Breast lesions and cancer: histopathology and molecular classification in a referral hospital in Ghana

Background: Histological diagnosis is crucial to the management of breast diseases. It determines the kind of disease, the treatment modalities, and the outcome of management. Our department receives breast biopsies from the northern sector of Ghana constituting over 50% of the Ghanaian population. This study aimed at elucidating the pattern of disease and associated traditional prognostic indices of breast cases in our department over a period of 9 years.Methods: Information on the demographic characteristics and the histological diagnoses made on all breast cases received and processed in the department were accessed and entered into an Excel spreadsheet. Slides were reviewed and IHC was done on suitable cases. Descriptive statistics were generated using IMB-SPSS version 23.Results: A total of 4276 breast cases were received by the department within the study period, with 97.6% being female. Age ranged (female/male) from 10 to 98/13 to 102 years, with mean ages of 38.2 years (SD ± 16.7) and 41.15 years (SD ± 21.6), respectively. Cases were evenly distributed in both left and right breasts and 4.3% were bilateral. Inflammatory conditions were seen in 7.5% of cases. The most diagnosed benign tumor was fibroadenoma (54%), followed by fibrocystic change (8.1%). Gynecomastia was diagnosed in 66.3% of males. Malignant cases were 38.6%, with invasive carcinoma NST being the most frequent (87.5%). Histological grades were I = 9.4%, II = 41.6%, and III = 49%. Molecular subtypes were luminal A (19.8%), luminal B (9.9%), Her2 (16%), and TNBC (54.3%).Conclusion: Our findings show an increase in breast cancer cases compared to previous studies in our center, suggesting increased awareness and improved diagnosis. However, this increase is consistent with most studies in sub-Saharan Africa

Assessment of Landfill-emitted Gaseous Pollutants and Particulate Matters in Alimosho Local Government of Lagos state, Nigeria

Information on landfill-emitted pollutants in Nigeria cities has consequently become a priority. This study was designed to assess the air quality of landfill sites and the nearby communities in the Alimosho Local Government Area of Lagos state, Nigeria. Five public landfills in use since about thirty years ago were chosen for this study. A lightly populated area, free from other sources of air pollution served as control. Target points for the study were the centre of landfill (CLF), 50M from CLF, 100M from CLF, and a radius of 100M away from landfill. Levels of selected gaseous pollutants (NO2, O3, H2S and CO) and particulate matters (PM2.5 and PM10) were determined in the landfill environments and control (unpolluted area), using Aeroqual Series 500 with sensors for NO2, O3, H2S, CO, PM2.5 and PM10. The result showed that levels of H2S were significantly (p<0.001) higher at the CLF, 50M from CLF and 100M from CLF compared with unpolluted area. There was no significant (p>0.05) difference when the level of H2S in 100M radius was compared with the unpolluted area. Levels of CO were significantly (p<0.001) higher at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with unpolluted area. The levels of O3 were significantly (p<0.001) higher at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with unpolluted area. Levels of VOC were significantly (p<0.001) higher at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with unpolluted area. The levels of NO2 were significantly (p<0.001) higher at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with the unpolluted area. The levels of PM2.5 increased significantly (p<0.001) at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with the unpolluted area. The levels of PM10 were also significantly (p< 0.001) higher at the CLF, 50M from CLF, 100M from CLF and 100M radius compared with the unpolluted area. In conclusion, communities close to landfills may be polluted with toxic gases and particulate matters. Further investigation is needed to validate the safe distance of residential areas from landfills to avert the risks of toxicity associated with gaseous pollutants

Application of Osmotic Dehydration for Shelf Life Extension of Fresh Poultry Eggs

- This research work was aimed at applying osmotic dehydration which had suffice the treatment of agricultural produce especially fruits and vegetables with sustained organoleptic qualities. The effect of sucrose solution concentrations (16, 32, 42 and 54oBrix) at ambient temperatures of 30plusmn2 oC for periods of 180min was investigated on fresh poultry eggs. Treated sample of eggs exposed to a worst scale of unstable environmental conditions 30plusmn2 oC were monitored with candling and a control experiment in water glass solution. The investigation achieved extended shelf life of over 66 days without modifications to their internal and external structures, and taste using a six point hedonic scale. The effect of sucrose concentration and time of immersion were observed to be inversely dependent on effective periods of preservation of the poultry eggs by osmotic dehydration evaluated in percentage weight loss.nbs

Allergic Airway-Induced Hypersensitivity Is Attenuated by Bergapten in Murine Models of Inflammation

Bergapten (5-methoxypsoralen, 5-MOP) is a plant-derived furocoumarin with demonstrated anti-inflammatory action. The present study investigated its effects on allergic inflammation in two related pathways of mast cell degranulation. Compound 48/80 and lipopolysaccharide (LPS) were used to activate the IgE-independent pathway while bovine serum albumin (BSA) was used as allergen for the IgE-dependent pathway. The modulatory effect of bergapten on mast cell degranulation, neutrophil extravasation, protein concentration, lung histopathology, and oxidative stress was assessed. Bergapten at 10, 30, and 100 μg/ml for 15 min stabilized mast cells in rat mesenteric tissue from disruption in vitro and when administered in vivo at 3, 10, and 30 mg kg−1 for 1 h protected mice from fatal anaphylaxis induced by compound 48/80. Similarly, treatment of LPS-challenged mice with bergapten (3, 10, and 30 mg kg−1) for 24 h significantly decreased neutrophil infiltration into bronchoalveolar lavage fluid, mean protein concentration, and inflammatory cell infiltration of pulmonary tissues when compared to the saline-treated LPS-challenged control. In addition, lung histology of the bergapten-treated LPS-challenged mice showed significantly less oedema, congestion, and alveolar septa thickening when compared to the saline-treated LPS-challenged disease control. LPS-induced oxidative stress was significantly reduced through increased tissue activities of catalase and superoxide dismutase and reduced malondialdehyde levels on treatment with bergapten. In the triple antigen-induced active anaphylaxis, daily administration of bergapten at 3, 10, and 30 mg kg−1 for 10 days, respectively, protected previously sensitized and challenged mice against anaphylactic shock. Overall, our study demonstrates the ability of bergapten to attenuate allergic airway-induced hypersensitivity in murine models of inflammation, suggesting its possible therapeutic benefit in this condition

Expression of Tumour-Associated MUC1 Is a Poor Prognostic Marker in Breast Cancer in Kumasi, Ghana

Background. Immunohistochemical assessment of breast cancer and stratification into the basic molecular subtypes afford a much deeper insight into the biology of breast cancer, while presenting with opportunities to exploit personalized, targeted treatment. Traditionally, the oestrogen, progesterone, and epidermal growth factor receptors are assessed. MUC1, a transmembrane mucin, has been demonstrated a potential prognostic and metastatic marker in breast cancer. However, there have been a limited number of studies addressing the predictive and prognostic features of MUC1 in African breast cancer. This study aims at addressing the expression profiles of MUC1 and other biomarkers in Ghanaian breast cancer and determines its predictive and prognostic characteristics, in relation to other clinicopathological features. Methods. Haematoxylin and eosin (H&E) slides of breast cancer cases were reviewed and 203 suitable cases were selected for tissue microarray (TMA) construction and immunohistochemistry. Anti-ER, PR, HER2, Ki-67, and MUC1 antibodies were used. Results from the immunostaining were analysed using SPSS version 23. Results. About 59% of cases expressed MUC1. Majority of cases in the study showed a lack of expression of all three traditional markers (29% expressed ER, 10.9% PR, and 20.7% HER2). Ki-67 index were 62.1% (low), 16.5% (moderate), and 21.4% (high). MUC1 expressions among the molecular classes were luminal A (60.7%), luminal B (68.8%), HER2 overexpression (87.5%), and triple negative (56.6%). There were significant associations between MUC1 and HER2 overexpression (p=0.01) and triple negative (p<0.01). Conclusion. The high proportion of breast cancer cases expressing MUC1, as well as its association with the two most aggressive molecular classes, indicate a substantial role in the biology of breast cancer in our cohort, and it is an indication of poor prognosis