Mucinous adenocarcinoma of the appendix: A case report and literature review

Primary adenocarcinoma of the appendix is a rare disease as compared with cancer of the colon. It is  common in patients in the middle age. Mucinous adenocarcinoma is one of the histological types seen. The usual presentation of patients is acute appendicitis or peri –appendicular abscess. Diagnosis is often made after the surgical specimen has been sent for histopathological review. It is important to rule out synchronous and metachronous tumour during surgery. We present a case of a 42 year old female whom an appendectomy had been attempted, the procedure was aborted and she developed an enterocutaneous fistula prior to presentation in our hospital. At exploratory laparotomy, the fistulous tract was excised and an appendectomy done. Histological report was that of mucinous adenocarcinoma. There was no synchronous or metachronous tumour in the patient and she did well after surgery. Mucinous adenocarcinoma of the appendix is a diagnosis made on histopathological assessment and is a very rare tumour. To the best knowledge of the authors, there is no known reported case of the disease in Nigeria. Thus, physicians and surgeons should entertain a diagnosis of the disease in middle aged patients such that exploration of bowel is performed with thorough surgical surveillance for synchronous and metachronous tumours

Knowledge Of Cervical Cancer And Its Socio-demographic Determinants Among Women In An Urban Community Of North-central Nigeria

Background: Cervical cancer is the second most common malignancy in women worldwide with a high incidence in developing countries and Nigeria is one of these countries. Despite this, majority of the women in these countries have poor knowledge of cervical cancer. Aims/Objectives: This study aimed at assessing the knowledge of symptoms and risk factors for cervical cancer among women in Olufadi community, Kwara State, North-Central Nigeria. Methods: This was a cross-sectional study involving women aged 25-64 years. Respondents were selected through systematic sampling of households. Interviewer- administered pre-tested semistructured questionnaire was used to collect data. Data was analyzed using SPSS version 15. Results: Only 59 (29.5%) respondents had some knowledge of symptoms of cervical cancer with 9 (4.5%) of them having good knowledge. Also, 53 (26.5%) had appreciable knowledge of the risk factors with only 20 (10.0%) of them demonstrating good knowledge. Age of respondents, age at marriage and attainment of tertiary education were significant predictors of knowledge of cervical cancer among the respondents. Conclusion: The poor knowledge of cervical cancer demonstrated by respondents in this study underscores the need for urgent community mobilization and use of educational resources to disseminate information on cervical cancer. Key words-Knowledge, cervical cancer, Nigeri