BackgroundBreast cancer coexisting with tuberculous axillary lymph nodes is rare.Case reportWe report a 69 years old Yemeni patient with a left breast invasive ductal carcinoma associated with contralateral tuberculous axillary lymph nodes containing microcalcifications mimicking malignancy. The patient had to be investigated for the possibility of bilateral breast cancer since she had no history of previous exposure to tuberculosis.ConclusionTuberculosis involving lymph nodes can create a diagnostic dilemma in the presence of a malignant process. The presence of calcifications in lymph nodes should raise the possibility of tuberculosis even in the absence of contact history with tuberculosis.

Objective: To review the challenges in treating patients with breast cancer and history of or co-existing tuberculosis [TB].Method: A review of the data base of the breast unit at King Fahd General Hospital performed from 1998 till end of July, 2012. Records of all breast cancer patients seen in that period [221 patients] were reviewed for clinical, radiologic, pathologic data and disease outcome. Results:In the study period, there were 7 cases with concurrent or past history of tuberculosis. Two cases had concurrent tuberculosis of axillary lymph nodes, one had contralateral calcified tuberculous axillary lymph nodes that were radiologically suspicious for malignancy and the other one had ipsi-lateral tuberculous axillary lymph nodes discovered during axillary dissection. Both were reluctant to receive the lengthy anti-tuberculous treatment for an asymptomatic disease. Three cases had past history of pulmonary tuberculosis, 2 of them presented with multiple lung nodules that were radiologically indistinguishable [whether tuberculous or metastatic nodules] and eventually they died of lung metastases. They had no radiologic evidence of skeletal or other metastatic sites. One case had past history of treated synovial [knee] and cerebral tuberculosis presented with lung metastases. She also had a thigh lesion that was suspicious for tuberculosis but proved histologically to be metastatic in nature. The last case had a past history of treated ovarian tuberculosis; she had multiple calcified pelvic nodules on computerized tomography. The last 2 cases received chemotherapy with no evidence of reactivation of tuberculosis. Conclusion:The presence of tuberculosis with breast cancer cause clinical and radiologic diagnostic difficulties and requires extra invasive diagnostic procedures for differentiation. Fear of tuberculosis reactivation with chemotherapy may force clinicians to prescribe prophylactic anti tuberculous treatment unnecessarily. A well planned management with psycho-social support is mandatory to maximize patient compliance.

Background:In clinical practice, anal problems are often underappreciated. Patients often hide their atypical symptom presentation, according to research, which delays diagnosis and therapy. The management by primary care physicians is inadequately characterized.The aim of the present research was to understand the issues of anal diseases that people suffer from and their problems in accepting the examination of anal diseases. Methods:This research work involved following a cross-sectional approach of study and therefore included collecting first-hand data. This was accomplished through the conduction of the survey and data that are considered through the conduction of the survey are quantitative in nature. This would help in determining the acceptance of patients for examination of anal disease. The method that would be employed for considering the size of the sample is stratified random sampling. The survey involved conducting a survey of patients with anal disease. Results: Of 884 participants included in the current study, 578 accept to be examined for anal disease (65.4%). Half of study participants agreed that anal disease has increased in the recent times (n= 438, 49.5%). Most of study participants believed that eating habits have a role in the development of anal disease (n= 657, 74.3%). In addition, about a third of study participants suffered from chronic anal disease (n= 281, 31.8%). More than half of study participants believe in the need of clinical examination and importance of treatment (n= 455, 51.4%). Anal pain was the most frequent issue experienced by study participants (n= 338, 38.2%). Conclusion:The studys findings revealed that half of the people in this survey who were asked their opinion on the prevalence of anal illness agreed that it had grown in recent years. The majority of the people in this research thought that their diet had a contribution in the onset of their illness. Moreover, 66 percent of those surveyed agree that clinical examinations should not make them feel uncomfortable. A majority of research participants reported experiencing anal discomfort.

Colorectal surgery is performed for many diseases such as colorectal cancer, ulcerative colitis, Crohn's disease, mechanical bowel obstruction and recurrent diverticulitis, often resulting in major reconstruction of the gastrointestinal tract. Injury, ischemia, rectal prolapse and proctological disorders may also require large or small bowel resection. Potential risks of colorectal surgery are mainly those of any major abdominal surgery, and usually occur while the patient is still in the hospital. Because of the many indications for and the various extents of colorectal or small bowel resections the rate and spectrum of complications differ. The prevalence of complications intra-operative can help the doctor to avoid it and the complications postoperative can doctor preventive faster if he know the probability of complications. Rationale:This research, to the extent possible, will add to other relevant research as it will expand the area of knowledge of complications. While there is no research within the kingdom, I have spoken about the prevalence of intra-operative and postoperative complications. If we know the most common complications for any disease that can help we to asses and evaluate the patient and prevent anything unexpected to happening. Literature review:-According to the other previous study like: RESEARCH AIM: To determine the prevalence of intra-and postoperative complications of colorectal surgery.

Coronavirus disease 2019 (COVID-19) has spread globally to more than 62 million persons with overwhelming impact to the healthcare systems and chronic ill patients worldwide. In this study, our aim was to assess the satisfaction of surgical patients regarding their routine clinic visits during the COVID-19 pandemic in the Kingdom of Saudi Arabia.We conducted a descriptive cross-sectional study using a structured interview with questionnaire in the Kingdom of Saudi Arabia with a sample size of 518. Descriptive analysis was performed by using IBM SPSS version 17 (Chicago: SPSS Inc.). The results showed thatmost of the participants did not visit their scheduled surgical clinics during the COVID-19 pandemic and most of the ones who visited were very dissatisfied with the services they received. Accordingly, approaches to implement precautionary measures against COVID-19 and long-distance communication such as telemedicine, when properly instituted, can have a wider impact during this pandemic and in the future ones.