Breast cancer is a global disease and incidence continues to rise especially in the sub-Saharan Africa. In Nigeria, breast cancer is currently the most common malignancy. This study aimed at describing the pattern of breast cancers in Maiduguri and to determine if there is any significant changing trend of frequency. This is a retrospective review data of breast cancers between 2001 and 2005 in the University of Maiduguri Teaching Hospital Cancer Registry. A total of 1,216 cases of cancers were registered within the study period and breast cancer accounted for 13.9%. There were 490 breast biopsy specimens and breast cancer accounted for 34.5%. There were 161 females and 8 males breast cancer within the study period giving a F:M ratio 20:1. There were four cases of bilateral breast cancers. The age ranges between 17 and 85 years and the peak age group was 40-49 years which accounted for 61 cases (36.1%). The commonest histologic type of breast cancer was invasive ductal carcinoma which accounted for 82.6%; invasive lobular (6.6%); medullary (4.3%); colloid (1.7%); papillary (1.1%); and others (5.1%). In conclusion, breast cancer is on the increase in our environment and therefore there is need for public enlightenment, screening all women at risk, early detection of the lesion, and proper management in our health institution.

Introduction We aimed to describe the prevalence and pattern of maxillofacial trauma in Qatar. Methods This is a retrospective study of trauma registry data at Hamad General Hospital during the period from January 2011 to December 2014. The study included all traumatic maxillofacial patients who underwent CT scan and were admitted during the study period. Results A total of 1187 patients with maxillofacial injuries were included in the study and 18.5% of all trauma admissions were related to maxillofacial injuries. Young age and males were predominantly affected. Mechanisms of injury were mainly traffic-related and fall. Orbital injuries were the commonest followed by maxillary injuries. The median and range face abbreviated injury score (AIS) was 2 [1-3] with 66% had a score of 2. Maxillofacial fractures were frequently associated with traumatic brain injuries. One out of five patients was managed with surgery and had median length of stays in ICU and hospital 5 and 7 days, respectively. Overall, in-hospital mortality was 8.3%. Mortality in isolated maxillofacial was low (0.3%) in comparison to 15% in polytrauma patients (p = 0.001). Multivariable regression analysis showed that Injury Severity Score, face AIS and Glasgow Coma Scale were predictors of mortality with age-adjusted odd ratio of 1.15, 2.48 and 0.82; respectively. Conclusions Maxillofacial trauma requiring admission is not uncommon in our trauma center and mostly it is mild to moderate in severity. Associated injuries are present in most of the maxillofacial injured patients and further diagnostic investigations should be part of the assessment in maxillofacial injuries.

In this population, ThinPrep was superior to the conventional Pap test.

Four cases of African histoplasmosis with lesions of the skin, subcutaneous tissues and lymph nodes diagnosed histologically are described from the Borno State of Nigeria. Three of the cases were autochthonous to this State, whereas the fourth one originated from the Anambra State of Nigeria. These cases constitute the first record of African histoplasmosis from the arid zone of the north-eastern part of Nigeria.

A clinical study was conducted to test the efficacy of fluconazole in the treatment of tropical deep mycoses. Two out of four patients with zygomycosis due to Conidiobolus coronatus who were treated with the drug were completely cured; the other two patients exhibited considerable improvement but could not be followed up. Two patients with eumycetoma, one due to an Acremonium sp. and one due to Pseudallescheria boydii, were treated successfully, whereas another patient with a eumycetoma caused by an unidentified fungus could not be followed up. A complete cure was achieved with one patient with African histoplasmosis and one with candiduria. A case of cerebral phaeohyphomycosis due to Cladosporium sp. showed some improvement but the patient later developed meningitis and died.