Pneumocytoma is a rare benign tumor of the lung that usually manifests as a solitary pulmonary nodule. A 69-year lady, who had history of tuberculosis treatment 20 years ago, admitted to the hospital. A round mass was seen on chest radiography. Thorax computed tomography was reported as a round lesion in the left lung. Fiberoptic broncoscopy, computed tomography-guided fine-needle aspiration cytology and intraoperative frozen section analyses were undiagnostic. We performed wedge resection with minithoracotomy. Pathologic examination was reported as pneumocytoma. The patient did not receive any chemotherapy or radiotherapy after the operation. After 41 months' follow-up, no recurrent lesion was seen.

Abstract Objective: To assess knowledge and perception about different aspects of Breast Cancer among health care professionals at Bolan Medical Complex Hospital Quetta, Pakistan. Methods: This cross-sectional study was carried out at Bolan Medical Complex Hospital Quetta from October to December 2017. A total of 312 health care workers including consultants (42), residents (85), medical officers (52), interns (45), nurses (48) and final year medical students (40) took part in the study. The study tool was a self-designed questionnaire with separate sections to assess the knowledge about risk factors, signs and symptoms, screening tools, breast self-examination (BSE), treatment and barriers in seeking medical advice. Results: Participants had satisfactory knowledge about risk factors and signs of breast cancer but poor knowledge about association of breast cancer with menarche status, oral contraceptive pills and smoking. Majority was aware of mammography benefits and believed that breast cancer is curable with therapy. All perceived that cultural and socioeconomic barriers are the cause of late stage presentation. The nurses particularly were having misconceptions in knowledge about breast cancer risk factors and screening tools. Conclusion: The current study demonstrated that knowledge related to breast cancer was average and highlighted the need for provision of continuing medical education programs to improve health practitioners' practice on cancer screening tools. Knowledge was particularly deficient regarding screening modalities and BSE method and timing. Special emphasis is needed to train nurses, so they could play an expanded role in breast cancer care. Keywords: Breast Cancer, Pakistan, Risk Factors, Awareness, Continuous...

Objective: To study the different patterns of Hysterosalpingographic findings in women evaluated for infertility in a tertiary care hospital of Quetta. Setting and design: A crossectional study conducted at the Radiology Department of Bolan medical complex hospital, Quetta Methodology: A two year secondary data based study of hysterosalpingographic films were assessed, data of 338 infertile women investigated for infertility from July’ 2016 till June’ 2018. Hysterosalpingography examination was done in the preovulatory phase of the menstrual cycle. Results: Infertility was the main indication for all the hysterosalpingographic examinations with primary infertility the predominant infertility accounting for 186(55%) of all cases while secondary infertility constituted 152(45%) cases. Majority of the patients n=146(43%) were in the age group of 28-33 years as this is the peak age of reproduction. Out of the total 338 patients reviewed, normal hysterosalpingography finding with free peritoneal spill of contrast were seen in n=212(62%) cases. The most common abnormality revealed was tubal blockage among n=81 (24.2%) patients followed by hydrosalpinx n=23(6.5) %. Other abnormalities included loculated contrast spill, fibroids, Asherman syndrome and adenomyosis. Congenital anomalies were also seen of which arcuate uterus was seen commonly followed by bicornuate uterus. Conclusion: It was concluded that most of the HSG findings were normal, followed by tubal abnormalities in the age range from 28 to 33 years. Tubal occlusion and hydrosalpinx were the most common abnormal findings in this study.

Background: Gallbladder carcinoma (CA) is the most common primary biliary carcinoma and fifth most common malignancy of the gastrointestinal tract. Patients are usually asymptomatic early in the course of the disease and as a result, therapeutic window is usually missed. Authors discuss spectrum of imaging findings in CA gall bladder with multidetector computed tomography (CT) as modality of choice.Methods: Retrospective cross-sectional study conducted at Shaukat Khanum memorial hospital and research centre. Data from January 2019 to January 2020 which included 70 patients was collected from HIS. Patients with imaging findings of CA gall bladder were examined who had undergone contrast enhanced CT. Institutional review board approved this study.Results: Out of 70 cases in this study, cholelithiasis was present in 60%. The commonest MDCT finding was mass replacing GB (78.6%), followed by eccentric/diffuse gall bladder wall thickening. Extension to porta hepatis was noted in 25 (35.7%) cases. Antroduodenal involvement was noted in 11 (15.8%), hepatic flexure involvement in 8 (11.4%). Vascular encasement/thrombosis of the portal vein noted in 6 (8.6%). Metastasis at presentation was seen in 16 patients i.e., 22.9%. Majority patients presented with stage III and IV disease.Conclusions: Single-center tertiary care oncology hospital study gives insight about imaging findings of carcinoma gallbladder. Authors conclude that multidetector CT is the diagnostic tool of choice in detection of gall bladder carcinoma, locoregional disease, distant metastasis and hence operability and non-operability of the disease.

Ethical physicians seem to have become an uncommon entity in modern day medical practice. Many patients and physicians feel that the profession of medicine is not living up to its own standards and expectations. One of the reasons is the lack of knowledge of the medial professionals about their religion and medical ethics. The ethics is not being right or wrong, instead it is the process of making better decisions or worse decisions compared to the worst decision. The introduction of newer technology in medical field such as organ transplantation, biotechnical parenting, blood transfusion, surrogacy, gender identification on fetal ultrasound, female genital mutilation has posed Muslim physicians and patients with some new questions of ethics. We look upon issues from the perspective of Muslim doctors and it is therefore important to discuss few of the practices according Quran, Sunnah. If the answers are not given in Quran and sunnah then one may turn to Ijma.