Fibro-adenoma is the most common lesion of the breast, it occurs in25%of asymptomatic women (1,2 )
It is usually a disease of early reproductive life, the peak incidence is between the ages15 and 35 years.(3,4) It presents as firm highly mobile, non tender mass .(5)
Less than 5% of fibro-adenomas grow rapidly and display the clinical and histologic characteristics of giant fibro-adenoma which is defined as a-tumour either having a diameter greater than 5 cm. And /or amass weighing more than 500 grams, and are conventionally a benign tumor of breast.(6)
Giant fibro-adenomas appear as well-circumscribed but not encapsulated masses on mammography and solid and the texture is homogenous and hypoechoic with low level echoes on U/S. (6, 7)
It is hormone dependent that lactates during pregnancy and involutes along with the rest of the breast in perimenopause.(5)
Excessive estrogen stimulation and /or receptor sensitivity, or lack of estrogen antagonist havebeen implicated in the etiology. (2)
Giant fibro-adenoma is often confined to one breast as a solitary mass occupying part or the whole breast and in rare cases it may be multifocal and involve both breasts. (8)
Giant fibro-adenomas are benign and do not become malignant. (9)
Histological cut surfaces have a lobulated grey-white myxoid semitransparent to dens fibrous appearance, it consist of epithelial and fibrous components, the pericanalicular fibro-adenoma maintains round and oval dilated ductal spaces whereas in the intracanalicular type the ductal lumens are compressed by polypoid fibrous stroma creating slit –like irregular spaces , the ducts are lined by two layers of cells: epithelial and myoepithelial cells and under influence of hormones the ducts become hyper plastic with papillary formation and more than two layers of cells varies from myxoid and hypo cellular to fibrous and moderately cellular . (2)
Surgical treatment of giant fibroadenoma ranges from shelling the tumour out in case it occupies part of the breast, to simple mastectomy. (10)
Abstract : Objectives: The aims of the study are to identify the condition causes respiratory failure in both sex and to find out the relationship between prognosis and mortality rate with condition causes respiratory failure. Methodology : Descriptive study was carried out in Al- Yarmook Hospital in Respiratory care Unit in Baghdad from the 1st of August 2003 to 1st of August 2004, the sample consist of 300 patients (150) males and (150) females, descriptive and inferential statistics procedures were applied to the data analysis Results : The results shows that 24.4% of patients effect by post-operative compl
The issue of dignity is one of the topics that do not pass as long as the earths and the heavens remain; Because the earth is not devoid of the righteous, the believers, the saints, and the pious, and these do not cease from them aid, dignity, insight, or good vision, and from here the authorship in this section was continuous; Because the people’s need for it is confirmed as time progresses, and in that, Ibn Taymiyyah says in the sum of his fatwas, “And from what it should be known is that dignities may be according to the man’s need, so if the weak needs them Faith or the needy, he is given from it what strengthens his faith and fulfills his needs, and he who is more complete is the guardianship of God than him. He is independent
... Show MoreOrganic Permeable Base Transistors (OPBTs) reach a very high transit frequency and large on-state currents. However, for a later commercial application of this technology, a high operational stability is essential as well. Here, the stability of OPBTs during continuous cycling and during base bias stress is discussed. It is observed that the threshold voltage of these transistors shifts toward more positive base voltages if stressed by applying a constant potential to the base electrode for prolonged times. With the help of a 2D device simulation, it is proposed that the observed instabilities are due to charges that are trapped on top of an oxide layer formed around the base electrode. These charges are thermally released after rem
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(7)
(5)
The bony pelvis has a major role in weight transmission to the lower limbs. The complexities of its geometric form, material properties, and loading conditions render it an open subject to biomechanical analysis.
The present study deals with area measurement, and three-dimensional finite element analysis of the hip bone to investigate magnitudes, load direction, and stress distribution under physiological loading conditions.
The surface areas of the auricular surface, lunate surface, and symphysis pubis were measured in (35) adult hip bones. A solid model was translated into ANSYS parametric design language to be analyzed by finite element analysis method under different loading conditions.
The surface
... Show MoreBack ground : Fever is a common medical problem in children. parents have been shown unrealistic fears of harmful effects of fever in their children. Resulting in inappropriate management of fever in their children. Objective: the objective of this study was to survey parents about their knowledge andattitude concerning fever in their children. Methods : The study involved random selection of parents who brought their febrile children to emergency department or out-patient clinics of five teaching and non teaching hospitals in Baghdad from first of October to end of December 2002. Parents of 400 febrile children were interviewed using a standard questionnaire to obtain sociodemographic information and current knowledge of fever. Results: Ap
... Show MoreA trademark is one of the most valuable elements in advertising. At the same time, it is a guarantee for both the producer and the consumer. It prevents the mixing of products with a certain mark with similar products bearing another mark; and creates confidence in the goods of the product.
With the increase in the types of goods and products and the emergence of similar goods, producers have turned to the use of the brand to identify their products and seek perfection in manufacture to maintain quality and continuous improvement which ensures good reputation and fame.
Hence, commercials for goods and services focused on the brand because they give in-depth connotations with the recipients of these ads. T
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One of the crucial public health problems worldwide is the urinary tract infections (UTIs) that are derived from uropathogenic bacteria (UPBs). Slime layer is known to have the ability to permit bacteria to achieve smooth surfaces attachment like catheters and prosthetic implants which in turn, facilitate biofilm formation and may cause lethal infections. On the other hand, Extended-spectrum beta-lactamase (ESBL) production is considered a growing concern among UPBs due to the limiting of the treatment options and contributes to resistance toward antibiotics. The principal study's point is the finding out the slime layer and ESBL production in Escherichia coli and Klebsiella pneumoniae of uropathogenic origin. Ten ready isolates (five isola
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This large book represents the research and is marked (Compilers of Hanbali jurisprudence of the Abbasid era). It includes, between its covers, a large group of scholars of the Islamic nation, with its great jurists and mujtahids, from the followers of the school of (Ahmed bin Hanbal) in the fundamentals and branches, and specific to the sciences of the Qur’an, its jurisprudence, and the narrators of the hadiths of the Noble Prophet The best of creation (Muhammad) peace and blessings be upon him, and it also includes a large number of reciters and ascetics, who are known for their abundance of authorship, especially with regard to the collection and numbers of classifications, and they are too large to be counted by number! But can we
... Show MoreThe method of work is not a method made by grammarians. We have found more than guidance from the ancients and contemporaries; That to the corruption of meaning; or to apparent cost Not accepted by good linguistic taste.