IntroductionThere has been no previous study to classify benign breast lesions in details based on histopathologically confirmed diagnosis in Bayelsa State, Nigeria. This study therefore aims to review all cases of benign breast lesions seen in all the three centres in Bayelsa State with histopathology services over a five year period for a comprehensive baseline data in our community for management, research and education.MethodsThis is a multicentre retrospective descriptive study based on histopathological diagnosed benign breast lesions from January 2009 to December 2013. Archival results and slides on benign breast lesions were retrieved and analysed using simple statistical methods.ResultsA total of 228 benign breast lesions (68.3%) were seen among 334 histopathologically diagnosed breast diseases. The male to female ratio was 19.7:1. Peak age incidence was the third decade (43%) with a mean age of 29.1years. Fibroadenoma was the most common benign breast disease (BBD) accounting for 45.6% of all the cases followed by fibrocystic change (23.1%). The mean ages of fibroadenoma and fibrocystic change were 23.1years and 31.1years respectively. Inflammatory breast lesions constituted 8.3%. We recorded only 2 cases (0.9%) of atypical ductal hyperplasia (ADH) with no case of atypical lobular hyperplasia (ALH) within the study period. Gynaecomastia (4%) was the main male breast lesion in the study.ConclusionBenign breast diseases are the most common breast lesions in Bayelsa State. Fibroadenoma is the most common lesion followed by fibrocystic change. The incidence of atypical hyperplasia recorded was rather low in the state.
Aim:The aim of this report is to raise the awareness of the existence of this rare ocular affliction in our locality and to highlight the importance of routine histopathological diagnosis of ocular mass lesions. Case Presentation: An 11 year old male school child presented to our centre with a 9 months history of a fleshy growth which bleeds spontaneously, on the inner aspect of the right upper eyelid. Other parts of both eyes including the left eye lid were normal A provisional diagnosis of squamous cell papilloma of the conjunctiva was made and the patient underwent an excisional biopsy of the lesion. Microscopic sections of the mass showed hyperplastic polypoid lesion with numerous globular cysts within the subepithelia conjunctiva with a surrounding of heavy inflammatory reaction composed of lymphocytes, plasma cells and neutrophils. A histopathological diagnosis of conjunctival rhinosporidiosis was made. Discussion: Rhinosporidiosis is a chronic localized granulomatous infection caused by an aquatic
Case Study
Malrotation of the midgut is mainly a childhood congenital anomaly. Adult Midgut malrotation is rare with the clinical symptomatology varied and non-specific making pre-operative diagnosis difficult. Midgut volvulus from malrotation is a true surgical emergency requiring early intervention to prevent bowel necrosis and death.We report a 27yr old male who was referred to our centre with paralytic ileus post appendectomy. He underwent emergency laparotomy with findings of gangrenous volvulus involving almost the entire midgut from malrotation. He had bowel resection with jejunocolic anastomosis. Post-operatively he was referred on account of short bowel.A high index of suspicion is needed in acute abdomen with atypical features to allow for early diagnosis and prompt intervention to avert this catastrophic event.
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