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Seema Singhal,Aarthi S Jayraj,Ekta Dhamija,Sachin Khurana 대한종양외과학회 2023 Korean Journal of Clinical Oncology Vol.19 No.2
Extrauterine endometrial stromal sarcoma arising from malignant transformation of the vagina is an extremely rare condition. The diagnosis is often difficult as the symptomatology and pathological features overlap with that of pelvic endometriosis. A 38 years old female presented with complaints of dyspareunia, dysmenorrhea, and painful defecation along with blood-stained vaginal discharge for a year. Examination revealed the presence of multiple brownish irregular nodules in posterior vaginal fornix and fixed tender nodules which on biopsy revealed florid vaginal endometriosis. She improved symptomatically on medical therapy. After 18 months of diagnosis, she presented again with a necrotic growth in posterior fornix, which on repeat biopsy revealed a low-grade endometrial stromal sarcoma. Laparotomy revealed a 7×5 cm mass in the pouch of Douglas, infiltrating the posterior vaginal wall and rectum. A complete cytoreductive surgery with retrograde hysterectomy, excision of posterior vaginal wall and rectosigmoid resection was done. The patient is disease-free at a follow-up of 65 months.
Singhal, B.K.,Dhar, Anil,Sharma, Aradhana,Jand, Seema,Bindroo, B.B.,Saxena, N.N.,Khan, M.A. Korean Society of Sericultural Science 2003 International Journal of Industrial Entomology Vol.6 No.2
Mathematical constants for multiplication with leaf length (I) or breadth (b) or l ${\times}$ b have been worked out for determining leaf area in promising mulberry genotypes viz., Chinese White, S-146, Chak Majra and Sujanpur Local of sub-tropical India. When pooled, the mathematical constants worked out were 8.1132, 10.1019 and 0.5992 for multiplication with leaf length, breadth and l ${\times}$ b, respectively, for genotypes bearing un-lobbed leaves and 6.9447, 8.2761 and 0.5009 for multiplication with leaf length, breadth and l ${\times}$ b, respectively for genotypes bearing lobbed leaves. Leaf area can be worked out by using any constant by multiplying either with leaf length or breadth or both (l ${\times}$ b). Estimated leaf areas worked out were found significantly and positively correlated with actual leaf area (r=999$^{**}$). The suggested present non-destructive method by using mathematical constants is very quick and alternative to electronic leaf area meter for spot leaf area determination in mulberry which is the only food source for mulberry silkworm in sericulture industry.
National screening programs for cervical cancer in Asian countries
Eiko Saitoh Aoki,Rutie Yin,Kemin Li,Neerja Bhatla,Seema Singhal,Dwiana Ocviyanti,Kumiko Saika,서민아,김미선,Wichai Termrungruanglert 대한부인종양학회 2020 Journal of Gynecologic Oncology Vol.31 No.3
Cervical cancer is still one of the most common female cancers in Asia and the leading cause of cancer-related deaths in low- and middle-income countries. Nowadays, national screening programs for cervical cancer are widely provided in Asian countries. We reviewed the National Cancer Screening Program (NCSP) in China, India, Indonesia, Japan, Korea, and Thailand. The NCSP were established at varying times, from 1962 in Japan to 2014 in Indonesia. The primary screening method is based on cytology in all countries except for India and Indonesia. In India and Indonesia, visual inspection of the cervix with acetic acid (VIA) is mainly used as a primary screening method, and a “see and treat” strategy is applied to women with a positive VIA result. The starting age of NCSP ranges from 18 years in China to 30 years in Thailand. The screening interval is 2 years in all countries except for China and Indonesia, in which it is 3 years. Uptake rates of NCSP vary from 5.0%–59.7%. Many women in low- and middle-income countries still do not participate in NCSP. To improve uptake rates and thereby prevent more cases of cervical cancer, Asian countries should continue to promote NCSP to the public using various approaches.