Irish journal of medical science
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The extent of knowledge of bowel cancer, its symptoms and risk factors are unknown in Irish residents. An understanding of bowel cancer awareness may be useful in aiding healthcare professionals, and policy makers develop improved bowel cancer awareness programmes and public health initiatives in Ireland. ⋯ This survey emphasises the need to improve the awareness of bowel cancer as gaps in this specific cancer knowledge were evident among Irish residents.
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Review Case Reports
Borderline Brenner tumor with abnormally high serum level of carbohydrate antigen 199: a rare case report and literature review.
Ovarian Brenner tumor with abnormally increased serum carbohydrate antigen 19-9 (CA19-9) level is extremely rare. A 70-year-old woman with abnormally elevated serum CA199 (1289 U/ml) found in routine physical examination. Pelvic CT and MRI scan revealed a large mass with large patches of calcification in the right adnexal area, and the patient achieved total hysterectomy and bilateral adnexectomy. ⋯ Postoperative pathology and immunohistochemistry confirmed borderline Brenner tumor. This is the first to report a case of borderline Brenner tumor with an abnormally high serum level of CA199 before surgery. In clinical practice, the possibility of ovarian Brenner tumor should be considered when abnormal elevation of serum CA199 level cannot be reasonably explained.
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To provide safe and effective patient care, records must be kept in a high-quality manner. Clinical audits should be conducted on a frequent basis to ensure that high standards of record-keeping are upheld. An audit and re-audit of the surgical inpatient records' documentation were conducted as part of a retrospective, descriptive study to see if it aligns with the hospital's stated policy. ⋯ Record-keeping must be considered as an integral part of medical practice; current documentation work demonstrates that when performed appropriately, audit can actually affect the quality of clinical records. The audit itself can increase awareness of the need for practice improvement. The distribution of findings, instruction, training, and local action planning are all essential for developing practice.