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Article
Incidental Carcinoma in Multinodular Goitre

Author: Jasim M. Al-Diab
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2003 Volume: 9 Issue: 1 Pages: 88-90
Publisher: Basrah University جامعة البصرة

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Abstract

This is a prospective study of 105 thyroid specimens during one-year period with the aim of evaluation of the prevalence and pattern of thyroid cancer in multinodular goiter. Only specimens with histologically proved multiple nodules were considered. Carcinomas were found in 8 cases (7.6%). The incidence was higher in males (11%) than in females (6.8%). Of all carcinomas seen in multinodular goiters 63% were of papillary type.

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Article
ENDOSCOPIC BIOPSIES VERSUS BRUSHING ‎CYTOLOGY IN THE DIAGNOSIS OF VARIOUS GASTRO ‎INTESTINAL LESIONS WITH SPECIAL REFERENCE TO ‎GASTRIC TUMOURS

Authors: Jasim M Al-Diab --- Fatah Abdul Sahib --- Sarkis K Strak
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2005 Volume: 11 Issue: 2 Pages: 50-54
Publisher: Basrah University جامعة البصرة

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Abstract

This study aimed to correlate the diagnostic efficiency of brushing cytology versus endoscopic biopsies ‎in the diagnosis of various gastro-intestinal lesions with especial reference to gastric tumours.‎‎ Eighty three patients who had visible mucosal lesions were studied. All lesions were brushed and ‎biopsied and were read blindly by one pathologist‏ ‏‎.‎The sensetivety and positive predictive values for brushing cytology were 91.3% and 84.6% respectively, ‎while specificity and negative predictive value were 93.3% and 96.5%‎‏ ‏respectively. The cumulative ‎diagnostic yield for both test was 92.7%‎‏.‏‎ ‎‏ ‏‎ We concluded that brush cytology is a convenient, safe & accurate technique for the diagnosis of ‎various gastro intestinal lesions which should be used concurrently with endoscopic biopsies

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Article
INTRAOPERATIVE IMPRINT CYTOLOGY ‎

Author: Nezar A. Al-Mahfooz*, Jasim M. Al-Diab@ and Rafid Abdul-Jabbar ‎Mohammed#‎
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2004 Volume: 10 Issue: 2 Pages: 26-29
Publisher: Basrah University جامعة البصرة

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Abstract

A prospective study was conducted on 60 specimens; 33 breast lumps and 27 lymph nodes, to assess the value of ‎intraoperative imprint cytology as an aid in surgical decision especially in the absence of the facility of frozen ‎section examination. Imprint cytological examinations were done intraoperatively by a single pathologist. The ‎results were ready after a period of 15-25 minutes. In all 60 specimens, 50 (83%) were correctly diagnosed, 8 were ‎diagnosed as suspicious of malignancy and 2 were misdiagnosed.‎The sensitivity was 97%, the specificity was 94.4% and the accuracy rate was 96.1%. We concluded that imprint ‎cytology is a very simple technique and it remains a useful and cost effective tool, can aid in the surgical decision.‎

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Article
Plasmacytoma and multiple myeloma in Basrah province

Author: Salim L. AL-Saad, Jasim.M. AL-Diab,Osama G. AL-Asady
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2013 Volume: 31 Issue: 2 Pages: 75-78
Publisher: Basrah University جامعة البصرة

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Abstract

Objective: to study trends of multiple myeloma and plasmacytoma in Basrah as a model of Asian countries and compare the results with those of western records.Methods: retrospective review of 102 cases of multiple myeloma and plasmacytoma of both sexes registered in Basrah through the years 1996-2010 regarding their demographic features the collected dated tabulated and analyzed.Results: a total of 102 patient, 62 males and 40 females with a median age for males 56 years and for females 55 years multiple myeloma represented 92.2% of total cases while plasmacytoma represented 7.8%.Conclusion: -Incidence rate of multiple myeloma and plsmacytoma in eastern countries seems comparable to incidence rate in eastern countries but the incidence is low when compared to western statistics.-Multiple myeloma and plasmacytoma showed no significant changes through the last 15 years.


Article
The Necessity for Routine Histopathological Examination of all Cholecystectomy Specimens
الحاجة الى الفحص النسيجي الروتيني لجميع عينات المرارة المزالة جراحيا"

Author: Noor S. Jumah, Abeer A. Al-Mowali, Rasha S. Manuel, Sura A. Al-Namil & Jasim M. Al-Diab
Journal: The Medical Journal of Basrah University المجلة الطبية لجامعة البصرة ISSN: 02530759 Year: 2017 Volume: 35 Issue: 2 Pages: 105-108
Publisher: Basrah University جامعة البصرة

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Abstract

Objectives: Cholecystectomy is the established treatment for symptomatic gall stones and cholecystitis. In our locality, all cholecystectomy specimens are routinely sent for histopathological examination regardless of the presence or absence of preoperative or intraoperative suspicion of malignancy. This has led to an increased workload for the histopathologists. This study was conducted to assess the necessity for routine histopathological examination of all cholecystectomy specimens and to call attention to a selective criteria for sending gallbladders to the histopathological examination.Materials and methods: A retrospective analysis of computerized histopathological reports of 1176 cholecystectomy specimens and the available patients clinical data for the last ten years.Results: Analysis of 1176 cholecystectomy specimens during the last ten years, revealed five cases of primary invasive adenocarcinoma (0.42%) and one case of carcinoma in situ. Of the five invasive adenocarcinomas, three were stage pT3. One case was stage pT2 and one case was stage pT1b. In all cases of invasive adenocarcinoma, there was a clinical suspicion of malignancy before or during surgery with detectable macroscopical abnormalities that encouraged the surgeon to send the gall bladder for histopathological examination.Conclusion: Invasive adenocarcinoma of the gallbladder is associated with detectable macroscopical abnormalities in all cases. Hence histopathological examination could be restricted to the macroscopically abnormal looking gall bladders. Such a selection will save time, cost and burden on the histopathologists without affecting the patients’ safety.

المقدمة: استئصال المرارة هو العلاج المعمول به لالتهاب المرارة الحصوي المصحوب بالاعراض في منطقتنا، يتم إرسال جميع عينات استئصال المرارة بشكل روتيني لفحص الأنسجة بغض النظر عن وجود أو عدم وجود شبهة من الأورام الخبيثة ما قبل أو أثناء العملية الجراحية.وقد أدى ذلك إلى زيادة عبء العمل بالنسبة لأخصائيي الفحص النسيجي. وقد اجريت هذه الدراسة لتقييم ضرورة الفحص الروتيني النسيجي لجميع عينات استئصال المرارة.المواد و طرائق العمل: هذه الدراسة هي دراسة باثر رجعي لتقارير الفحص النسيجي المحوسبة من 1176 عينة استئصال المرارة خلال السنوات العشر الماضية من مختبري للفحص النسيجي في محافظة البصرة. النتائج: أظهر التحليل بأثر رجعي لتقارير الفحص النسيجي المحوسبة من 1176 عينة استئصال المرارة خلال السنوات العشر الماضيةخمس حالات فقط من السرطانة الغدية الغازية الأولية (0.42٪) وحالة واحدة من سرطان في الموقع (سرطانة لابدة). من خمسة حالات سرطانة غدية غازية ، كانت هناك ثلاثة حالات في المرحلة pT3, حالة واحدة في المرحلة pT2 وحالة واحدة في المرحلةpT1b . في جميع حالات السرطانة الغدية الغازية، كانت هناك شكوك سريرية من الأورام الخبيثة قبل أو أثناء العملية الجراحية بوجود تشوهات واضحة بالعين المجردة في المرارة التي شجعت الجراح لإرسال المرارة للفحص النسيجي.الاستنتاج: السرطانة في الموقع (سرطانة لابدة) وسرطان الغدية الغازية المبكر (pTis و pT1a) تحتاج إلى مزيد من العلاج أبعد من استئصال المرارة البسيط. وبالتالي يمكن أن يقتصر الفحص النسيجي المرضي على المرارة التي تبدومشبوهة ويجب الاخذ بنظر الاعتبارالنهج الانتقائيلجميع عينات استئصال المرارة بدلا من الفحص النسيجي الروتيني. هذا سيوفر الوقت والكلفة والعبء على اختصاصي علم الامراض دون التأثير على سلامة المرضى.

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