Objective: To determine the frequency of breast carcinoma among females above 30 years of age presenting with palpable breast lumps in south Punjab. Study Design: Cross Sectional study. Setting: Department of Surgery, Ward No.4, Nishtar Medical University/ Hospital, Multan. Period: 1st July, 2021 to 31st December 2021. Material & Methods: One hundred and thirty six patients with palpable breast lumps were included in the study. History, clinical examination, mammography, fine needle aspiration cytology (FNAC) and Tru cut biopsy was done in all the patients. Finally the report of Tru cut biopsy was used to find out the frequency of breast carcinoma in all these patients. Results: Carcinoma was present in 43 (31.6%) patients and benign diseases were present in 93 (68.4%) patients. Conclusion: Carcinoma was present in higher frequency (31.6%) among patients above 30 years of age who presented with palpable breast lumps.
Small bowel tumors are very rare. Melanoma in small intestine can be primary or metastatic. Metastatic malignant melanoma in small intestine can arise from skin, eyes, oropharynx, esophagus or ano rectal mucosa. Primary malignant melanomas of small intestine are very rare. In this case report, we are going to present primary malignant melanoma of small intestine, which has already metastasized by the time of presentation. A 60 year old male, presented to us with abdominal pain, vomiting and absolute constipation. On exploration, black colored mass of 5x5cm in distal ileum which was attached to posterior wall of urinary bladder on right side and whole of the gut from stomach to rectum was involved. The patient was thoroughly examined and investigated for cutaneous melanoma, but there was no such tumor present. So it was concluded that this patient had primary malignant melanoma arising from distal ileum.
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