Complete hydatidiform mole coexisting with a live fetus.

Hydatidiform mole co-existing with a normal fetus is very rare. We report a case of a 36 year old woman Para 4+0 who presented with amenorrhoea of twenty four weeks duration, vaginal bleeding, abdominal pain and pre-eclampsia. Ultrasound examination revealed a hydatidiform mole coexisting with a normal living fetus. The patient underwent a caesarean section at twenty eight weeks for maternal distress due to unbearable abdominal pain. The baby died after seven days. Post operatively she had an eclamptic fit and developed oliguria and persistent trophoblastic disease which were all successfully treated.

Comparability, diagnostic validity and completeness of Nigerian cancer registries.

BACKGROUND: Like many countries in Africa, Nigeria is improving the quality and coverage of its cancer surveillance. This work is essential to address this growing category of chronic diseases, but is made difficult by economic, geographic and other challenges. PURPOSE: To evaluate the completeness, comparability and diagnostic validity of Nigeria's cancer registries. METHODS: Completeness was measured using children's age-specific incidence (ASI) and an established metric based on a modified Poisson distribution with regional comparisons. We used a registry questionnaire as well as percentages of death-certificate-only cases, morphologically verified cases, and case registration errors to examine comparability and diagnostic validity. RESULTS: Among the children's results, we found that over half of all cancers were non-Hodgkin lymphoma. There was also evidence of incompleteness. Considering the regional completeness comparisons, we found potential evidence of cancer-specific general incompleteness as well as what appears to be incompleteness due to inability to diagnose specific cancers. We found that registration was generally comparable, with some exceptions. Since autopsies are not common across Nigeria, coding for both them and death-certificate-only cases was also rare. With one exception, registries in our study had high rates of morphological verification of female breast, cervical and prostate cancers. CONCLUSIONS: Nigeria's registration procedures were generally comparable to each other and to international standards, and we found high rates of morphological verification, suggesting high diagnostic validity. There was, however, evidence of incompleteness.

Leiomyoma of the greater omentum presenting with massive ascites.

INTRODUCTION: : Primary tumours of the omentum are quite uncommon, although it is a common site for for secondaries. PRESENTATION OF CASE: : We report a case of leiomyoma of the greater omentum in a 31-year-old nulliparous woman who presented with a 2-year history of progressive abdominal distension with examination findings of massive ascites and a mobile ill-defined centrally located intra-abdominal mass. The preoperative diagnosis was equivocal. At surgery a pedunculated greater omental mass, which was histologically reported as a leiomyoma, was seen. She had an uneventful post-operative recovery. She has been followed up for twelve months with no evidence of recurrence or residual disease. DISCUSSION: : Extra-uterine leiomyoma is rare. It is even rarer for it to originate from the omentum. Pre-operative diagnosis is challenging. To the best of our knowledge this is the first reported case of leiomyoma of the omentum in Nigeria. CONCLUSION: : The uncommon association of ascites with this tumour deserves further scrutiny. The patient is still being followed-up.