Background: Since breast cancer (BC) has the best chance of being effectively treated when it is tiny and has not spread, encouraging early disease detection remains a fundamental goal in improving prognosis. Objective: To better understand what factors contribute to a late presentation of BC, how this affects disease progression, and to assess awareness of BC warning signs. Patients and methods: Data was collected at the Breast Diseases Treatment Clinic, Shar Teaching Hospital, Sulaimaniyah, Iraq Sulaimani, from January 2017 to December 2021 on 429 patients. A questionnaire was distributed to women about their demographics, health, and general awareness of the disease. The patient delay was calculated by collecting information on when they initially began experiencing symptoms and when they saw a doctor. We also gleaned information about the tumour's clinicopathological features from the patient's medical records. Results: The participants' age ranged from 24 to 85 years, with a mean of 49.6±11. Most women were middle-aged (53.8%), from urban areas (80.2%), illiterate (41.7%), married (86.5%), housewives (79.0%), given birth to>4 children (34%), practised breastfeeding (78.8%), and no smokers (91.4%). Regarding patients' health behaviours associated with delay in breast cancer presentation, there were highly significant correlations between early and late screenings (P<0.001). Concerning the patient’s awareness of breast cancer symptoms, there were highly significant correlations between early and late screenings (P<0.001). In addition, the late presentation was strongly correlated with bilateral BC, lymph node involvement, inflammatory breast carcinoma, grade III of BC, and T4 status. Conclusions: Our findings shed light on possible causes of late presentation and identified those at risk of delayed consultation. Our communities need to be educated about BC, and encouraging them for early detection, decreases the incidence of advanced BC.
Background Different surgical strategies emerged as a pilonidal disease (PNS) became more prevalent. There is considerable debate over the best surgical management. Objective This study aimed to compare the outcomes of marsupialization (MP) vs laying open (LO) techniques in studied patients. Patients and Methods This study was conducted on 200 consecutive patients with chronic PNS who operated either the excision and MP technique (Group 1, no.=100) or excision and LO technique (Group 2, no.=100) in Hospital, Sulaimaniyah, Iraq, from January 2012 to January 2022. The patients' socio-demographics, perioperative data, complications and recurrences were collected using a well-designed, self-prepared questionnaire. Also, the patient’s data was evaluated after surgery regarding postoperative pain, satisfaction, healing and dressing time, incapacity to work and overall postoperative complications. Results Most patients were aged 20–29 years (40.5%), males (71.5%), had working hours for > 6 hours (57%), had no family history of PNS (86.0%), presented with pain (44.83%), and with hirsutism (41.5%). For postoperative pain, 39.5% of the patients had severe pain, 38% had moderate, and 22.5% had mild, with highly significant differences (p = 0.000) between both studied groups. Concerning patient postoperative satisfaction, most patients (32.5%) had good and least had excellent (6.0%) satisfaction, with highly significant differences (p = 0.000) between both studied groups. Moreover, for the association between the outcomes of both used techniques, a substantial correlation between both groups was found for incapacity for regular daily activity (p = 0.046), healing time (p = 0.000), dressing time (p = 0.000), infection, dehiscence, bleeding and recurrence (p = 0.045). Conclusion MP was the preferred technique over LO in managing postoperative patient satisfaction, pain severity, duration of healing, and dressing time, as it had fewer complications with less recurrence rate.
Background Colorectal cancers (CRC) are believed to develop primarily through an adenoma-carcinoma sequence, with adenomatous polyps beginning as the primary precursor lesions. Objective To assess the prevalence of colorectal polyps with their characteristics and relation to age/gender and to aid in establishing a screening program to detect polyps and CRC in the early stages. Patients and Methods The data of 2698 patients who underwent colonoscopy in Sulaimani Gastroenterology Center, Sulaimaniyah, Iraq, for various complaints and asymptomatic patients from January 2019 to February 2021 were studied retrospectively. Patients were given bowel preparation solutions the day before the colonoscopy examination, and the colonoscopy was performed under conscious sedation. Results The mean ± SD age of patients was 52.0 ± 17.59 years, and most were females (55.1%). Among the studied patients, 14.3% were diagnosed with polyps, of which 17.1% were males and 12.1 were females. The high prevalence rate was found in patients aged > 60 years (23.8%), followed by 50–60 years (17.71%), and then 40–49 years (13.07%). Conclusion Colorectal polyp was common among patients undergoing colonoscopy for several gastrointestinal symptoms, especially after age forty.
Objectives: Assess the patient characteristics and presentations of non-obstetric causes of acute abdominal pain among pregnant women. Methods: Sixty five pregnant patients of different gestational age groups were enrolled in this study who visited Sulaimani Emergency Hospital between 2nd January 2019 and 31 December 2019. Results: Acute appendicitis is the most common cause of non-obstetric abdominal pain in pregnant women (35.4%) followed by acute cholecystitis (18.5%) and renal stones (12.3%). Miscarriages are most commonly associated with acute pancreatitis with a rate of (50%). The majority of the patients were discharged home well within one month except for one patient (1.5%) who unfortunately died after surgical treatment for acute appendicitis. Conclusion: Acute appendicitis is the most common non-obstetric cause of acute abdominal pain in pregnant women. While 2nd and 3rd causes were, acute cholecystitis and renal colic consecutively in decreasing frequency.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.