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K C Katchy

Publications and source records attributed to K C Katchy.

13 recordsLinked to original sources

Orbital reconstruction following sino-nasal mucormycosis.

We discuss the reconstruction of an orbit destroyed by an invasive fungal infection. Sino-nasal mucormycosis is usually associated with a poor prognosis, and occurs almost exclusively in immunocompromised patients. Serial imaging leading to repeated radical debridement, along with intravenous amphotericin, helped the patient to recover from this serious disease. A well-vascularised galeal frontalis-pericranial flap from the mid-forehead region was used to reconstruct the orbital defect.

Adult↗

Clinical and pathological features of ovarian tumours in Rivers state of Nigeria.

The pattern and clinical features of 45 ovarian tumours seen in a Southern Nigeria hospital between 1984 and 1987 were examined. The results indicate that germ cell tumours are relatively more common in this part of Nigeria than in North America and Europe. A reduced incidence of surface epithelial tumours was also observed. Most patients with either benign or malignant tumours were less than 40 years old. Two of the five tumours associated with pregnancy were malignant. The ratio of benign to malignant tumours, presenting complaints of the patients and the late stage of most malignant tumours at the time of diagnosis were consistent with what has been observed in other parts of the world.

Adolescent↗

Pattern of primary gynecological malignancies as seen in a tertiary hospital situated in the Rivers State of Nigeria.

Between January 1984 and December 1987, out of a total gynecological admission of 1706 patients at the University of Port Harcourt Teaching Hospital, 72 had primary cancers of the female genital organs (excluding malignant trophoblastic diseases). Of those, 53 had cervical, 10 ovarian, 6 endometrial and 3, vulval cancers. There were no cases of vaginal or fallopian tubal cancers. Ovarian cancer was the commonest gynecological cancer before the age of 40 while cervical cancer was commonest after 40. Germ cell tumors of the ovary were frequent. Patients with endometrial cancer reported early to hospital for treatment but those with other types of cancers generally reported late. On account of late arrival to hospital, inadequate medical facilities and a high defaulting rate, the outcome of treatment was very poor. Since evidence exists to the effect that cervical cancer may be sexually transmitted, a plea is made for the promotion of the widespread use of condoms in order to reduce the prevalence of invasive carcinoma of the cervix in developing countries.

Age Factors↗

Clinical and pathological features of breast cancers in Rivers State, Nigeria.

In this study, the clinico-pathological features of breast cancers seen in Rivers State of Nigeria were retrospectively analysed. Nine out of 67 patients (13%) were younger than 30 years of age. Only 13% of 46 patients presented within one month of the onset of symptoms. The mean duration of symptoms varied from 3.7 months in patients under 30 years of age to 13.3 months in those in the 50-59 years age range. Most patients, 40 out of 51, presented with axillary lymph node metastases, the incidence of which varied directly with both the duration of symptoms and age. It is suggested that the rise in the incidence of axillary lymph node metastasis with age is determined by increase in the duration of symptoms. These results highlight the need to intensify cancer education in the population. The presenting complaints and the distribution of the various histological types did not differ from other reports.

Adult↗

Brenner tumor as encountered in a southern Nigerian Hospital.

Brenner tumor is an uncommon ovarian tumor whose etiology and hormonal activity have aroused controversies. The salient features of three cases of this tumor seen at the University of Port Harcourt Teaching Hospital, Nigeria, between March 1981 and March 1987 are discussed. In one case, the tumor was bilateral and was associated with secondary polycythemia. Another case was associated with a full term pregnancy and here the tumor contained luteinized stromal cells. Although such cells are usually associated with estrogenic activity, the full term pregnancy in this case will suggest at best a low level of hormonal activity. The last case was an incidental microscopic lesion in a postmenopausal woman.

Adult↗