Browsing by Author "Ansari, SN"
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Publication Adult Granulosa Cell Tumor of the Ovary Diagnosed after Laparoscopic Salpingoophorectomy(Kathmandu University, 2025) Ansari, SN; Shrestha, E; Kayastha, P; Bista, KBABSTRACT Ovarian malignancies of uncommon variety are seen in 10% of cases of all ovarian tumors. Approximately 5% of such cases are granulosa cell tumor of ovary (GCT). In adolecents, the adult type Granulosa cell tumor (AGCT) is rare and the major concern is fertility preservation. Prognosis of the adult type granulosa cell tumor is favorable after surgery, as most cases present at early stages. We report a case of an 18-year girl who presented to our center with histopathological report of the adult type granulosa cell tumor. She underwent laparoscopic left salpingoophorectomy at another center for a 28.5 X 22.5 cm right adenexal mass. The patient denied completion surgery at our center and remained on follow-up. Patient is doing fine on follow-up to date. In young girls who present with complex adenexal mass, a strong suspicion of rare ovarian malignancies like granulosa cell tumor should be considered. For cases with incomplete surgery but fertility concern granulosa cell tumor should be monitored vigilantly for recurrence. KEY WORDS Adenexal mass, Adolescence, Fertility preservation, Granulosa cell tumorPublication Comparison of Outcome of Borderline and Normal Amniotic Fluid Index in Term Pregnancy(Kathmandu University, 2021) Ansari, SN; Baral, J; Gurung, G; Jha, AABSTRACT Background Determination of Amniotic Fluid Index (AFI) is an important component of antepartum assessment of all normal pregnancies. Objective To compare the obstetric interventions and neonatal outcomes in term pregnancies with borderline Amniotic Fluid Index versus normal Amniotic Fluid Index. Method This hospital based prospective study was conducted at Tribhuwan University Teaching Hospital over 1 year between 2017 and 2018 in 128 women having uncomplicated term pregnancy admitted in labor ward. Of the 128 women, 64 women had borderline Amniotic Fluid Index (5.1-8 cm) and 64 normal AFI (8.1 - 24 cm). Parameters studied were induction of labor, cesarean section, instrumental delivery, intrapartum abnormal fetal heart rate, meconium staining of liquor, APGAR score at 5 and 7 minutes, birth weight, neonatal intensive care unit (NICU) admission and neonatal death. Data was analyzed using software OpenEpi. Result Statistically significant difference in result was obtained in the two groups in terms of rate of induction of labor (73.4% vs 35.9%, p = 0.0001, OR = 4.9), rate of cesarean section (42.1% vs 28 .1%, p = 0.04, OR = 1.8), tachypnea (50% vs 11.1%, p = 0.01) and low birth weight (9.1% vs 4.5%, p = 0.04). No statistical significance was found in meconium staining of liquor (33% vs 38.3%, p = 0.3) and APGAR score of <7 at 5 minutes (3.1% vs 1.5%, p = 0.06). There were no neonatal intensive care unit admissions and neonatal mortality in any of the babies. Conclusion Detection of amniotic fluid volume at term is important for timely maternal interventions to improve the overall fetal outcome. KEY WORDS Borderline amniotic fluid index, Cesarean section, Induction of labor, Meconium stained liquor, Tachypnoea