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  1. Article: Precise Pediatric Cancer Diagnosis Using Immunohistochemistry: Reducing Cost of Care and Improving Outcomes in a Low and Middle-Income Setting.

    Akinsete, A M / Fakile, U O / Joseph, O A / Akinjo, A O / Fashola, T O / Oladipo, A T / Akinsulie, A

    West African journal of medicine

    2024  Volume 40, Issue 12, Page(s) 1341–1346

    Abstract: Childhood cancer is a significant cause of morbidity and mortality worldwide. It is the second-leading cause of non-communicable deaths among children worldwide with more than 90% of childhood cancer-associated mortality occurring in low-income and ... ...

    Abstract Childhood cancer is a significant cause of morbidity and mortality worldwide. It is the second-leading cause of non-communicable deaths among children worldwide with more than 90% of childhood cancer-associated mortality occurring in low-income and middle-income countries. Disparity in mortality rates has been linked to late presentation, inaccurate diagnosis, treatment abandonment and poor access to appropriate therapy. Access to enhanced diagnostics such as immunohistochemistry (IHC) is vital for proper diagnosis and prompt institution of appropriate treatment for children with cancers. However, despite the ever-increasing insight into the use of these techniques for timely and accurate diagnosis of pediatric cancers; simple histological diagnosis remains the mainstay in most of the LMIC owing to financial constraints, unavailability of facilities and skilled manpower. Limited access results in imprecise diagnosis including missed diagnosis, misdiagnosis, and wrong diagnosis, subsequently resulting in increased cost of care and poor treatment outcomes. This article focuses on the benefits of precise diagnosis among children who presented with cancers in an LMIC and the observed reduction in the cost of care, length of hospital stay, and improved outcome in the observed cohort as well as how to improve and promote access.
    MeSH term(s) Humans ; Child ; Developing Countries ; Immunohistochemistry ; Neoplasms ; Health Facilities ; Length of Stay
    Language English
    Publishing date 2024-01-25
    Publishing country Nigeria
    Document type Journal Article
    ZDB-ID 1132088-6
    ISSN 0189-160X
    ISSN 0189-160X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Preputial cyst in the newborn: A case report from Africa.

    Elebute, Olumide Abiodun / Komolafe, Muyiwa D / Akinjo, A O / Alakaloko, Felix Makinde / Seyi-Olajide, Justina O / Ladipo-Ajayi, Oluwaseun / Abdulkareem, Fatimah Biade / Ademuyiwa, Adesoji O / Bode, Christopher O

    African journal of paediatric surgery : AJPS

    2023  Volume 20, Issue 1, Page(s) 80–82

    Abstract: Cysts of the prepuce are rare, and documented reports from the English literature are mostly from Asia. Presentations in children are worrisome to the parents. We report a case of a preputial cyst occurring in a neonate who was brought to our facility ... ...

    Abstract Cysts of the prepuce are rare, and documented reports from the English literature are mostly from Asia. Presentations in children are worrisome to the parents. We report a case of a preputial cyst occurring in a neonate who was brought to our facility due to parental anxiety. After a thorough clinical evaluation, a freehand circumcision technique was performed which allowed exposure of the full extent of the cyst, the external urethral meatus and the glans, thus ensuring complete excision and minimising the risk of injury to the adjoining structures. We postulate that preputial cysts are rare in Africa due to the universality of circumcision, which is one of the options of treatment. Preputial cysts are benign foreskin cystic lesions that can be effectively treated with circumcision. This is probably the first reported case of a benign epithelioid preputial cyst from Africa. The paucity of reported cases may be due to the universal practice of circumcision in most of Africa.
    MeSH term(s) Child ; Male ; Infant, Newborn ; Humans ; Circumcision, Male ; Africa ; Cysts/surgery ; Foreskin ; Parents
    Language English
    Publishing date 2023-02-10
    Publishing country India
    Document type Case Reports
    ZDB-ID 2392865-7
    ISSN 0974-5998 ; 0974-5998
    ISSN (online) 0974-5998
    ISSN 0974-5998
    DOI 10.4103/ajps.ajps_142_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: An audit of the diagnosis and reporting of soft tissue sarcomas at the Lagos University Teaching Hospital.

    Ikeri, N Z / Akinjo, A O / Ajayi, O O / Banjo, A A

    Nigerian journal of clinical practice

    2018  Volume 21, Issue 10, Page(s) 1330–1336

    Abstract: Background: : The effective management of patients with cancer is predicated on the right diagnoses and other relevant parameters included in the pathology report. This is particularly important in soft tissue pathology where arriving at the right ... ...

    Abstract Background: : The effective management of patients with cancer is predicated on the right diagnoses and other relevant parameters included in the pathology report. This is particularly important in soft tissue pathology where arriving at the right diagnosis is often challenging. The aim of this study, therefore, was to perform an audit of sarcoma diagnosis and reporting in our institution.
    Methods: Slides of soft tissue sarcomas diagnosed in our institution over a 5-year period were reviewed with specialist soft tissue pathologists. Ancillary immunohistochemistry and fluorescent in situ hybridization were performed where necessary. The contents of the reports were assessed using a diagnostic checklist developed by the Association of Directors of Anatomic and Surgical Pathology.
    Results: Fifty-five of the 62 patients studied (88.7%) were correctly identified as sarcomas. However, the correct diagnoses were made in only 27 patients (43.6%). Kaposi sarcoma and dermatofibrosarcoma protuberans were the most recognized sarcomas, while leiomyosarcoma, myxofibrosarcoma, and malignant peripheral nerve sheath tumor were the least recognized sarcomas. The most reported parameters included the histologic type (100%) and size (89.7%), while the percentage of necrosis (0%) and the stage (0%) were the least reported parameters.
    Conclusion: A pattern based approach is important for the accurate diagnosis of soft tissue sarcomas. Some essential prognostic parameters and information needed for management were not included in the histopathology reports. The adoption of a structured reporting format and multidisciplinary team meetings will help to ensure the inclusion of such important information in the pathology report.
    MeSH term(s) Adult ; Aged ; Biomarkers, Tumor/analysis ; Clinical Audit ; Female ; Hospitals, University ; Humans ; Immunohistochemistry ; In Situ Hybridization, Fluorescence/methods ; Leiomyosarcoma/epidemiology ; Male ; Middle Aged ; Nerve Sheath Neoplasms/epidemiology ; Nigeria/epidemiology ; Prognosis ; Sarcoma/classification ; Sarcoma/diagnosis ; Sarcoma/epidemiology
    Chemical Substances Biomarkers, Tumor
    Language English
    Publishing date 2018-09-17
    Publishing country India
    Document type Journal Article
    ZDB-ID 1458330-6
    ISSN 1119-3077
    ISSN 1119-3077
    DOI 10.4103/njcp.njcp_340_17
    Database MEDical Literature Analysis and Retrieval System OnLINE

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