Primary squamous cell carcinoma of the breast (SCCB) is a very rare malignancy of the breast and is generally aggressive. It is even rarer during the gestational period. Only few cases have been reported during pregnancy and lactation (Rokutanda et al., 2000). SCCB seen within the gestational period tends to be very aggressive and has a larger size than other breast carcinomas. Pure SCCB is derived from the epidermis of the breast, nipple, or metaplasia on chronic inflammatory background (Bige et al., 2007), such as complicated breast cyst, dermoid cyst, or abscess. We report a case of SCCB in a 30-year-old primigravida that had an aggressive propensity and fatal outcome.

No abstract

Background Emergency department (ED) violence is common and widespread. Research suggests that ED staff receive the most amount of verbal and physical abuse. Nurses bear the brunt of the violence. The violence is becoming increasingly common and lethal. Many institutions are still improperly prepared to deal with it. Method A questionnaire-based survey of the perception of violence among nurses working in six tertiary hospitals EDs across fi ve states in the country was conducted. Result 81 nurses were interviewed with a male to female ratio of 1:4. Most were right about the defi nition of violence. 88.6% have witnessed ED violence while 65.0% had been direct victims before. Nurses followed by doctors are the usual victims of the ED carried out mostly by visitors to the ED. Males are usually responsible for the violence, which occurred most usually in the evening. Weapons are not commonly utilised in our environment as only 15.8% of the nurses had been threatened with a weapon over a 1-year period. The main perceived reasons for violence are overcrowded emergency rooms, long waiting time and inadequate system of security. All the institutions are lacking in basic strategies for prevention. While most of the nurses are not satisfi ed with the EDs which are considered not safe, fewer would wish for redeployment to other departments. Conclusion There is need to make the EDs safer for all users, or else we might have to start wishing our ED users come back home safe.

Purpose: Solitary bone plasmacytoma [SBP] is a localised variant of plasma cell tumor which commonly affects the axial skeleton but rarely found in the maxillofacial region. We hereby report an unusual case of solitary plasmacytoma of the right zygomatic bone in a 70-year-old Nigerian. Case Report: The patient presented with a painless right zygomatic swelling of 2 years duration. Examination showed that the swelling was of mixed consistency [mostly bony but firm in some areas] and it measured about 8 × 8 cm. Radiographic examination revealed an osteolytic lesion over the right zygoma with involvement of the apex and lateral wall of the antrum. An initial working diagnosis of ossifying fibroma was made and the patient was scheduled for surgery. Histological staining with H & E and immunohistochemistry of the surgical specimen however confirmed a diagnosis of SBP. Serum monoclonal protein and Bence Jones proteinuria was negative throughout the follow up period. Conclusion: SBP of the maxillofacial region is amenable to surgery combined with postoperative radiotherapy. However, prognosis can be worsened with tumor recurrence or dissemination into MM. Thus patients with SBP must be closely followed up after treatment so that immediate therapeutic steps can be taken if recurrence or systemic dissemination is encountered.