Browsing by Author "Aramide, K."
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Item Can Vascularity Determine Degenerative Behavior of Uterine Fibroids? Huge Parasitic Uterine Fibroid Mass Mimicking an Ovarian Tumor(Annex Publishers, 2017) Imaralu, J.O.; Mustapha, A.; Yusuf, A.; Aramide, K.Uterine fibroids have been misdiagnosed for a range of conditions from ovarian to colonic or even retroperitoneal tumors. Apart from the effects of a known and diagnosed fibroid, misdiagnosed fibroids have their own implications for the patient which may include iatrogenic impaired reproductive capability and quality of life. An understanding of fibroid degenerations, especially atypical variants produced by associations between fibroid tumors and bowel or mesentery may help overcome this diagnostic dilemma and aid optimal care. Case Report: The authors report the case of a 30 year old nullipara, who had a huge cystic abdominal tumor with rich vascularity from a broad mesentery, causing complex degenerations and consequently an unusual anatomy. This fibroid tumor was misdiagnosed clinically and at radio-diagnosis for an ovarian malignancy, because of the nature of degenerations that had taken place. Conclusion: An understanding of such atypical degenerations may help to overcome diagnostic dilemma and aid optimal care.Item Ten-year review of peripheral lymphadenopathy in tertiary hospital in South Western Nigeria(African Field Epidemiology Network, 2016) Aramide, K.; Ajani, M. A.; Oluwasola, O.Peripheral lymphadenopathy is a common clinical presentation in Nigeria, and there have been many studies published on it from different parts of the country. This study is to provide an update on the clinicopathological pattern of lymphadenopathy in Ibadan. Methods: Lymph node biopsies received at the Department of Pathology, University College Hospital, Ibadan, Nigeria from January st 2003 to December 31st 2012 were reviewed. Special stains and immunohistochemistry were also applied. Results: 429 cases,251 females and 178 in males were studied. Modal age group was in the sixth decade. The mean age of females (41.4 years) was significantly greater than that of males (34.5 years), p=0.000. Commonest sites were axillary (31.5%) and neck groups (24%), with axillary nodes more often involved in females and neck group of nodes more often involved in males. Metastatic cancer and reactive hyperplasia were the commonest diseases. Males more frequently had non-specific hyperplasia (34.3%) and non-Hodgkin lymphoma (23.6%), while females more often had metastasis (45.4%) and non specific hyperplasia (19.1%). Patients with metastatic cancer had the highest mean age of 46.5 years, followed by those with malignant lymphomas and reactive hyperplasia. Conclusion: Primary and metastatic malignancies are common causes of lymphadenopathy in this environment. The use of selective immunohistochemical antibody panels is advocated for proper diagnosis of malignant lesions of the lymph node.
