Heterotopia is the occurrence of mature tissue at abnormal location. A very rare case of cartilaginous heterotopias in the broad ligament of a 47-year-old female is described. Literature contains very few references related to it. In this patient, there was no evidence of any malignancy in the abdomen or in any other part of the body, except cervical intraepithelial neoplasia changes in cervix. The peritoneal lesion was an incidental finding in this female who underwent total abdominal hysterectomy in view of low-grade squamous intraepithelial lesion of cervix on cervical biopsy. A firm to hard, white-colored, tubular, branched structure, embedded in left broad ligament reaching till serosa of left fallopian tube and undersurface of left ovary was present. Histopathology showed mature cartilage of hyaline type with well-formed chondrocytes and lacunae with surrounding fibrosis with no evidence of cytological atypia, reactive inflammatory changes, or foreign body reaction. This may represent metaplastic lesions of secondary Müllerian system or benign neoplastic lesions (chondroma) of submesothelium.
Background: Breast cancer is the most common cancer in India causing highest cancer deaths in India as per GLOBOCAN 2018. Early diagnosis and treatment helps in improving prognosis and prolonging life. BREAST-i LED machine is one of the technology, for screening breast cancer at early stage. The present study was undertaken to evaluate the feasibility of BREAST-i LED machine to screen breast cancer. Methods: Across-sectional study was conducted on 300 convenient selected women in the age group of 30-60 years. Data was collected by house-to-house survey and all the women in surveyed house were registered for the study. They were interviewed as per the interview schedule comprised of a) Socio-demographic profile b) reproductive profile c) cancer related history and sign/symptoms. . By using BREAST-i LED machine the breast examination was done and the clinical breast examination was done there after to screen any sign of breast cancer. Identified cases were referred for confirmation of diagnosis. The data entry and analysis was done on SPSS (version 20). Results: The majority of the participants were between the age of 40-50years (42%) and majority of them (89.33%) began their menstruation between the age of 11-15 years. More than half (53.66%) had their first pregnancy between the age of 21-30years More than half (58%) had not attained their menopause and 99.3% had no family history of breast cancer. A high level of suspicion of breast cancer using Breast-i-LED instrument was found among four women (1.33%). Same results were observed by clinical breast examinations as well. These women were referred for further confirmation of diagnosis. Conclusion: BREAST-i LED machine can be used in community for quick screening of suspicion of breast cancer.
Post Abortal Inversion of Uterus. A Unique CaseSubmit Manuscript | http://medcraveonline.com literature till now. We are reporting a rare case of inversion uterus following abortion. Case Report28 years female P3L3A1 admitted in the department of Obst. & Gynae on 1/2/2017 at GMC Patiala, referred from a district hospital with foul smelling mass protruding out of vagina and severe anaemia. She took self-medication in the form of MTP pill on 5/1/2017 at three and half month POG. . She expelled a small fetus followed by off and on excessive bleeding thereafter for 1 month.a. She had all full term normal vaginal deliveries, hospital conducted with last child birth one and half year back following which she had regular menstrual periods. On arrival to gynae emergency of Govt. Medical College, Patiala, Her general condition was poor. Pallor+++, vitals were PR-100/min BP-116/6, RR-29/min, Spo2-98%, U.O.-800 ml clear.b. P/A-Soft, Non Tender, no mass palpable.c. P/V examination revealed a broad, globular, reddish, purple necrotic mass of 7x7 cm coming out of vulva with very offensive smell. Placenta like tissue got separated during examination. A mass of 5x5 cm was lying in the vagina with cervical rim felt higher up around it. There was no active bleeding from surface.d. P/R fundus of the uterus could not be felt a cup like depression was felt. The provisional diagnosis of inversion uterus following abortion was made and findings were confirmed on EUA. It was complete inversion of uterus (Figure 1 & 2).e. Under cover of antibiotics and blood transfusion, hydrostatic reduction using warm saline was done. Case ReportObstet Gynecol Int J 2017, 6(6): 00228 AbstractInversion of uterus following abortion is rare but fatal complications. If reposition is not done it leads to life threatening hemorrhage and shock. Only 2 cases in literature have occurred so far.. Here we are reporting a rare case of inversion uterus following abortion.
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