Browsing by Author "Bandara, D.M.S.M."

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Assessment of thyroid volume in adult Sri Lankans
(Sri Lanka Medical Association, 2010) Fernando, R.; Bandara, D.M.S.M.; de Silva, A.; Renuka, M.D.
OBJECTIVE: The ultrasound is the most sensitive method to detect goitre. Goitre size varies with different populations. Clinical palpation has low sensitivity. It is dependant on the experience of the examiner. Development of reference values for different populations is required. Objective of this study was to assess thyroid volume of Sri Lankans. METHODS: Patients taking inward treatment in the university surgicai unit for problems other than thyroid disorders and patients' bystanders were enrolled. Pregnant women, lactating women, acute or chronically ill patients, age below 16 years, abnormal echotexture or nodules on ultrasound examination were excluded. Subjects were selected randomly. Thyroid scan was done by a Consultant Radiologist. Thyroid volume was assessed using ellipsoid formula RESULTS: 60 males with mean age of 33 years were assessed. Their mean thyroid volume was 8.628 ml (2.73) with range of 2.657-15.15. Thirty females with median age of 42 were assessed. Mean thyroid volume of females was 6.413ml (1.66) with range of 2.871-9.737. This difference was statistically significant (p<0.01) Overall thyroid volume was 7.889ml (2.745). There was no significant difference in volume of both lobes (p>0.01). There was no significant correlation with height weight or BMI. Reference ranges for males and females were 8.628 ± 5.46 ml and 6.413 ± 3.32 ml respectively. CONCLUSION: Mean thyroid volumes of study sample of adult Sri Lankans were 8,628 ml (2.73) and 6.413ml (1.66) for males and females respectively. Reference ranges for males and females were 8.628 ± 5.46 mi and 6.413 ± 3.32 ml respectively.
Delay in diagnosing female breast cancer
(Sri Lanka Medical Association, 2010) Bandara, D.M.S.M.; Ariyarathne, M.H.J.
OBJECTIVES: The prognosis of breast cancer depends on the stage at which it is diagnosed. In the absence of a National Screening Program, breast self examination (BSE) and increased awareness could reduce the delay in breast cancer diagnosis. Our objective was to evaluate the mode of detection, delay before diagnosis, the stage of tumor at presentation and practice of BSE in patients with breast cancer. METHOD: A retrospective analytical study was done at University Surgical Unit, North Colombo Teaching Hospital. Patients diagnosed as having breast cancer in a surgical clinic of the University Surgical Unit, from 2000 to 2010 January were assessed. The data was taken from breast cancer registry of the unit. RESULTS: 134 patients with mean age of 52 years were assessed.90(67%) patients were above 50 years. 46% of patients were between 50-60 age group. 75% of patients had found a breast lump accidentally. 23 (20.8%) patients found the lump on palpation due to pain in the breast. 13 (9.7%) patients were found to have performed breast self examination (BSE). All patients who did BSE had early breast cancer and attended clinic within 2 months of detection of lump or onset of symptoms. 58% had delay of more than 3 months before attending clinics. 72 (53.7%) patients had breast lumps 3-5 cm in diameter. 68 (50.7%) patients had locally advanced breast cancer. CONCLUSION: Patients with breast cancer seek medical care late.
Pleomorphic adenoma of palate
(College of Surgeons of Sri Lanka, 2010) Fernando, R.; Bandara, D.M.S.M.; Perera, W.A.T.M.
No Abstract Available
Thyroid volume in a cohort of Sri Lankan patients: a preliminary report
(Sri Lanka Medical Association, 2010) Fernando, R.; Bandara, D.M.S.M.; de Silva, A.; Renuka, M.D.S.; Atulugama, N.
No Abstract Available