Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami
{"title":"The association between complementary and alternative medicine use with breast cancer recurrence in Taif city, Saudi Arabia","authors":"Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami","doi":"10.18203/2349-2902.isj20240314","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240314","url":null,"abstract":"Background: Breast cancer (BC) is the most common cancer among women worldwide. Among all types of cancer, 11.7% of cases diagnosed in 2020 were BC. Compare this to Saudi Arabia, where 28.8 out of every 100,000 women were diagnosed with BC. Furthermore, BC patients are more likely than other cancer survivors to use complementary and alternative medicine (CAM). Study aimed to investigate association between CAM use and BC recurrence rates in Saudi Arabia.\u0000Methods: A cross-sectional study was conducted on 106 participants recruited from breast surgery clinics. Targeted women were diagnosed with BC and treated at Al Hada armed forces hospital. The data were collected by interviewing the patients using a validated questionnaire.\u0000Results: The prevalence of CAM usage among BC patients was 35.8%. The recurrence rate of BC was 26.4%. CAM users accounted for 28.57% of the total, while non-CAM users comprised 71.43%. In addition, 50% of recurrences were distant metastases, and 50% occurred more than two years after diagnosis. \u0000Conclusions: In conclusion, more than one-third of BC patients in this region incorporate CAM into their treatment regimen. Our findings reveal a practical but not statistical significance of a lower recurrence rate of BC among CAM users compared to non-CAM. These results emphasize the importance of healthcare providers engaging in detailed discussions with BC patients regarding CAM usage in conjunction with planned medical and surgical therapies. \u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853393","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}
Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami
{"title":"The association between complementary and alternative medicine use with breast cancer recurrence in Taif city, Saudi Arabia","authors":"Sahar M. Alnefaie, Y. Asiri, R. S. Alqahtani, Maha O. Alshareef, Khalid M. Alzahrani, Sarah M. Albogami","doi":"10.18203/2349-2902.isj20240314","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240314","url":null,"abstract":"Background: Breast cancer (BC) is the most common cancer among women worldwide. Among all types of cancer, 11.7% of cases diagnosed in 2020 were BC. Compare this to Saudi Arabia, where 28.8 out of every 100,000 women were diagnosed with BC. Furthermore, BC patients are more likely than other cancer survivors to use complementary and alternative medicine (CAM). Study aimed to investigate association between CAM use and BC recurrence rates in Saudi Arabia.\u0000Methods: A cross-sectional study was conducted on 106 participants recruited from breast surgery clinics. Targeted women were diagnosed with BC and treated at Al Hada armed forces hospital. The data were collected by interviewing the patients using a validated questionnaire.\u0000Results: The prevalence of CAM usage among BC patients was 35.8%. The recurrence rate of BC was 26.4%. CAM users accounted for 28.57% of the total, while non-CAM users comprised 71.43%. In addition, 50% of recurrences were distant metastases, and 50% occurred more than two years after diagnosis. \u0000Conclusions: In conclusion, more than one-third of BC patients in this region incorporate CAM into their treatment regimen. Our findings reveal a practical but not statistical significance of a lower recurrence rate of BC among CAM users compared to non-CAM. These results emphasize the importance of healthcare providers engaging in detailed discussions with BC patients regarding CAM usage in conjunction with planned medical and surgical therapies. \u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793614","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":"Choledocholithiasis secondary to a remnant gallbladder post cholecystectomy more than 20 years ago","authors":"James N. Sellars, Ryan Green, Omar Mouline","doi":"10.18203/2349-2902.isj20240306","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240306","url":null,"abstract":"Remnant gallbladders have been described following incomplete and sub-total cholecystectomy (TC) and have the potential to harbour gallstones and even produce new calculi over time. We present a case of choledocholithiasis in a patient with a remnant gallbladder following a presumed incomplete cholecystectomy more than 20 years prior.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"49 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139805787","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":"Perforated mucinous diverticulitis of the appendix: a case report","authors":"Matthew L. Basa, Andrew Riddell","doi":"10.18203/2349-2902.isj20240307","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240307","url":null,"abstract":"Acute right lower quadrant (RLQ) abdominal pain typically raises the suspicion of appendicitis and must be ruled out, as the treatment is primarily surgical. Other differentials, many of which are medically treated, ought to also be considered. Right sided diverticulitis, although uncommon, often mimics appendicitis due to its inflammatory nature and its location of pain. A 37-year-old woman with a history of recurrent right-sided diverticulitis presented with rapidly escalating RLQ pain. While appendicitis was a prime suspect, additional imaging was refused due to radiation concerns, hence clinical judgement had to be aptly applied. Facing diagnostic ambiguity, Hickam's dictum (seeking the most probable cause) pointed towards appendicitis, while Ockham's razor (favouring the simplest explanation) supported recurrent right sided diverticulitis. This uncertainty necessitated a definitive approach, weighing up the risks and benefits of medical vs surgical treatment for an unconfirmed pathology. To resolve the uncertainty, a diagnostic laparoscopy was performed. Contrary to expectations, it revealed a perforated diverticulum of the appendix with a mucinous tip and free-floating mucin, making both leading differentials, that is, right sided diverticulitis and appendicitis, correct. We explore the diagnostic reasoning used in the case, including the anticipated management strategies and outcomes, if other differentials were encountered. This case aims to support clinicians in pursuing further investigations, or need be, a diagnostic laparoscopy, in order to prioritise patient safety, if clinical concern is present.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"212 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139862523","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":"Choledocholithiasis secondary to a remnant gallbladder post cholecystectomy more than 20 years ago","authors":"James N. Sellars, Ryan Green, Omar Mouline","doi":"10.18203/2349-2902.isj20240306","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240306","url":null,"abstract":"Remnant gallbladders have been described following incomplete and sub-total cholecystectomy (TC) and have the potential to harbour gallstones and even produce new calculi over time. We present a case of choledocholithiasis in a patient with a remnant gallbladder following a presumed incomplete cholecystectomy more than 20 years prior.\u0000 ","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865419","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":"Perforated mucinous diverticulitis of the appendix: a case report","authors":"Matthew L. Basa, Andrew Riddell","doi":"10.18203/2349-2902.isj20240307","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240307","url":null,"abstract":"Acute right lower quadrant (RLQ) abdominal pain typically raises the suspicion of appendicitis and must be ruled out, as the treatment is primarily surgical. Other differentials, many of which are medically treated, ought to also be considered. Right sided diverticulitis, although uncommon, often mimics appendicitis due to its inflammatory nature and its location of pain. A 37-year-old woman with a history of recurrent right-sided diverticulitis presented with rapidly escalating RLQ pain. While appendicitis was a prime suspect, additional imaging was refused due to radiation concerns, hence clinical judgement had to be aptly applied. Facing diagnostic ambiguity, Hickam's dictum (seeking the most probable cause) pointed towards appendicitis, while Ockham's razor (favouring the simplest explanation) supported recurrent right sided diverticulitis. This uncertainty necessitated a definitive approach, weighing up the risks and benefits of medical vs surgical treatment for an unconfirmed pathology. To resolve the uncertainty, a diagnostic laparoscopy was performed. Contrary to expectations, it revealed a perforated diverticulum of the appendix with a mucinous tip and free-floating mucin, making both leading differentials, that is, right sided diverticulitis and appendicitis, correct. We explore the diagnostic reasoning used in the case, including the anticipated management strategies and outcomes, if other differentials were encountered. This case aims to support clinicians in pursuing further investigations, or need be, a diagnostic laparoscopy, in order to prioritise patient safety, if clinical concern is present.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139802680","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":"Resolution of halitosis following repair of a primary parahiatal diaphragmatic hernia","authors":"James N. Sellars, Ryan Green, E. Jeyarajan","doi":"10.18203/2349-2902.isj20240305","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240305","url":null,"abstract":"Parahiatal diaphragmatic hernias are uncommon and often diagnosed incidentally on imaging, or in the emergency setting. Symptoms related to these defects can be like those of hiatus hernias (HH), however this is not always the case. We present a unique case of parahiatal diaphragmatic hernia that was characterised by severe halitosis which resolved with surgical repair.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"18 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864414","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":"Resolution of halitosis following repair of a primary parahiatal diaphragmatic hernia","authors":"James N. Sellars, Ryan Green, E. Jeyarajan","doi":"10.18203/2349-2902.isj20240305","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240305","url":null,"abstract":"Parahiatal diaphragmatic hernias are uncommon and often diagnosed incidentally on imaging, or in the emergency setting. Symptoms related to these defects can be like those of hiatus hernias (HH), however this is not always the case. We present a unique case of parahiatal diaphragmatic hernia that was characterised by severe halitosis which resolved with surgical repair.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"48 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804615","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}
Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi
{"title":"Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia","authors":"Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi","doi":"10.18203/2349-2902.isj20240308","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240308","url":null,"abstract":"Background: Breast cancer in young women has a higher mortality rate, can show adverse outcomes, and is more likely to recur after treatment. This study evaluated the incidence and characteristics of breast cancer in female patients 40 years of age or younger.\u0000Methods: This is a descriptive study of 234 patients, 40 years of age or younger, diagnosed with breast cancer in the period January 2010–December 2015.\u0000Results: We included 234 out of 1026 patients (22%) that met our inclusion criteria. At the time of the diagnosis, the mean age of the patients was 34±5 years; 32 (14%) of them had a positive family history of breast cancer, and more than a fifth were found to have advanced stages of the disease. One-third of our patients were hormone receptor (HR)-positive with HER2 negative, 61 (26%) were triple negative, and a total of 98 (42%) of our patients had HER2 overexpression. Lumpectomy was performed for 89 (38%) of them. Recurrence was documented for 40 (17.4%), and approximately half of the patients, 105 (45%), had recurrence in their first two years of diagnosis.\u0000Conclusions: Breast cancer in young patients is a very challenging entity, as they tend to be more aggressive than the older age group. The incidence of breast cancer in female patients younger than 40 is higher than that in Western countries. However, our findings align with regards to their pathology type and hormonal status.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"31 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804860","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}
Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi
{"title":"Incidence and characteristics of breast cancer in patients 40 years of age or younger: a study of a tertiary center in Saudi Arabia","authors":"Sahar M. Alnefaie, Nisreen R. Kanbar, R. A. Alshoura, Amal Y. Alhefdhi, Saif S. Alsobhi","doi":"10.18203/2349-2902.isj20240308","DOIUrl":"https://doi.org/10.18203/2349-2902.isj20240308","url":null,"abstract":"Background: Breast cancer in young women has a higher mortality rate, can show adverse outcomes, and is more likely to recur after treatment. This study evaluated the incidence and characteristics of breast cancer in female patients 40 years of age or younger.\u0000Methods: This is a descriptive study of 234 patients, 40 years of age or younger, diagnosed with breast cancer in the period January 2010–December 2015.\u0000Results: We included 234 out of 1026 patients (22%) that met our inclusion criteria. At the time of the diagnosis, the mean age of the patients was 34±5 years; 32 (14%) of them had a positive family history of breast cancer, and more than a fifth were found to have advanced stages of the disease. One-third of our patients were hormone receptor (HR)-positive with HER2 negative, 61 (26%) were triple negative, and a total of 98 (42%) of our patients had HER2 overexpression. Lumpectomy was performed for 89 (38%) of them. Recurrence was documented for 40 (17.4%), and approximately half of the patients, 105 (45%), had recurrence in their first two years of diagnosis.\u0000Conclusions: Breast cancer in young patients is a very challenging entity, as they tend to be more aggressive than the older age group. The incidence of breast cancer in female patients younger than 40 is higher than that in Western countries. However, our findings align with regards to their pathology type and hormonal status.","PeriodicalId":14372,"journal":{"name":"International Surgery Journal","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864603","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}