Background Mycetoma is a chronic, progressive and destructive inflammatory disease that affects the skin, subcutaneous and other tissues. The objective of this study was to identify all cases of mycetoma diagnosed in three health facilities in Nouakchott, Mauritania during 2016–2018. Methods This retrospective hospital-based study was conducted at the Dermatology, Orthopedics, Mycology and Pathology departments of the National Hospital Center of Nouakchott, the Military Hospital of Nouakchott and the National Institute for Research in Public Health of Nouakchott. Results Eighty-seven patients were included in this study. They comprised 65 male patients (74.71%) and 22 females (25.28%) with a gender ratio of 4:1. The mean age was 41.87 y and ages ranged from 14 to 70 y. The most common age group was 40–45 y (11%). The foot was the most frequently affected site seen in 60 patients (69%), followed by ankle and hand with 6 patients each (7%). In the study, 56 patients (64%) had regional lymphadenopathy. Forty-nine patients (56%) had bone involvement. Thirty-two patients (37%) had medical treatment. Twenty-seven patients (87%) received fluconazole and four patients (13%) had co-trimoxazole treatment. Conclusion The mycetoma patients seen in these three centres were mainly male farmers from rural areas. The lesions were seen mainly in the lower limbs and the majority had bone involvement radiologically.
Around the world and in Slovenia female breast cancer is the most common type of cancer. Based on risk factors the number of patients increases. In 2005 in Slovenia, there were 1111 breast cancer cases, in 2016 the number increased up to 1307 (17.6%). In Slovenia and Europe exists a successful screening breast cancer test program, named DORA. All women between 50 and 69 years are invited in the program to perform a mammography. For women less than 50 years of age several foreign studies revealed that mammography is not the most reliable method for early breast cancer detection. The sensitivity is 61% (< 50 years). In relation to mammography exists a possibility for false positive results. It has been proven that 22% of all diagnoses were pre-diagnosed. This means that women have been exposed to invasive diagnostic procedure, but actually they do not need. For younger women exists a 61.3% of risk for false positive result. And for older women the risk represent 49.7%. For women under 50 years the additional diagnostic methods are the ultrasound and magnetic resonance imaging, also. Descriptive method was used to critically assess Slovenian and English scientific literature.
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