Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Apr 2020
Case ReportsWhat Can be Done for Large and Multiple Choledochal Stones?
Endoscopic retrograde cholangiopancreatography may fail to extract large and multiple choledochal stones in a single session, necessitating a repeat procedure. This paper presents the case of a 68-year female patient who underwent stone extraction following endoscopic retrograde cholangiopancreatography and a subsequent biliary stenting procedure for multiple choledochal stones. Cholelithiasis and choledocholithiasis were detected in the above patient presenting with abdominal pain and jaundice. ⋯ The duct was then cleared using the balloon/basket technique. No problem occurred within the follow-up period and the patient underwent a successful cholecystectomy four weeks after the procedure. Multiple stenting is one treatment method that can be performed in selected patients with large and multiple choledochal stones. Key Words: Choledocholithiasis, Endoscopic retrograde cholangiopancreatography (ERCP), Biliary stenting.
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J Coll Physicians Surg Pak · Apr 2020
Observational StudyCytogenetic Abnormalities and Their Impact on Treatment Outcome in Paediatric Acute Myeloid Leukaemia in Pakistan.
To determine the impact of cytogenetic abnormalities on the treatment outcome of paediatric acute myeloid leukaemia (AML) at a tertiary care facility of Pakistan. ⋯ Identification of cytogenetic aberrations at diagnosis will help in risk stratification and predicting prognosis in AML. This will further assist in improving treatment strategies for different cytogenetic risk groups. Key Words: Paediatric acute myeloid leukaemia, Cytogenetics, Treatment outcome.
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J Coll Physicians Surg Pak · Apr 2020
Association of Gleason score with PSA Values and Serum Testosterone Levels Measured Prior To Prostate Biopsy.
To analyse the association of prostate cancer (PCa) Gleason score evaluated upon prostate biopsy with clinical PSA values, total and free testosterone (TT and FT, respectively) levels measured prior to biopsy. ⋯ TT and FT levels evaluated before prostate biopsy did not provide any additional benefit in predicting Gleason score grade before biopsy. Key Words: Prostate biopsy, prostate cancer, ISUP grade, Gleason score, total testosterone, free testosterone.
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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.
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J Coll Physicians Surg Pak · Apr 2020
Randomized Controlled TrialGlycerol Preserved Amnion: A Viable Source of Biological Dressing for Superficial Partial Thickness Facial Burns.
To evaluate the role of amnion as a biological dressing in superficial partial thickness facial burns. ⋯ Amnion is a safe, cost effective and most readily available biological dressing for superficial partial thickness facial burn management. Key Words: Amnion, Facial burn, Biological dressing, Scarring, Partial thickness burn.