Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2020
The Role of Serum Laboratory Biomarkers for Complicated and Uncomplicated Appendicitis in Adolescents.
To investigate if serum biomarkers could differentiate complicated and uncomplicated appendicitis in adolescents. ⋯ Elevated WBC, NEU, CRP and NLR may be considered useful biomarkers in assisting physical examination and other diagnostic methods in distinguishing severity of acute appendicitis. Key Words: Adolescent, Appendicitis, Neutrophil-to-lymphocyte ratio, C-reactive protein, Length of hospital stay.
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J Coll Physicians Surg Pak · Apr 2020
Observational StudyFactors Affecting Pathological Complete Response After Neoadjuvant Chemotherapy in Operable Primary Breast Cancer.
To investigate factors influencing pathological response to neoadjuvant chemotherapy (NAC) in operable primary breast cancer. ⋯ In this study, breast cancer patients with high histological grade, negative HR status and lymph nodes, positive HER2 status, as well as taxane-based regimens were significantly associated with achieving pCR with NAC. Key Words: Breast neoplasms, Neoadjuvant therapy, Surgery, Pathology.
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To find parameters for differential diagnosis between Brucella epididymo-orchitis (BEO) and non-brucella epididymo-orchitis (NBEO) cases with comparison of BEO and NBEO in terms of inflammatory markers, full urinalysis (FU) for pyuria, and abscess formation (AF). ⋯ BEO cases are often younger and do not have pyuria or abscess formation. High frequency of pyuria was found in NBEO cases. CRP levels cannot be used in the differential diagnosis between BEO and NBEO cases. Key Words: Abscess formation, Brucella epididymo-orchitis, C-reactive protein, Orchiectomy, Pyuria.
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J Coll Physicians Surg Pak · Apr 2020
Computed Tomography-guided 125I Radioactive Seed Implantation Therapy for Pancreatic Cancer Pain.
This study aimed to evaluate the short-term curative effect of computed tomography (CT) guided radioactive 125I (125-Iodine) seed implantation (CTRISI) therapy for advanced pancreatic cancer patients pain. ⋯ CTRISI could relieve pain effectively in the patients and suppress local tumor progress. This technique helps to relieve the pain symptoms, reduce the amount of painkillers, and improve the quality of life of patients. Key Words: Pancreatic cancer, 125I, radioactive seed implantation, pain, hydroxycodone.
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J Coll Physicians Surg Pak · Apr 2020
Case ReportsChallenges in Retrorectal Cysts: Is Preoperative Diagnosis Essential?
Developmental cysts are a subgroup of perirectal cysts seen extremely rarely. They have no symptoms in 50% of cases, and mostly occur among middle-aged women. The ratio of male to female is approximately 1/3. ⋯ Both underwent surgery via the trans-sacral approach. The cysts were completely removed without abdominal intervention. Key Words: Epidermoi cyst, Pilonidal cyst, Tail-gut cyst, Retrorectal Space.