Background: Cervical cancer is the second most common cause of cancer in females Worldwide and nearly 85% of the cervical cancer cases are diagnosed in developing countries. The health care providers can play an important role in promoting cervical cancer screening and knowledge about HPV vaccination. So this study was conducted to assess the knowledge, attitude and practices regarding cervical cancer screening and HPV vaccination and to analyze the factors influencing the knowledge about HPV vaccination, among nursing staff.Methods: A cross-sectional study was conducted among 143 nurses and 75nursing students (total 218) at ESIPGIMSR MGM Hospital, Parel Mumbai. Data was collected using Questionnaire, designed based on the study objectives.Results: 73 (33.49%) of the nurses did received education on cervical cancer and HPV in the past. Most of the nurses, 184 (84.4%) considered that they were at no risk of cervical cancer. 143 (65.60%) nurses knew that Pap smear can be done to screen patients. Out of 141 married nurses, only 39 (27.28%) regularly had a gynaecological examination and 105 (74.47%) had never done Pap smear. In addition, 119 (54.59%) participants did not know at what age Pap smear should commence. Only 73 (33.49%) nurses knew about the route of transmission of HPV and 57 (26.15%) knew about HPV vaccine. 215 (98.62%) nurses did not receive an HPV vaccine.Conclusions: The nurses and nursing students did not have prior adequate education on cervical cancer, HPV, and vaccine and the desired level of knowledge on risk factors and signs of cervical cancer and prevention of the disease.

Background: Pregnancy is associated with major changes in the physiology of the thyroid gland. Undiagnosed thyroid disorders can adversely affect fetal and maternal outcome. This study was done to study the prevalence of thyroid disorder among antenatal women. Methods: This was a prospective study done in the antenatal clinic in the Department of Obstetrics and Gynaecology, ESI PGIMSRMGM Hospital, Parel, Mumbai, India. Results: In present study, fifty out of three hundred and fifty pregnant women screened had thyroid disorder. The prevalence of thyroid disorder in this study was 14.2%. The prevalence of subclinical hypothyroidism was 7.7% (n= 27), overt hypothyroidism was 4% (n=14), subclinical hyperthyroidism was 1.7% (n=6) and overt hyperthyroidism was 0.8% (n=3). Conclusions: Thyroid disorders in pregnancy are associated with adverse fetomaternal outcome. Its prevalence is high in Indian women. Thus thyroid screening should be included in the routine antenatal investigations.

A 13-year-old girl was referred to us in view of a large abdominal mass. Ultrasonography of the abdomen had been reported as ovarian tumour. She had presented with a history of abdominal pain and distension since last 15 days. The patient had attained menarche at the age of 12 years but had amenorrhoea for the last three months. An elder brother had died of lung cancer at the age of 15 years.On examination, her weight and height were 38 kg and 140 cm (BMI 19.4). Vital parameters were stable. There was no pallor, icterus, oedema or lymph node enlargement. The abdomen was grossly distended. We palpated a large cystic non-tender mass arising from the pelvis and extending up to the epigastrium.Hemoglobin was 10g/dL, the total and differential white blood cell count was within normal limits. Carcino-embryonic antigen -125 (CA-125) was 55 IU/ml (normal < 35 IU/ml). Magnetic resonance imaging (MRI) of abdomen and pelvis [Table/ Fig-1] revealed a thinwalled cystic lesion of size 30 x 22.7 x 14.1cm. A few thin hypointense septations were seen on T2 weighted images. No solid components were seen. The mass could not be differentiated from the left ovary. The right ovary was normal. Moderate hydronephrosis and upper hydroureter were noted on the right side.We considered a diagnosis of serous cystadenomas in view of the size and marginal elevation of CA-125. We took 2-3 inches suprapubic incision and aspirated 6-7 liters of straw-coloured fluid from the cyst [Table /Fig-2]. Cytology of the fluid showed a few benign epithelial cells and no malignant cells. No normal ovarian tissue could be identified and we removed the cyst. Histo-pathological examination of the cyst wall [Table/ Fig-3] was reported as juvenile solitary follicular cyst with no evidence of malignancy. The patient got her periods on the third day after surgery. The intraoperative and postoperative course was otherwise uneventful and we discharged the patient on the ninth postoperative day. At follow up a month later, the child was doing well. DisCussionOvarian cysts are very common in the adolescent. Of these follicular cysts are the most common and occur due to dysfunctional ovulation with persistence of the remaining follicle. These cysts are obstetrics and Gynaecology section aBstRaCt Cystic abdominal lesions are extremely common in adolescent girls and are now diagnosed more frequently due to the availability of better imaging modalities. Presentations as huge cysts have become rare as most of them are diagnosed and treated early. Adolescent girls presenting with huge benign abdominal cysts is not uncommon, most of them due to serious cystadenomas of the ovary, but large follicular cysts are rare. We present a 13-year-old girl who presented with a large abdominal mass which was subsequently diagnosed as juvenile follicular cyst of the ovary.[table/ Fig-1

A 32-year-old woman, para one, presented to the Emergency Department with complaint of left lower abdominal pain of one day's duration. The pain was spasmodic, radiating to the back, and it was accompanied by giddiness and vomiting. There was no history of fever, fainting attacks, bowl or urinary complaints. She had a history of polymenorrhagia and dysmenorrhoea which had been present since the past two years. Her last menstrual period had occurred 13 days ago and she was not using any contraceptives. The patient's obstetric history included one live birth which had been delivered by lower segment caesarean section eight years ago.