ABSTRACT
Background: To assess the sensitivity and specificity of ultrasonography in differentiating causes of acute right lower quadrant pain in women of childbearing age by taking surgical outcome as the gold standard. Methods: The descriptive, analytical study was conducted at the Lord Buddha Medical College, Saharsa, from July to November 2014 to April 2015, and comprised female patients of childbearing age who presented with acute right lower quadrant pain and underwent surgery after ultrasonography. Results: Of the 50 patients enrolled in our study on the basis of inclusion and exclusion criteria, 35 (70%) patients were symptomatically and sonographically positive to have either acutely inflamed non-compressible appendix or focal fluid collection in right lower quadrant with normal pelvic viscera. Sensitivity of 94% and specificity of 84% were calculated. Conclusion: Ultrasound had a sensitivity and specificity justifying its usage as a good diagnostic tool in emergency situations to avoid undue surgical interventions.
ABSTRACT
Background: Awareness of early breast cancer detection in women through mammography study (diagnostic as well as screening) for a diagnostic and direct approach to cross society (screening) with an early detection of breast cancer. But incidentally or coincidentally, so many males underwent the Mammography. Methods: A retrospective study was conducted with 45 males aged 15-75 years, who underwent mammography procedures co-incidentally, during well planned study of early detection of breast cancer for women through mammography for the duration of6 months at the Lord Buddha Medical College, Saharsa. Results: Even though relatively seems to be small in number, is having lots of significance to that, as only a few researchers carry out this type of study and Men hardly go for Mammography and even Medical fraternity hardly refers male for mammography. A total of 45 patients that too Men underwent mammography (an X-ray base technique to detect early breast lesions and mainly breast cancer) along with high frequency Sonography of each and every patient was carried out. Our study of 45 patients nearly showed the 3 patients having very high suspicions of malignancy means nearly 8% (Even though breast cancer in male is usually of 1%). Conclusion: So this retrospective analytical study conclude that even though routine mammography screening (In female every year) is not required in the male, but definitely it will be an a useful tool in patients having any type of complain related with breast like pain, enlargement or both, may help a lot to diagnose breast lesions like calcification, gynecomastia and breast cancer in early stage.