Background: Most people with stroke in India have no access to organised

BACKGROUND Vast majority of lesions in breast are benign. More concern is given to malignancy of breast. It is the most common malignancy in female. Because the benign breast lesions are not associated with subsequent breast cancer, unnecessary surgical procedures can be avoided. Fine needle aspiration cytology plays an important role in preoperative diagnosis of breast lumps. It influences the modalities of treatment and avoids many unnecessary surgeries. Here, we have tried to establish the incidence of benign breast lesions and accuracy of FNAC in diagnosing benign breast lesions. MATERIALS AND METHODS This study has been undertaken in cases in Department of General Surgery, Govt. Medical College in patients with breast lump from 1.5.2015 to 1.6.2016 in a study population of 128 with all age groups. RESULTS The most common age of incidence of benign breast lesions were found to be 15-55 years except for 4 cases. Youngest age of the patient is 14 and eldest was 60 years. Sensitivity and specificity of FNAC for diagnosing fibroadenoma is 98.8% and 75%, for fibrocystic disease is 75% and 99%, for phyllodes tumour is 80% and 100%, for chronic mastitis is 80% and 100%, and for fibroadenosis is 22% and 80%. CONCLUSION Our study proves that benign breast disorders are common in reproductive age group. Fibroadenoma is the most common benign breast lesion. Right upper and outer quadrant is the commonest position of lump in the breast. FNAC is the most useful diagnostic modality with high specificity and positive predictive value.

Background: Cancer stomach is one of the five commonest cancer contributing to cancer mortality and morbidity.It is a curable disease if detected early but unfortunately most of the patients present in the locally advanced stage. Stage at presentation is the single most important prognostic factorand which determines the resectability of the disease.Methods: The present study is a Retrospective study and the study period was between January 2016 to January 2018. The inclusion Criteria were all patients above 30 years of age reporting with histopathological diagnosis of carcinoma Stomach to determine the age at presentation, stage at presentation, gender distribution, type of surgery done and the common histopathological diagnosis.Results: This study showed highest incidence of carcinoma stomach in the age group of 30- 50yrs.Male and female ratio was1.4:1. Around 58% patient presented in the locally advanced stage stage III A, IIIB and IIIC and 8% with liver metastasis.As already mentioned most of the patient present to the hospital in a late stage and stage is the most important prognostic factor.Conclusions: To conclude the present study showed a high incidence in the age group 30 to 50yrs and the most common affected gender was male. Pylorus and Pyloric antrum was the common site of presentation. Most of the patient around 58% presented in a locally advanced stage.

<p class="abstract">Tibia fractures are the commonest long bone fracture, most commonly resulting from high velocity injury. We investigated whether primary nailing in open tibia fractures were producing satisfactory outcomes and we compared the outcomes in terms of fracture union and rates of infection.<strong> </strong>We identified 202 citations related to our searches from our key words, out of which 89 were original articles, which were eligible and others were case reports and review articles. We found 4 from these references which had the parallel inclusion criteria and were reviewed. All 4 studies had almost similar time period for the fracture union. Infection rates in this study were directly related to the severity of the grade of injury, which were commonly experienced in grade III injuries. In conclusion, our analysis had no significant difference in postoperative healing duration, implant failure rates, postoperative infection and secondary operation rates in primary nailing for open tibia fractures.</p><p class="abstract"> </p>

Background: Breast is the second commonest site involved by cancer in Indian women after cervix. Breast cancer is easily detectable as it is an external organ, but many women fail to present at an early stage and they present in an advanced stage. The present study is a study to assess the risk factors for carcinoma breast patients presenting to government Vellore Medical college.Methods: The present study is a Retrospective study and the study period was between January 2017 to January 2018. The inclusion Criteria were all female patients above 30 years of age reporting with histopathological diagnosis of carcinoma breast. All the risk factors were assessed.Results: The present study focused on age group of 46-50 years who showed increased risk for development of carcinoma breast. The risk factors that were evident from the present study were staging of the disease, early menarche, delayed menopause, first pregnancy at later age. Apart from the above-mentioned risk factors, Nulliparity and non-breast feeding was also evident in the study. In addition, obesity also showed positive results as a risk factor.Conclusions: The high-risk factors for carcinoma breast from present study are early menarche, Late Menopause, Nulliparity, Non-breast feeding, and obesity. Obesity was one of risk factors which should be given importance in rural society too.