,其余6例行植骨加钢板增强术。1例患者行前肢截肢,7例患者行肿瘤切除。行自体骨移植术者无复发记录。33%的刮除骨水泥组和16.6%的切除组出现复发。一名患者在手术后3个月内因转移到肺、肝和脾而死亡。平均随访9.2个月(2 ~ 60个月)。早期出现,矫治和植骨通常是有效的;然而,由于软组织受累、缺乏调查工具和财政限制,延迟就诊会增加复发的风险。尼日利亚外科科学杂志Vol. 17 (2) 2007: pp. 91-95
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引用次数: 1
Gallbladder Carcinoma Unassociated With Cholelithiasis 胆囊癌与胆石症无关
G. Obonna, T. Njoku, E. Okoro, U. Osime
Carcinoma of the gallbladder is a rare and often over looked cause of right upper abdominal quadrant pain. Diagnostic delay is common as the clinical features are confused with those of chronic cholecystitis. We report two cases of gallbladder carcinoma not associated with gallstones occurring in two middle-aged women. To our knowledge this is the first report in Nigeria of gallbladder carcinoma unassociated with cholelithiasis. We conclude that there should be a high index of suspicion in patients presenting with weight loss and chronic cholecystitis syndrome. Keywords : Gallbladder Carcinoma, Cholecystitis, Radical Cholecystectomy. Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 113-115
胆囊癌是一种罕见且常被忽视的引起右上腹部疼痛的原因。诊断延误是常见的,因为临床特征与慢性胆囊炎相混淆。我们报告两例胆囊癌不与胆结石发生在两个中年妇女。据我们所知,这是尼日利亚首次报道胆囊癌与胆石症无关。我们的结论是,在出现体重减轻和慢性胆囊炎综合征的患者中应该有很高的怀疑指数。关键词:胆囊癌,胆囊炎,根治性胆囊切除术尼日利亚外科科学杂志Vol. 17 (2) 2007: pp. 113-115
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引用次数: 1
Benign Breast Masses in Nigeria 尼日利亚良性乳腺肿块
A. Akhator
A 5-year retrospective review of all benign breast masses was carried out at the Baptist Medical Center, Eku, Delta State between January 1st 2001 and December 31st 2005. Benign breast masses made up 72.64% of breast biopsies, 96.10% were females; with age ranged between 13 and 66years (mean 28.8years). Fibroadenoma was most common (68.83%) and the sizes ranged from 1cm to 14cm with mean of 3.66cm. This study shows that benign breast masses are common in this environment and encourages self-breast examination and clinical breast examination. Keywords : Benign, Breast Masses, Fibroadenoma, Nigeria Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 105-108
在2001年1月1日至2005年12月31日期间,在三角洲州Eku浸信会医疗中心对所有良性乳腺肿块进行了5年回顾性检查。乳腺良性肿块占乳腺活检的72.64%,女性占96.10%;年龄13 ~ 66岁,平均28.8岁。纤维腺瘤最常见(68.83%),大小为1cm ~ 14cm,平均3.66cm。本研究表明良性乳腺肿块在这种环境下很常见,并鼓励自我乳房检查和临床乳房检查。关键词:良性,乳腺肿块,纤维腺瘤,尼日利亚尼日利亚外科杂志Vol. 17 (2) 2007: pp. 105-108
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引用次数: 24
Eye Care Preferences Among Rural Nigerians 尼日利亚农村居民的眼科护理偏好
C. Omolase, J. Adido, C. Fadamiro, F. Adepoju, B. Omolase
This is a cross sectional community based study that determined the eye care seeking dispositions of the adult Nigerians using the inhabitants of Afon a rural community in Kwara State, Nigeria as a case study.A total of three hundred and thirty nine (339) adult inhabitants of the Community were selected using cluster sampling technique. Semi-structured questionnaires were administered on the respondents by the author and three assistants.Most respondents (62.5%) resorted to orthodox eye care while a few (8.8%) sought traditional eye care. Others (26.3%) received no treatment at all while 2.4% sought spiritual and other combinations. The preferred mode of eye care was the orthodox care. Keywords : Eye Care, Preferences, Nigeria Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 116-120
这是一项基于社区的横断面研究,以尼日利亚夸拉州农村社区Afon的居民为例,确定了尼日利亚成年人的眼科保健寻求倾向。采用整群抽样方法,共抽取了该社区339名成年居民。半结构化问卷由作者和三名助理对受访者进行管理。大多数受访者(62.5%)选择正统的眼科护理,少数受访者(8.8%)选择传统的眼科护理。其他人(26.3%)没有接受任何治疗,而2.4%寻求精神和其他联合治疗。首选的眼保健模式是正统的护理。关键词:眼保健,偏好,尼日利亚尼日利亚外科杂志Vol. 17 (2) 2007: pp. 116-120
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引用次数: 2
The Timing of Surgery and Salvable Vision in Pituitary Adenoma 垂体腺瘤的手术时机与视力恢复
N. Magulike
Two cases of pituitary macroadenomas are the basis for this study. The first, a 70 year old female who had a nonfunctioning pituitary macroadenoma presented with headache and visual impairment. Surgery was indicated but she declined until two years later when visual acuity got worse.The second was a 25 year old male who presented with a prolactinoma and diabetes. Visual abnormalities were related only to the left eye. When it was suggested that surgery might be indicated, he never kept the next appointment.Delay in effecting appropriate surgery timely is known to upset desired results. What is particular in this case is the attendant loss of vision, a very serious disability which could have been prevented. Those prone to fear of surgery should be assisted to understand their situations better and efforts made to encourage them to take the correct decision. Keywords : Pituitary Adenoma, Immediate Surgery, Timing, Visual Outcome Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 121-124
本研究以两例垂体大腺瘤为基础。第一位患者为70岁女性,患有无功能的垂体大腺瘤,表现为头痛和视力障碍。手术是必要的,但她拒绝了,直到两年后视力恶化。第二例患者为25岁男性,患有泌乳素瘤和糖尿病。视觉异常仅与左眼有关。当医生建议他可能需要做手术时,他再也没有赴约。延迟及时进行适当的手术会影响预期的结果。在这种情况下,特别的是随之而来的视力丧失,这是一种本来可以预防的非常严重的残疾。应该帮助那些容易害怕手术的人更好地了解他们的情况,并努力鼓励他们做出正确的决定。关键词:垂体腺瘤,即刻手术,时机,视觉结果尼日利亚外科杂志Vol. 17 (2) 2007: pp. 121-124
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引用次数: 1
Safe prostatic biopsy: Point of technique 安全前列腺活检:技术要点
T. Badmus
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引用次数: 0
Eye safety practices in a rural Nigerian population viewing solar eclipses 尼日利亚农村居民观看日食时的眼睛安全措施
C. Omolase, A. Mahmoud, Co Fadmiro, A. Ayanniyi, E. Omolade, B. Omolase
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引用次数: 0
Giant cranio-facial lesions in Northern Nigeria 尼日利亚北部巨大的颅面病变
D. Adeola, S. Eguma, A. Adebola
A retrospective review of cranio-facial lesions seen and managed at the maxillo facial unit over a ten year period was undertaken. Data collected included; Histology reports, size, age, sex, site, duration, management, complications and prognosis. Ameloblastoma constitute the highest number of giants sized tumors (22.9%). These lesions occurred most frequent in the 2nd and third decades, of life and affected more males than females. With a male female ration 1∙8:1. The mandibles were the commonest sites of occurrence of giant tumors (60%), followed by the maxilla (27%) and the temporal and frontal regions (10%), (3%) respectively. Nigerian Journal of Surgical Sciences Vol. 17 (1) 2007: pp. 43-53
回顾回顾颅面病变所见和处理在上颌面单位超过十年期间进行。收集的数据包括:组织学报告,大小,年龄,性别,部位,持续时间,处理,并发症和预后。成釉细胞瘤在巨形肿瘤中占比最高(22.9%)。这些病变最常见于生命的第二和第三个十年,男性多于女性。男女比例为1:8:1。下颌骨是发生巨大肿瘤最常见的部位(60%),其次是上颌骨(27%)和颞额区(10%),分别为3%。尼日利亚外科杂志Vol. 17 (1) 2007: pp. 43-53
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引用次数: 0
期刊
Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons
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