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  • ISSN: 2333-6439
    Volume 8, Issue 3
    Research Article
    Chhabra S*
    Backgound: Elderly women live with many disorders. They suffer more in developing countries because of poverty, access problems, inequalities and dependence. Community based studies about rural tribal women are scarce.
    Objectives: To know about burden of disorders in elderly, rural, tribal women, action taken in low resource settings.
    Methodology: Community based study was conducted in 100 villages after institute’s ethics committee’s approval. In these villages community based mother and child services were initiated after having created a health facility in one village. Women, five years beyond menopause were included as they did not know birth years and menopause was most recent event, minimum fifteen in each village by random house to house visits making1982 study subjects. Information of health problems of elderly women was collected with predesigned, pretested tool. Some work up was done by research assistant. If blood pressure, blood sugar were elevated, were repeated and accordingly action was taken for final diagnosis, therapy.
    Results: Most women were illiterate, belonged to low economic class. Over all 1276 (64.37%), of 1982 women had disorders with or without complaints or treatment, 109 (8.55%), women had vision problems, 149 (7.51%), gynaecological diffuculty, 140 (7.06%), hearing problem, 136 (6.86%), dental, 601 (30.32%), hypertension and 142 (7.16%), diabetes. Many were apathetic about complaints which affected their everyday life. Total 1400 (70.63%), women said they did not want to be examined by male doctor during any sickness. Overall 1550 (78.2%), of 1982 women were satisfied with rural life, though 1599 (80.6%), women did say that same action was needed for improving their living conditions.
    Conclusion: Many elderly women had disorders, some had sought care but without action. Care providers included quacks,. They expected special system for care in villages.
    Case Report
    Miwa Kino*, Tohru Shimizu, Kohki Makino, Tatsuo Yamazaki, Minami Oshikiri, Yoshiyuki Okada, Kazuya Tamura, and Satoshi Umezawa

    Background: Squamous cell carcinoma is rarely seen as the malignant transformation of mature cystic teratoma of the ovary. Although mature cystic teratoma mostly occurs in young women, the malignant transformation occurs after perimenopause in most cases. Therefore, we rarely encounter the case of young-onset malignant transformation. The risk factors for the development of the malignant transformation are unclear and the details of young-onset malignant transformation are unknown.

    Case presentation: We present a case of a 38-year-old woman with 13cm large multilocular tumor containing fat and solid components on Pelvic MRI. SCC value was 2.1ng/ml. The tumor had the invasion into the uterus and the mesenteric surface of the sigmoid colon on laparotomy. The pathological diagnosis was Squamous cell carcinoma as the malignant transformation derived from mature cystic teratoma of the ovary, FIGO Stage IIb after the complete resection including total abdominal hysterectomy with bilateral salpingo-oophorectomy. She suffered from the repeated melena by the penetration to the rectum of the disseminated nodule one month later from her first adjuvant chemotherapy. She died 6 months after her operation.

    Conclusion: However, there have been scattered case reports of young-onset malignant transformation arising from mature cystic teratoma, this is the first detailed and decent report of the malignant transformation with poor prognosis and very short time from initial diagnosis to death in a young woman. We need to accumulate the multidisciplinary date on young-onset malignant transformation to clarify the risk factors for the onset of the malignant transformation. Our task is to select and treat the patients with mature cystic teratoma progressing to the malignant transformation in the future as early as possible.

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