The incidence of prostate cancer in Port Harcourt is high relative to other Nigerian centers where similar studies have been carried out and compares well with the high incidence found among African American men. Histologically, all cases are acinar adenocarcinomas. Most patients present late with high GS carcinoma and therefore have poor prognosis. There is a need for enlightenment of the male populace on the high incidence of this deadly disease as well as for screening to reduce the number of patients presenting late and therefore improve prognosis.
Gastric mucosa-associated lymphoid tissue has a well established pathophysiologic link with Helicobacter pylori infection. Mucosa-associated lymphoid tissue (MALT) is acquired through chronic in lammation/antigenic stimulation in organs which are normally devoid of lymphoid tissue. We report a case of a 65 years old man with a two year history of dyspeptic symptoms associated with gradual weight loss and an epigastric mass. With poor response to anti-ulcer regimens in a peripheral hospital, he was offered a gastrectomy. The histologic report of the mass showed atypical lymphoid cells in iltration of the gastric mucosa up to the muscularis propria. He was promptly commenced on a standard chemotherapeutic regimen for Non Hodgkin's lymphoma, but demised before the second course of chemotherapy. This case highlights the need for prompt endoscopy with biopsy and histologic diagnosis of specimen to shorten delays in diagnosis and improve outcome of patients with gastric mucosa-associated lymphoid tissue.
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