Publications by authors named "Abraham Birungi"

Article Synopsis
  • - Cancer is a major public health issue globally, especially in low and middle-income countries, with an increasing incidence in Uganda, where this study focuses on cancer trends in Southwestern Uganda from 2012 to 2021.
  • - The study reviewed records from local medical facilities, totaling 4,197 cancer cases, with a median age of 52; notable findings include prostate cancer being the most common overall, while cervical cancer is the most prevalent among women, and retinoblastoma is the most frequent cancer in children.
  • - The research indicates changing cancer patterns in Southwestern Uganda, with a rising number of diagnoses and a decrease in certain cancers, suggesting that better diagnostic and treatment capabilities may be influencing these trends.
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Despite the global implementation of preventive strategies against Human Papilloma Virus (HPV) infection, the incidence of invasive cervical cancer rose by nearly 1.3-fold, from 471,000 annual cases in 2000 to 604,000 cases in 2020. With over 340,000 deaths annually, cervical cancer is the fourth leading cause of cancer mortality in women globally.

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Article Synopsis
  • * A total of 364 women participated, with an average age of 41.9 years; results showed that 6.6% had cervical intraepithelial lesions, primarily low-grade, and a significant number were using hormonal contraceptives.
  • * Key findings indicated that the use of hormonal contraceptives, intrauterine devices, and a family history of cervical cancer were significantly linked to the presence of these lesions, suggesting factors that could be addressed for prevention and early
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Background: Prostate cancer is the leading cause of cancer-related death and the second most commonly diagnosed cancer among men in Uganda and most countries in Sub-Saharan Africa (SSA). The TMPRSS2-ERG fusion gene is the most common genetic alteration seen among prostate cancer patients. There are several contradicting reports about the association of ERG protein with poor prognosis, high PSA, and Gleason score.

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Background: Uganda has approximately 1.2 million people aged 15-64 years living with human immunodeficiency virus (HIV). Previous studies have shown a higher prevalence of premalignant cervical lesions among HIV-positive women than among HIV-negative women.

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Introduction: Gaucher disease is a rare autosomal recessive lysosomal storage disease with unknown prevalence in Africa and no record of the disease exists in Uganda.

Case Presentation: We report a case of a 12-year-old female, the last born of 6 from a family with no known familial disease who presented with non-neuronopathic Gaucher disease and superimposed malaria. The disease was initially misdiagnosed as hyperreactive malarial splenomegaly but was subsequently confirmed by examination of the bone marrow smear and core.

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Background: Retinoblastoma (RB) is a malignant tumour that develops from the immature cells of the retina. It is the most frequent type of paediatric intraocular cancer and is curable. Clinical and histological findings after enucleation of the affected eye dictate not only the patient's secondary care but also their prognosis.

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Introduction: Primary breast Burkitt lymphoma is extremely rare. Commonly endemic Burkitt lymphoma presents with abdominal, jaw, periorbital, or genitourinary mass.

Case Presentation: We report a case of a 16-year-old girl with rapidly enlarging left breast swelling associated with evening fevers.

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Introduction: Over two million stillbirths and neonatal deaths occur in sub-Saharan Africa (sSA) annually. Despite multilateral efforts, reducing perinatal mortality has been slow. Although targeted pathologic investigation can often determine the cause of perinatal death, in resource-limited settings, stillbirths, early neonatal deaths, and placentas are rarely examined pathologically.

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Background: Extrapulmonary drug-resistant tuberculosis is extremely rare and is almost always associated with poor treatment outcomes. This is partly due to the difficulty in confirming the diagnosis.

Case Presentation: A 40-year-old HIV-negative male presented with a painless scrotal mass, low-grade fever, general malaise, night sweats, and no pulmonary symptoms.

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Objectives: The plasma-thrombin method is commonly used to make cell blocks from fine-needle aspiration (FNA) samples but requires centrifugation. We describe a modification to this method that does not require centrifugation for use in resource-limited settings.

Methods: Pooled fresh plasma is aliquoted into 2-mL Eppendorf tubes and the FNA sample directly rinsed into the plasma.

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