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Chettri ST, Bhandary S, Nepal A, Joshi RR, Natesh V, Sah SP, Sah BP, Koirala S. A single blind controlled study comparing bipolar elecrocautery tonsillectomy to cold dissection method in pediatric age groups. ACTA ACUST UNITED AC 2014. [DOI: 10.3126/hren.v11i3.9651] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Tonsillectomy is one of the most commonly performed operations in otolaryngology. There are many proven methods of tonsillectomy, including cold dissection and bipolar electrocautery. Objective: To compare bipolar elecrocautery tonsillectomy with cold dissection method in pediatric age groups. Methods: Single blind controlled study to compare bipolar technique against the conventional dissection/snare technique. Results: The average amount of bleeding on electrocautery side was 4.07ml and on the cold dissection side was 14.58 ml. The mean time of operation for electrocautery and cold dissection was 12.04 and 16.57 minutes respectively. On the second post operative day, 35% of the patients complained of pain on the cauterized side, 30% complained of more pain on the dissection side while 35 % experienced equal pain on both sides. Post-operative complication such as hemorrhage was not seen in both the techniques employed. Conclusion: In the present study, bipolar diathermy tonsillectomy had advantages in having less post-operative time and blood loss intraoperatively but patients experience slightly more pain than cold dissection. DOI: http://dx.doi.org/10.3126/hren.v11i3.9651 Health Renaissance 2013;11(3):270-272
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Kulshrestha R, Sah SP. Pattern of occurrence of leukemia at a teaching hospital in eastern region of Nepal - a six year study. JNMA J Nepal Med Assoc 2009; 48:35-40. [PMID: 19529056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
INTRODUCTION Pattern of leukemia is known to vary widely throughout the world. The characterization of distribution patterns of different subtypes of leukemia in Nepal needs further study. We wanted to study the leukemia pattern in our institute. METHODS A retrospective study of 196 cases of leukemia, diagnosed at BPKIHS, between January 1997 to December 2002 was done. We analyzed the pattern of leukemia at BPKIHS by morphological subtype, gender, age at diagnosis, time period of diagnosis (seasonality), and geographic distribution. RESULTS Morphological sub typing showed that 121 cases were of acute leukemia and 75 of chronic leukemia. Chronic myeloid leukemia constituted the single largest group comprising 35.2 % of all cases, followed by acute myeloid leukemia (28.57 %) and acute lymphoid leukemia (19.9 %). Maximum numbers of cases were from the lowlands while least number of cases were from the mountain districts. Results were compared with literature from Nepal and other countries. This is the second series of leukemia from Nepal. CONCLUSIONS The data published in this study reflects the leukemia pattern in the eastern region of Nepal. The pattern and distribution of AML, CML, ALL was similar to that in the developed western countries while the lesser frequency of CLL was similar to that in Southeast Asian region.
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Affiliation(s)
- R Kulshrestha
- Department of Pathology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
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Kulshrestha R, Sah SP. Pattern of Occurrence of Leukemia at a Teaching Hospital in Eastern Region of Nepal - A Six Year Study. JNMA J Nepal Med Assoc 2009. [DOI: 10.31729/jnma.194] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
INTRODUCTION:Pattern of leukemia is known to vary widely throughout the world. The characterization of distribution patterns of different subtypes of leukemia in Nepal needs further study. We wanted to study the leukemia pattern in our institute.METHODS:A retrospective study of 196 cases of leukemia, diagnosed at BPKIHS, between January 1997 to December 2002 was done. We analyzed the pattern of leukemia at BPKIHS by morphological subtype, gender, age at diagnosis, time period of diagnosis (seasonality), and geographic distribution.RESULTS:Morphological sub typing showed that 121 cases were of acute leukemia and 75 of chronic leukemia. Chronic myeloid leukemia constituted the single largest group comprising 35.2 % of all cases, followed by acute myeloid leukemia (28.57 %) and acute lymphoid leukemia (19.9 %). Maximum numbers of cases were from the lowlands while least number of cases were from the mountain districts. Results were compared with literature from Nepal and other countries. This is the second series of leukemia from Nepal.CONCLUSIONS:The data published in this study reflects the leukemia pattern in the eastern region of Nepal. The pattern and distribution of AML, CML, ALL was similar to that in the developed western countries while the lesser frequency of CLL was similar to that in Southeast Asian regionKey Words:leukemia, pattern, eastern Nepal, seasonality.
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Baral N, Pokhrel S, Lamsal M, Yadav BN, Sah SP. Utility of gamma-glutamyl transpeptidase and mean corpuscular volume in alcoholic liver disease. Southeast Asian J Trop Med Public Health 2005; 36:1007-10. [PMID: 16295559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
The present study was designed to establish the role of Gamma-glutamyl transpeptidase (gamma-GT) and mean corpuscular volume (MCV) in alcoholic liver disease (ALD). Serum gamma-GT, total and direct bilirubin, albumin, total protein, AST, ALT and ALP were assayed by standard methods in a clinical chemistry autoanalyser. MCV, Hb, PCV and RBC were measured by an automated cell counter. Activity of gamma-GT and MCV levels were significantly higher in the patients with ALD compared to controls. A gamma-GT level of > or = 25 U/l was found to be significantly associated with ALD. MCV level > or = 100 fl/l showed a significant association with ALD. An AST to ALT ratio > 1 was found in 92% of the patients. None of the patients showed an ALT level > or = 300 IU/l. The degree of AST elevation in the patients with ALD was higher (3.7 times) then ALT (3.2 times). A gamma-GT level > or = 25 IU/L and an MCV level > or = 100 fl/l stand as markers of heavy alcohol consumption in this study. An AST to ALT ratio > 1 was present in most of the patients with ALD. The degree of elevation of AST was higher than ALT in the patients with ALD.
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Affiliation(s)
- N Baral
- Department of Biochemistry, BP Koirala Institute of Health Science, Dharan, Nepal.
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De U, Jain BK, Sah SP, Rauniyar RK, Dargan P. Primary liposarcoma of the omentum: a case report and review of the literature. INDIAN J PATHOL MICR 2003; 46:638-40. [PMID: 15025363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023] Open
Abstract
A case of round cell liposarcoma of omentum in a 45-year-old man is reported. The patient presented with abdominal pain, swelling and fever of 4-month duration. Abdominal ultrasonography and computed tomogram confirmed the presence of an abdominal mass, but the omental origin of the tumour was revealed only on laparotomy. In addition to the main tumour mass, multiple nodules were present in the omentum. The tumour was excised with omentum. Histopathology of the tumour revealed a round cell liposarcoma. The patient expired 9 months after operation. Eight other cases of liposarcoma of omentum reported in English literature are reviewed.
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Affiliation(s)
- Utpal De
- Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
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Lakhey M, Agarwal A, Lakhey S, Sinha AK, Sah SP, Gupta S, Pandey SR. CANCER PATTERN IN EASTERN REGION OF NEPAL. JNMA J Nepal Med Assoc 2003. [DOI: 10.31729/jnma.630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Abstract
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Bhadani PP, Sah SP, Afaque A. EPIDERMOID CYST OF THE SPLEEN: REPORT OF A CASE. JNMA J Nepal Med Assoc 2003. [DOI: 10.31729/jnma.649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Splenic epidermoid cyst is a rare entity and represents about 10% of the non-parasitic benign cysts of thespleen. We report a rare case of epidermoid cyst in a 45-year-old female who presented with pain and leftupper abdominal mass. So far, such case has not been reported from Nepal.Key Words: Epidermoid cyst, spleen, late onset, mesothelial cyst.
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Abstract
Retinoblastoma, the commonest intra-ocular tumor of childhood, is rare after the ageof 5 years. We report a case of retinoblastoma in a 10 year-old boy, who presentedwith a fungating proptosed tender mass involving the entire left eye and the orbit. Aclinical diagnosis of retinoblastoma was made. Exenteration of the left orbit was done.Histopathology revealed well-differentiated retinoblastoma with the involvement ofoptic nerve section. CSF and bone marrow aspirates did not show any malignantcells. This paper highlights the delayed presentation of retinoblastoma in late childhoodand discusses the treatment modalities of orbital retinoblastoma.Though retinoblastoma in late childhood is uncommon, it should be considered in thedifferential diagnosis of leukocoria and a fungating proptosed mass.Key Words: Retinoblastoma, late childhood, fungating proptosed mass.
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Lakhey M, Verma K, Khan IR, Sah SP, Rani S. Malignant Degeneration in a Mature Cystic Teratoma of Ovary A Case Report. JNMA J Nepal Med Assoc 2003. [DOI: 10.31729/jnma.845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Malignant transformation of benign cystic teratoma of ovary is rare and the mostcommon malignancy encountered is squamous cell carcinoma. The diagnosis is rarelymade preoperatively and the prognosis is usually poor. Here we report a case ofsquamous cell carcinoma arising in a dermoid in a 44 years old lady who presentedwith bilateral dermoid cysts. The preoperative findings, surgical approach andadjuvant therapy are discussed.Key Words: Malignant transformation, benign cystic teratoma, squamous cell carcinoma.
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Sah SP, Matutes E, Wotherspoon AC, Morilla R, Catovsky D. A comparison of flow cytometry, bone marrow biopsy, and bone marrow aspirates in the detection of lymphoid infiltration in B cell disorders. J Clin Pathol 2003; 56:129-32. [PMID: 12560392 PMCID: PMC1769888 DOI: 10.1136/jcp.56.2.129] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIMS To evaluate the diagnostic value of bone marrow aspirates, trephine biopsies (BMB), and flow cytometry (FC) in the assessment of bone marrow infiltration in chronic lymphoid disorders. METHODS Investigations were carried out in 110 diagnostic and follow up specimens from B cell disorders, namely: chronic lymphocytic leukaemia (CLL; 65), non-Hodgkin's lymphoma (NHL; 39), and hairy cell leukaemia (HCL; 6). A selected panel of monoclonal antibodies was used both for FC and immunohistochemistry. RESULTS In CLL there was agreement between the three investigations in 71% of samples and in 88% when only FC and BMB were compared. In nine of 65 samples, FC and BMB were positive, although the aspirate was reported as negative. Four BMB negative samples had minimal residual disease (MRD) detected by FC, whereas two samples were positive both on BMB and aspirate but showed no evidence of disease on FC. In NHL, there was agreement between the three investigations in 22 of 39 cases, and in 27 of 39 cases there was agreement between FC and BMB. In eight of 39 NHL cases, FC was negative but the BMB was either positive (five) or uncertain (three), whereas in three of 39, FC was positive but BMB was either negative (one) or uncertain (two). In three of five uncertain BMB, no clonal population was detected by the polymerase chain reaction, whereas in the remaining two cases the nodular aggregates disappeared on further sectioning. CONCLUSIONS Both BMB and FC are better than bone marrow aspirates for the detection of infiltration in B cell disorders. FC might be slightly more sensitive than BMB to detect MRD in CLL, whereas BMB may be slightly better than FC in NHL.
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Affiliation(s)
- S P Sah
- Academic Department of Haematology and Cytogenetics, The Royal Marsden Hospital, 203 Fulham Road, London SW3 6JJ, UK
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Sharma SK, Das ML, Rijal S, Sah SP, Koirala S. Lymphatic leishmaniasis--first case report from Nepal. Southeast Asian J Trop Med Public Health 2001; 32:749-50. [PMID: 12041549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
We report a case of exclusive involvement of lymph node in leishmaniasis presenting as generalized lymphadenopathy. The diagnosis of lymphatic leishmaniasis was confirmed by the presence of Leishmania donovani body in fine needle aspiration cytology, positive direct agglutination test and anti-rK39 antibodies. The bone marrow aspiration was negative for Leishmania donovani body. This is the first case of lymphatic leishmaniasis reported from Nepal.
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Affiliation(s)
- S K Sharma
- BP Koirala Institute of Health Sciences, Dharan, Nepal.
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Abstract
Lymphangioma circumscriptum (LC) is an uncommon dermatologic problem that rarely affects the vulva and it is considered to be a localised developmental defect of lymphatic tissue in the dermis. We report a case of vulval LC, clinically diagnosed as genital wart, in a 48-year-old woman without evidence of secondary lymphatic damage. The patient required extensive vulval surgery and there was no recurrence after 16 months.
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Affiliation(s)
- S P Sah
- Department of Pathology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
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Affiliation(s)
- S Agrawal
- Department of Dermatology and Pathology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
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Sah SP, Babu CS, Rani S. Cystic granulosa cell tumor of the ovary--a case report. INDIAN J PATHOL MICR 2001; 44:349-51. [PMID: 12024932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
A case of cystic granulosa cell tumor of ovary in a 32 year old woman is described. The patient presented with abdominal mass without any signs and symptoms of hyperestrinism and virilization. Ultrasonographically and grossly a diagnosis of benign cystadenoma was considered. Histopathology confirmed the diagnosis of cystic granulasa cell tumor.
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Affiliation(s)
- S P Sah
- Department of Pathology, B P Koirala Institute of Health Sciences, Dharan, Nepal
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Joshi A, Sah SP. Cutaneous metastatic adenocarcinoma. Indian J Dermatol Venereol Leprol 2001; 67:207-8. [PMID: 17664746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
A 55-year-old male presented with asymptomatic nodules and plaques on his scalp and pubic region of 2 months' duration. He was having productive cough, haemoptysis, chest pain, anorexia and weight loss and receiving antitubercular treatment for these symptoms for last 3 months. Clinical diagnosis of cutaneous metastatic disease was made. Chest x-ray revealed multiple coin shaped shadows on both sides with pleural effusion. Routine investigations were normal except for anemia and hyperuricemia. Biopsy of skin nodules showed features of metastatic adenocarcinoma. Features and significance of cutaneous metastases are discussed.
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Affiliation(s)
- A Joshi
- Department of Dermatology and Venereology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
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Sah SP, Mishra A, Rani S, Ramachandran VG. Cervicofacial actinomycosis: diagnosis by fine needle aspiration cytology. Acta Cytol 2001; 45:665-7. [PMID: 11480741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
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Abstract
An unusual massive benign cystic monodermal teratoma of the ovary in a 14-year-old girl is reported. The multilocular cyst measured 80 x 70 x 80 cm and contained 23 l of fluid. The cyst wall composed of purely mature central nervous system tissue with a prominent microvasculature resting on a thin rim of ovarian cortical tissue. Immunohistochemical stains supported the diagnosis. To the best of our knowledge only one such case has been described in the literature.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
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Sah SP, Jha PC, Gupta AK, Raj GA. An incidental case of breast cysticercosis associated with fibroadenoma. INDIAN J PATHOL MICR 2001; 44:59-61. [PMID: 12562000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023] Open
Abstract
It is unusual for cysticercosis to occur in the substance of the breast. Only a few cases have been described in the literature. We report a case of cysticercosis perched on fibroadenoma of breast found on surgical excision in a 35 year old Nepali woman. The patient had no discernible evidence of cysticercosis in the other organs.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Science, Dharan, Nepal.
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Abstract
Two young Nepalese females, aged 34 and 17 years, presented with multiple small brown macules in a reticulate pattern on the distal extensor aspects of their limbs. The first patient's daughter also had similar lesions. The second patient had similar lesions on her eyelids and palmar pits as well. The clinical diagnosis of reticulate acropigmentation of Kitamura (RAK) was made in both the patients and was confirmed histopathologically. These are the first case reports of this condition from Nepal.
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Affiliation(s)
- A Joshi
- Department of Dermatology and Venereology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun-248140, Uttar Pradesh, India
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Sah SP, Bahadur KC, Rani S. Lymphangiectatic fibrolipomatous polyp of the palatine tonsil. INDIAN J PATHOL MICR 2000; 43:449-51. [PMID: 11344610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
A rare benign polypoid tumor of the right palatine tonsil is described in a 23 year old male. It contained dilated lymphatic channels surrounded by fibrous tissue and foci of mature fat. The features of this lesion add support to the hypothesis that benign tumors of tonsil may be hamartomas of tonsil rather than true neoplasms. The differential diagnosis of polypoid lesions of the tonsil is discussed.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
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Abstract
Vaccination against hepatitis B virus has rarely been associated with lichen planus. We report a case of this kind in a child from Nepal. A 12-year-old boy had developed generalized itchy violaceous papules and plaques six weeks after the second dose of hepatitis B virus vaccine. Serum HBsAg and HBeAb were negative, but HBsAb was positive. New crops of generalized, similar eruptions developed after the booster dose of vaccine. All the lesions resolved within three months of systemic steroid therapy. There was no recurrence after one year of follow up. Awareness of such an association is necessary, especially in children, because vaccination campaigns are increasing.
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Affiliation(s)
- S Agrawal
- Department of Dermatology and Venereology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
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Sah SP, Agrawal CS, Rani S. Congenital infantile fibrosarcoma of the upper extremity. INDIAN J PATHOL MICR 2000; 43:347-9. [PMID: 11218684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
Congenital-infantile fibrosarcoma is an unusual childhood tumor that occurs mainly in children under 5 years of age. More than 300 cases have been reported in the literature so far, very few of them at birth. A distinction must be made between it and its adult counterpart because of differences in their clinical behaviour. We report here a case of congenital fibrosarcoma in a 4-day-old female infant.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal
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Joshi A, Sah SP, Agrawal S, Agarwalla A, Jacob M. Palmar erythema nodosum. J Dermatol 2000; 27:420-1. [PMID: 10920594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Joshi A, Sah SP, Agarwalla A, Agrawal S, Jacob M. Basal cell carcinoma arising in a localized linear verrucous epidermal naevus. Acta Derm Venereol 2000; 80:227-8. [PMID: 10954229 DOI: 10.1080/000155500750043159] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
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Sah SP, Agrawal CS, Khan IR, Rani S. Hydatid cyst presenting as a breast lump. Southeast Asian J Trop Med Public Health 2000; 31:185-6. [PMID: 11023090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
We report a 33-year-old woman who presented with a breast lump which, on pathological examination, was found to be a hydatid cyst. There was no evidence of any coexistent lesion elsewhere. To our knowledge, this represents the first case of hydatid disease of the breast reported from Nepal.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
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Agrawal S, Joshi A, Jacob M, Sah SP, Agarwalla A, Garg VK. Leprosy at the age of 141 years: a case report. Int J Lepr Other Mycobact Dis 1999; 67:471-3. [PMID: 10700923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
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Sah SP, Raj GA, Rijal S, Karki P. Clinico-haematological and management profile of aplastic anaemia--a first series of 18 cases from Nepal. Singapore Med J 1999; 40:451-4. [PMID: 10560270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
AIM OF STUDY To study the prevalence, clinico-haematological and management profile of aplastic anaemia (AA) among severely anaemic patients treated at BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal. METHOD A retrospective analysis of 18 cases of biopsy proven AA patients was done between September 1995 and August 1997. RESULTS Over a period of 2 years, 140 patients with severe anaemia were admitted to our institution. Eighteen patients were diagnosed with AA. The ages of the AA patients ranged from 7 to 56 (median 15) years, with a male: female ratio of 1.23:1. Pallor, bleeding diathesis, weakness and fever were the most common presenting complaints. Blood counts showed pancytopenia in 16 cases. Bone biopsies of all the cases were hypoplastic. Sixteen cases were non-severe AA and the remaining 2 were severe. Of the 18 cases, 16 were idiopathic; 1 case each was associated with chloramphenicol toxicity and hepatitis B infection respectively. Most of the patients were treated with corticosteroids or androgens or a combination of both. Only six patients came for regular follow-up. CONCLUSION The high (12.85%) prevalence of AA among patients admitted with severe anaemia in this hospital (which acts as a catchment area for the Eastern region) may not reflect the actual prevalence of the disease in the local community. However, a prospective study may delineate the causative factors peculiar to this region. The clinico-haematological profile is typical of the disease. However, the management profile is incomplete without a proper follow-up. This limitation may be overcome by providing free or subsidized treatment.
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Affiliation(s)
- S P Sah
- Department of Pathology, B P Koirala Institute of Health Sciences, Dharan, Nepal
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Affiliation(s)
- S P Sah
- Department of Pathology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
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Abstract
A 60-year-old man presented with multiple superficial ulcers on the glans penis. Histopathology, a positive tuberculin test result, and therapeutic response to antituberculous therapy confirmed the diagnosis of penile tuberculosis. Examination was otherwise normal except for a solitary enlarged reactive lymph node on the right side. There was no evidence of coexistent tuberculous infection elsewhere.
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Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
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Sah SP, Raj GA, Prakash MB. Quality assurance programme in haematology at a teaching hospital in the eastern region of Nepal. INDIAN J PATHOL MICR 1999; 42:145-9. [PMID: 10639773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
Quality assurance in haematology laboratory is intended to ensure the reliability of the laboratory tests. A quality assurance programme has two main aspects, namely, internal quality control and external quality assessment. A two year experience of quality assurance in haematology laboratory at B.P. Koirala Institute of Health Sciences, Nepal, is presented here. As a part of internal quality control, test results in the laboratory were scrutinized before release on a daily basis. Inconsistent result were checked for the given values with control material. In addition, the laboratory is a participant of the 'External Haematology Quality Assurance Programme' conducted by WHO regional reference centre at AIIMS, New Delhi, India. Variations related to errors in manual and autopipetting, calibration and inter-observer differences have been noted from time to time and rectified. The programme has helped us to deliver quality service in haematology laboratory at BPKIHS.
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Affiliation(s)
- S P Sah
- Department of Pathology, B.P. Koirala Institute of Health Sciences Dharan, Nepal
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Sah SP, Raj GA, Kalra OP, Ansari JA. Visceral leishmaniasis presenting as generalized lymphadenopathy in Nepal. Southeast Asian J Trop Med Public Health 1999; 30:36-7. [PMID: 10695785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Affiliation(s)
- S P Sah
- Department of Pathology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
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Sah SP, Meiwes KJ. Rates of acid deposition and their interaction with forest canopy and soil in two beech forest ecosystems on limestone and Triassic sandstone soils in N. Germany. ACTA ACUST UNITED AC 1989. [DOI: 10.1080/09593338909384821] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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