Clinicopathological Patterns and Short Term Surgical Outcomes of Soft Tissue Malignancies of the Trunk, Abdomino-Pelvic Cavity and Extremities at Bugando Medical Centre, Mwanza, Tanzania (Record no. 18543)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03561nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000268/T/18 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000268/T/18 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240422161835.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 220208b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | Website: www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MMED/6000268/T/18 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| Language of cataloging | English |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Magesa, Fikiri. Simon |
| Dates associated with a name | [Male] |
| 9 (RLIN) | 30720 |
| Relator term | CUHAS/MMED/6000268/T/18 |
| 245 ## - TITLE STATEMENT | |
| Title | Clinicopathological Patterns and Short Term Surgical Outcomes of Soft Tissue Malignancies of the Trunk, Abdomino-Pelvic Cavity and Extremities at Bugando Medical Centre, Mwanza, Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS – Bugando] : |
| Date of publication, distribution, etc. | 2021 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 106 Pages |
| Extent | Includes References and Appedndices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Soft tissue malignancies are heterogeneous group of neoplasm which present a challenge in management, ranging from diagnosis to treatment and recovery. The challenges is even more conspicuous in resource limited setting where late presentation coupled with limited availability of modern diagnostic and therapeutic facilities are among the hallmarks of the disease. This study describes the cliniopathological patterns and short term surgical outcomes of soft tissue malignancies of the trunk, abdomino-pelvic cavity and extremities at Bugando Medical Centre.<br/><br/>Methods: This was a combined retrospective and prospective study of histopathological confirmed cases of soft tissue malignancies of the trunk, abdomino-pelvic cavity and extremities that was conducted at Bugando Medical Centre from June 2017 to May 2021.<br/><br/>Results: A total of 305 patients were studied. The male to female ratio was 1.2:1. The median age of patients at presentation was 38 years. Extremities were the most frequent anatomical site involved in 58.7% of cases. The swelling was described as painless in majority (60.3%) of the patients. The tumor size was greater than 10cm in most (43.6%) of cases. The majority of tumors (77.0%) were deep-seated lesions. Most patients presented with advanced clinical stage III in 50.5% of cases. Kaposi’s sarcoma was the most common histopathological tumor in 80(26.2%) patients and more than half of patients (53.8%) had high grade. A total of 209 (68.5%) patients underwent surgical procedures for soft tissue malignancies. Wide local excision was the most frequent performed surgical procedure, accounting for 36.4% of cases. Complications and mortality rates were 58.4% and 3.3%, respectively. Tumor size > 10cm (p< 0.001), deep seated tumor (p < 0.001) and tumor grade (p < 0.001) were the main predictors of post-operative complications.<br/><br/>Conclusion: Soft tissue malignancies are not uncommon at Bugando Medical Centre and show a trend towards a relative young age at diagnosis and the majority of patients present late which advanced stage cancer. Therefore, public enlightenment, early diagnosis, and actual cost-effective treatment and follow-up are directly needed to improve outcomes of these patients in our environment. <br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Surgery |
| 9 (RLIN) | 29082 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 20966 |
| 9 (RLIN) | 30721 |
| 9 (RLIN) | 30722 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 02/08/2022 | PD0404 | 02/08/2022 | 02/08/2022 | POSTGRADUATE DISSERTATIONS |