{"title":"Breast Cancer in Young Nigerian Women","authors":"C. Ohanaka","doi":"10.4314/NJSSCI.V17I2.38410","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38410","url":null,"abstract":"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.\u0000 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.\u0000 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","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585707","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":"Operating Room Deaths","authors":"F. Amadasun, N. Edomwonyi","doi":"10.4314/NJSSCI.V17I2.38409","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38409","url":null,"abstract":"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","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585662","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}
Eyesan Su, D. Obalum, O. Nnodu, F. Abdulkareem, A. Ladejobi
{"title":"Management of Giant Cell Tumour: A Nigerian Experience","authors":"Eyesan Su, D. Obalum, O. Nnodu, F. Abdulkareem, A. Ladejobi","doi":"10.4314/NJSSCI.V17I2.38411","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38411","url":null,"abstract":"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. \u0000A 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%. \u0000Eleven 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.\u0000There 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.\u0000 Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 91-95","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"91-95"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585762","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":"Gallbladder Carcinoma Unassociated With Cholelithiasis","authors":"G. Obonna, T. Njoku, E. Okoro, U. Osime","doi":"10.4314/NJSSCI.V17I2.38416","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38416","url":null,"abstract":"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. \u0000To 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","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"113-115"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585830","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":"Benign Breast Masses in Nigeria","authors":"A. Akhator","doi":"10.4314/NJSSCI.V17I2.38414","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38414","url":null,"abstract":"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","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"105-108"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585813","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}
C. Omolase, J. Adido, C. Fadamiro, F. Adepoju, B. Omolase
{"title":"Eye Care Preferences Among Rural Nigerians","authors":"C. Omolase, J. Adido, C. Fadamiro, F. Adepoju, B. Omolase","doi":"10.4314/NJSSCI.V17I2.38417","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I2.38417","url":null,"abstract":"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.\u0000A 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.\u0000Most 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.\u0000 Keywords : Eye Care, Preferences, Nigeria Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 116-120","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585435","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":"The Timing of Surgery and Salvable Vision in Pituitary Adenoma","authors":"N. Magulike","doi":"10.4314/njssci.v17i2.38418","DOIUrl":"https://doi.org/10.4314/njssci.v17i2.38418","url":null,"abstract":"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.\u0000The 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.\u0000Delay 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.\u0000 Keywords : Pituitary Adenoma, Immediate Surgery, Timing, Visual Outcome Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 121-124","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"121-124"},"PeriodicalIF":0.0,"publicationDate":"2008-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585480","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":"Safe prostatic biopsy: Point of technique","authors":"T. Badmus","doi":"10.4314/NJSSCI.V18I1.38426","DOIUrl":"https://doi.org/10.4314/NJSSCI.V18I1.38426","url":null,"abstract":"","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"18 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585675","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}
C. Omolase, A. Mahmoud, Co Fadmiro, A. Ayanniyi, E. Omolade, B. Omolase
{"title":"Eye safety practices in a rural Nigerian population viewing solar eclipses","authors":"C. Omolase, A. Mahmoud, Co Fadmiro, A. Ayanniyi, E. Omolade, B. Omolase","doi":"10.4314/NJSSCI.V18I1.38428","DOIUrl":"https://doi.org/10.4314/NJSSCI.V18I1.38428","url":null,"abstract":"","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"18 1","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585685","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":"Giant cranio-facial lesions in Northern Nigeria","authors":"D. Adeola, S. Eguma, A. Adebola","doi":"10.4314/NJSSCI.V17I1.38403","DOIUrl":"https://doi.org/10.4314/NJSSCI.V17I1.38403","url":null,"abstract":"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","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"17 1","pages":"43-53"},"PeriodicalIF":0.0,"publicationDate":"2007-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70585645","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}