Journal of Chittagong Medical College Teachers' Association最新文献

{"title":"Management of wrist Ganglia by Aspiration Combined with Intralesional Steroid: A Prospective Study","authors":"Mayin Uddin Mahmud, Md. Nur Hossain Bhuiyan, Md. Saiful Hoque, Sayera Banu Sheuly","doi":"10.3329/jcmcta.v31i1.65911","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65911","url":null,"abstract":"Background: Ganglion is the most common be- nign soft tissue tumour of wrist and it represents about 60-70% of all such soft tissue tumours. There are various types of treatment options such as observation, aspiration, aspiration combined with intralesional steroids and surgical and arthroscopic excision. Many studies showed that surgical excision has the highest success rate but it has lots of dangers. So this study aimed that Aspiration with intralesional steroid, with its many advantages and success rate, may be the best choice for its treatment.   \u0000Materials and methods: We conducted the prospective study among 367 patients over a period of January 2017 to December 2018 in Surgery Outpatient Department, Chittagong Medical College Hospital, Bangladesh. After the procedure, patients were followed up every month for six months and then every 3 month for 1 year. Maximum follow up period was up to one year. \u0000Results: In our study it was found that there was female predominance with a male/female ratio of 1/1.41. Highest incidence was found in the age group between 21-30 years (37.1%).  68.4% patients presented with dorsal wrist ganglion and 31.6% with volar wrist ganglion. There was no steroid related local complication. Success rate of our study was 87.2% and recurrence rate was 12.8% within 6 months. \u0000Conclusion: Aspiration combined by intralesional steroid injection is an effective mode of management for wrist ganglion considering its success rate and post procedure complication rate. \u0000JCMCTA 2020 ; 31 (1) : 76-80","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80791207","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}

{"title":"Let’s Explore: Predictive Ability of Urinalysis for Diagnosis of Urinary Tract Infection in CKD Patients","authors":"Marina Arjumand, P. Dutta, Golam Mohammad Tayeb Ali, Md Nurul Huda, Rosanna Bintey Kamal, Sayed Mahatab Ul Islam","doi":"10.3329/jcmcta.v31i1.65825","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65825","url":null,"abstract":"Background: Immuno-compromised Chronic Kidney Disease (CKD) patients are more vulnerable to infection. Among all infections, Urinary Tract Infection (UTI) is the main culprit of increased morbidity and mortality. So to combat this and to retard disease progression, control of UTI is a prime concern for this group of patients. Quantitative urine culture is the 'gold standard' method for definitive diagnosis of urinary-tract infections, but it is intensively time and labor consuming.  For initiating early empirical treatment even in absence of localizing symptoms, the same day result is very helpful. Culture may lead to delaying of diagnosis. The microscopy of urine thus may be an essential tool for the diagnosis of patients with urinary tract infections. The aim of this study was to evaluate the diagnostic performance of the common urinalysis parameters in comparison to urine culture as the reference method. \u0000Materials and methods: We evaluated 1000 urine samples, submitted for urine analysis and culture admitted in Nephrology ward, Chattogram Medical College Hospital, a large tertiary care hospital for one year from 1st January 2017 to 31st December 2017. A cross-sectional study was done. Different Cut-off values were determined from different studies obtained by comparing the results with urine cultures. The test characteristics by the sensitivity, specificity, PPV and NPV were calculated for bacteria and White Blood Cells (WBCs) Red Blood Cells (RBC) glucose in urine and albuminuria. A practical diagnostic threshold of bacteriuria was determined. The diagnostic performance of culture was compared with different parameters of urinalysis. \u0000Results: Among the 1000 urine specimens submitted for culture, 618 cultures (61.8%) were positive, and 382 were (38.2%) negative. The cut-off value for pyuria was determined ³10 pus cell/HPF and compared for bacteriuria (Sensitivity: 69%, specificity: 36%, PPV: 64%, NPV: 42%) and presence of sugar and albumin in urine were found associated significantly with culture positivity at 95% CI (Sensitivity: 15%, specificity: 90%, PPV: 70%, NPP: 39% and sensitivity: 97%, specificity: 6%, PPV: 62%, NPP: 59%) respectively. And association between RBC and pus cell in urine microscopy was significant. \u0000Conclusions: UTI is a common infection in CKD patients with high incidence. Though culture is the gold standard, but urinalysis by cell count for pyuria, dipsticks for the presence of sugar or albumin may be helpful to diagnose UTI. The association of these all characteristics with growth in culture was statistically significant. \u0000JCMCTA 2020 ; 31 (1) : 26-30","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90705594","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}

{"title":"Comparison of Outcome Between Single Stage Dorsolateral Onlay Buccal Mucosal Graft Urethroplasty and Johanson’s Staged Urethroplasty for Treatment of Long Segment Anterior Urethral Stricture","authors":"Shiba Prasad Nandy, Ujjal Barua, M. Alamgir, S. Khan, Md Rafiqul Islam, Md Monowar Ul Hoque","doi":"10.3329/jcmcta.v31i1.65826","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65826","url":null,"abstract":"Background: Urethroplasty is the treatment of choice for long segment anterior urethral stricture. Various types of graft can be used as substitution, but now a day Buccal Mucosal Graft (BMG) is more popular with very promising results. This study was conducted to compare the outcome between dorsolateral free BMG graft and traditional staged reconstruction technique.   \u0000Materials and methods: This was a hospital based quasi experimental study done prospectively on 64 patients, dividing in two groups, dorsolateral onlay BMG Urethroplasty (Group A) and Johanson’s staged Urethroplasty (Group B) from January 2016 to June 2018 for long segment (3080mm) anterior urethral stricture with a minimum 06 months follow-up. Two patients were failed to attened at follow up clinic were excluded from the study. Data were analyzed by student’s t test, and chi-square test where appropriate.   \u0000Results: Total 62 patients were included in results (2 lost in follow-up) 32 patients with BMG (Group A) and 30 patients with Johanson’s urethroplasy (Group B) in 6 months follow-up where success rate of group A was 90.7% and group B 63.3% which is statistically significant. At the end of six months 22 patients (68.8%) in Group A had peak urnary flow rate more than 15 ml/sec, whereas only nine patients (33.3%) had had such flow rate in B group. Post operative complications were significantly higher in Group B. Eight patients (26.7%) in Group B had developed fistula and eleven patients (36.7%) had recurrence in Group B which is significantly higher then Group A.   \u0000Conclusions: Dorsolateral onlay BMG urethroplasty is comparatively an effective technique with excellent functional outcome for long segment an- terior urethral stricture and feasible with good short term success. \u0000JCMCTA 2020 ; 31 (1) : 31-37","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90306507","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}

{"title":"Comperative Study of Laser Haemorrhoidoplasty and Miligan-Morgan Haemorrhoidectomy in 2nd and 3rd Degree Haemorrhoid","authors":"Md. Nur Hossain Bhuiyan, P. Nath, Emon Kalyen Shaha, Hussain Ahammed Khan","doi":"10.3329/jcmcta.v31i1.66337","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66337","url":null,"abstract":"Background: Arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus, according to the ‘‘vascular’’ theory. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. Compare the hemorrhoid laser procedure with Miligan-Morgan open surgical procedure for outpatient treatment of symptomatic hemorrhoids.   \u0000Material and methods: This study was conducted at Chittagong Medical College Hospital (CMCH) and Private Hospital in Chittagong. Patients with symptomatic grade II or grade III hemorrhoids with minimal mucosal prolapse were eligible for the study: 30 patients treated with the laser hemorrhoidoplasty, and 30 patients–with Miligan-Morganhemorrhoidectomy.  Operative time and postoperative pain with visual analog scale, were evaluated. \u0000Results: A total number of 60 patients (33 men and 27 women, mean age 45 years) entered the trial. Significant differences between laser hemorrhoidoplasty and Miligan-Morgan surgical procedure were observed – i) Operative time ii) Early postoperative pain. There was a statistically significant difference between the two groups regarding peri-operative and the early postoperative period: 1 week, 2 weeks, 3 weeks and 1 month after respective procedure. \u0000Conclusions: Laser hemorrhoidoplasty procedure is more preferred in comparison with conventional open surgical hemorrhoidectomy. Postoperative pain is significantly lesser in laser procedure compared with surgical procedure \u0000JCMCTA 2020 ; 31 (1) : 86-89","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80555912","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}

{"title":"Clinical Characteristics of Deformities in Leprosy Patients Attending a Tertiary Care Hospital","authors":"M. R. Mowla, Zahidul Hasan, D. M. Angkur, Most Nasrin Sultana, Subarna Afrin, Mosammat Sultana Akhter","doi":"10.3329/jcmcta.v31i1.66751","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66751","url":null,"abstract":"Background: Disability assessment in leprosy patients is a very important factor in the evaluation of the effectiveness of a leprosy elimination program. Little information exists on deformities of leprosy in Bangladesh. To describe the pattern and prevalence of deformities in leprosy patients after leprosy has been declared eliminated in Bangladesh in 1998. \u0000Materials and methods: A descriptive retrospective cross-sectional study was carried out in Chittagong Medical College Hospital using the registered records of patients between the periods 2004 and 2013. No of respondence was 670. \u0000Results: Out of 670 leprosy patients 213 (31.79%) had a deformity. The prevalence of deformity was for grade 1: 92 (43.20%) for the grade 2: 121 (56.80%). Among the patients with deformity males 144 (67.60%) out numbered females 69 (32.40%). Four age groups were considered. The calculated age-specific cumulative detection rates showed the highest case detection in > 40 years group at 81 (38.02%). The rate of children (<14 years) was less at 7 (3.29%). Of the 213 patients with deformity, the BT patients counted 79 (37.08%), which was higher than other forms of leprosy. Among the 121 patients with limb deformity 57 (8.50%) had claw hand followed by wrist drop 31 (4.63%), foot drop 30 (4.48%). Three (0.45%) had a nerve abscess, 27 (4.02%) had a trophic ulcer and 7 (1.05%) patients had ocular complications. \u0000Conclusion: The grade 2 deformities among newly detected leprosy patients still occur high. Claw hand was the most common deformity in the upper limbs, whereas foot drop and trophic ulcer were the most common deformities in the lower limbs. Although leprosy according to the WHO has been eliminated globally, the disease continues to be a significant cause of peripheral neuropathy, deformity, disability and disfigurement in some developing countries like Bangladesh. \u0000JCMCTA 2020 ; 31 (1) : 113-119","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78724859","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}

{"title":"Glaucomatocyclitic Crisis - An Elusive Disease: Our Experience in Management and Outcomes","authors":"S. Parvez, S. Noman","doi":"10.3329/jcmcta.v31i1.66336","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66336","url":null,"abstract":"Background: The purpose of the current study is to describe clinical manifestations, management and its outcome of patients who were diagnosed as glaucomatocyclitic crisis at the Glaucoma Department Chittagong Eye Infirmary and Training Complex (CEITC) Chattogram and Eye Department, Chittagong Medical College.\u0000Materials and methods: It is a hospital based observational case series study. Study period was from 1st July 2010-to 30th June 2012.Unilateral ocular hypertension cases of unexplained origin referred to glaucoma clinic from outpatient department of CEITC and Eye Department, Chittagong Medical College Hospital (CMCH) were included in this study. Detail history taking and ocular examinations were done that included stitlamp biomicroscopy, applanation tonometry, gonioscopy, fundoscopy and visual field analysis. Glaucomatocyclitic Crisis (GCC) was diagnosed according to mentioned criteria. Management detail was recorded. Patients were followed up after one weak, 1 month, 3 months of initial visit. Examination and investigation findings were documented as much as possible. Sample size was 45.\u0000Results: A total numbers of 45 patients with GCC were included. For the better understanding the results, the total patients (N=45) were categorized into 2 age groups that are 20-49 and 50+. Percentage of patients into these groups are 51.1% (n=23) and 48.9% (n=22) respectively. In total 45 patients, 37 were male and 8 were female. 53.3% patients (n=24) presented with decreased visions, 15.6% patients (n=7) with both pain and occasional redness, 13.3% patients (n=6) with mild discomfort, 11.1% patients (n=5) with recurrent redness, 8.9% patients (n=4) with occasional halos, 4.4% patients (n=2) with occasional eye ache and 2.2% patient (n=1) with loss of vision. Mean IOP of affected eyes was 30mm hg before treatment and 15mm hg after treatment. Angles were open in all cases.  At presentation 81.2% patients (n-37) presented with glaucomatous optic disc C:D ratio (0.8-1):1. 77.77% patients(n=35) needed flurometholone, 4.44% cases (n=2) needed dexamethasone and 4.44% patients (n=2) needed prednisolone acetate topical eye drop to control inflammation. 13.33% patients (n=6) were not treated with any steroid as they resolved spontaneously. 91% patients needed anti glaucoma medications 9% needed filtration surgery with Ologen implantation to control IOP.  \u0000Conclusion: Early diagnosis with meticulous examinations and investigations are needed to manage a GCC case. As it is an elusive disease, proper explanation of the disorder to the patient to get good compliance from them is necessary to achieve good medical treatment outcome. Good filtration surgery with Ologen implantation is still successful to control IOP. But regular careful monitoring to the patient is mandatory to perfectly manage and prevent the irreversible visual consequences of recurrence of the disease.\u0000JCMCTA 2020 ; 31 (1) : 81-85","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89199059","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}

{"title":"Prevalence of Partial Edentulousness Among The Bangladeshi Adults","authors":"Mohammed Kamal Uddin, Md Azom Khan, R. Das, Md Riad Mahmud, Sadia Ahmed","doi":"10.3329/jcmcta.v31i1.66345","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66345","url":null,"abstract":"Background: The study was done to determine the occurrence of various missing teeth pattern among the partial edentulous patients residing in Chattogram district of Bangladesh. Study was undertaken from January to August 2018.   \u0000Materials and methods: The design was a descriptive cross-sectional study. Two hundred and thirty three persons aged between 13 and 87 years (106 males and 127 females) were included, intraoral examination was done visually and results were recorded on specially designed clinical examination forms. Data were analyzed using statistical package SPSS 19.0 version to investigate the relationship between quantitative variables.   \u0000Results: The results showed the patients with Kennedy's Class III were found to be the most prevalent among all the groups (38.67%). The most common modification in all the groups was Class III modification I (14.5%).   \u0000Conclusion: The findings of this study show that the Kennedy's Class III was the most commonly occurring and were found to be more predominant in the younger group of population. \u0000JCMCTA 2020 ; 31 (1) : 120-124","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83912547","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}

{"title":"Comparison of Nutritional Status of Hospitalized Patients in Gastroenterology Ward At Admission and During Discharge","authors":"Salahuddin Mohammed Ali Haider, B. Paul, M. N. Mohsin, Syed Mahtab Ul Islam, E. Ahmed, Md Khalequzzaman Sarker, A. Raihan","doi":"10.3329/jcmcta.v31i1.65796","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65796","url":null,"abstract":"Background: Malnutrition is a state of nutrition in which a deficiency and excess of energy, protein and other nutrients causes measurable adverse effects on tissue or body function and clinical outcome.  The aim of study were to find out proportion of malnutrition during hospital admission and to observe the change of nutritional status of the patients during hospital stay. \u0000Materials and methods: This is a serial cross sectional study performed at Gastroenterology Department of Bangabandhu Sheikh Mujib Medical University, Dhaka during a period of May to December 2009. The nutritional status was assessed using Body Mass Index (BMI) and Mid Arm Circumference (MAC). Statistical analysis was performed using SPSS program and simple frequency distribution table. 202 patients were included in this study, 114 were male and 88 were female. 32 patients were over 60 years of age. \u0000Results: Out of 202 patients, 57 patients had chronic liver disease (28.2%) 44 patients had intestinal tuberculosis (21.8%) 18 patients had intestinal lymphoma (8.9%) 30 patients had GI malignancy (14.9%) and 53 patients had others gastrointestinal disorders (26.2%). Prevalence of malnutrition during hospital admission was 32.7%. Out of 202 patients, 66 patients (32.7%) were found to be malnourished at 1st day of hospital admission whereas 83 patients (41.1%) were malnourished at the time of discharge. Lowest recorded BMI was 14.8 and highest was 28.4 (19.9 mean ± 2.9 SD) whereas lowest recorded MAC was 15 and highest MAC was 34 (22.8 mean ± 3.4SD) during hospital admission. 14% patients had very poor appetite. Out of 145 patients who were hospitalized  for 14 days or less, 34 (23.4%) and 32 (22.1%) patients had significant decreased MAC and BMI respectively. Out of 57 patients admitted for more than 14 days, 24 patients (42.1%) had significant decrease in BMI whereas 14 patients (24.6%) had significant decrease in MAC. \u0000Conclusion: Nutritional status of the patients during hospital stay has changed significantly in relation to disease pattern \u0000JCMCTA 2020 ; 31 (1) : 19-25","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"269 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77168804","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}

{"title":"Unusual Location of Intraperitoneal Fibromyoma: Rarity Does Not Rule Out the Diagnosis","authors":"K. Nessa, Suchanda Das, S. Begum, S. Akhter","doi":"10.3329/jcmcta.v31i1.66346","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66346","url":null,"abstract":"Fibromyoma which is commonest benign tumor mostly arises from smooth muscles of uterus present in 20-25% women of reproductive age group. Round ligament Fibromyoma is rare tumor & exact incidence not known. It may mimic ovarian tumor when it was intra peritoneal and located in adnexa. Preoperative diagnosis can be made by history, clinical examination, USG, CT scan of abdomen. Surgical excision is the curative treatment. A 35 years lady para 2 presented with lump in lower abdomen gradually increasing in size for 3-4 yrs and pain for 2 months. On examination firm palpable mass of 28 weeks pregnancy size.  Her USG and CT scan detected well defined 28 cm x 22 cm X 20 cm mass in right adnexa & diagnosis given ovarian tumor. Her CA 125 level was 97unit/ml. Laparotomy finding was a big firm lobulated tumor arises from right round ligament. Tumor removed as a whole, uterus, both ovaries, and left sided fallopian tube healthy & preserved. Final histopathological diagnosis benign fibromyoma with degenerative change. So diagnosis of fibromyoma always kept in mind during the differential diagnosis of any pelvic mass. \u0000JCMCTA 2020 ; 31 (1) : 130-133","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87007810","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}

{"title":"Histomorphological Study of Nephrectomy Specimens in a Tertiary Care Hospital Of Chattogram: An Observational Study","authors":"Sayeeda Nasreen, Anika Sadaf, S. Ahamad, M. Z. Rahman","doi":"10.3329/jcmcta.v31i1.66737","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.66737","url":null,"abstract":"Background: Now a-days nephrectomy is not an uncommon surgery practiced in urology. Not only the clinical suspicions are confirmed but also many unsuspecting lesions are brought to light by the histopahological study.Elective nephrectomy is done for both benign and malignant diseases of the kidney. On the other hand, trauma is the most common cause of emergency nephrectomy. To observe the demographic and histopathological aspects of nephrectomy specimens in a tertiary care hospital of Chattogram: Chittagong Medical College Hospital. \u0000Materials and methods: This was an observational study of nephrectomy specimens received in the Department of pathology, Chittagong Medical College over a period of one year (January to December 2019). The studied parameters were: frequency, age, sex, laterality, clinical presentation, histological type and morphologic characteristics. \u0000Results: There were 30 nephrectomy specimens of which 09 were non-neoplastic and 21 were neoplastic lesions. Among the neoplastic lesions, all the cases were malignant with no significant side and sex differences of patients. The most frequent (26.67%) age rage was 0-10 year and renal cell carcinoma was the commonest (13 out of 21 cases, 61.90%) malignant tumor. Among the nonneoplastic lesions, chronic pyelonephritis was the most frequent benign lesion (5 out of 9 cases, 55.56%). \u0000Conclusion: In this study, there was a much higher rate of nephrectomy performed for malignant conditions of the kidney compared to other developing countries, where benign lesions are the main cause of nephrectomies. \u0000JCMCTA 2020 ; 31 (1) : 58-63","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86896907","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}