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During the period from 1996-2000 a total of 120 such as homeless, drug addiction and HIV
patients of urinary bladder tumour of different infection."
histological grades underwent various modalities
of treatment regimen. Males dominated the series The resurgence of this disease world wide has
(M:F=95:25). Age of the patients ranged from 20- strongly linked to the increased incidence of HIV
90 years. The patients were followed up from 3 in fection, the occurance of tuberculosis increases
months to 5 years (average 30 months). 500-fold in patients with AIDS.
The patients were divided into three groups Currently Pelvic tuberculosis frequently observed
depending on the histological grading of tumour. in India and Bangladesh. About 10% of the
Trans urethral resection of bladder tumour patients with pulmonary tuberculosis also
(TURBT) was carried out in all cases. Out of 100 develop genital tuberculosis, although less than
patients grade I and II tumours, 50 patients were 1% of salpingitis infection can be attributed to
merely followed up and other 50 patients got micobac-terium tuberculosis. Pelvic tuberculosis
intravesical chemotherapy (Mitomycin C or is really a diagnostic problem. Here tuberculosis
thiotepa). Of the first 50 patients, 40 developed are presented three case of pelvic tuberculosis
recurrence of tumour within 3 months to 2 years. which are very common and difficult to
Out of second 50 cases who got chemotherapy, diagnosis.
only 5 patients developed recurrence after two 308 AKHTER, S. (Dept. of Women Gender
years of surgery. The patients with grade III Studies, Dhaka University, Dhaka) & WOHAB,
tumour also received postoperative chemotherapy, M.A. (Flinders University, Australia).
all of them developed recurrence and three of them MILLENNIUM DEVELOPMENT GOAL OF
presented with secondaries in liver after 1 - 1.5 IMPROVING MATERNAL HEALTH IN
years. BANGLADESH: A REVIEW OF CONCEPTS.
BRAC Univ. J., 2008, V (1), 97-110.
Good results are obtained if histologically lower
grade tumours are treated with combined regimen. Bangladesh is one of the signatories to the
Millennium Declaration 2000, of which,
618 : MEDICAL SCIENCES : improving maternal health is one of eight goals.
GYNAECOLOGY & OBSTETRICS Along with the global targets of reducing,
maternal mortality rate by three quarters between
307 AFROZ, H. & AVA, N.N. (Dept. of 1990 aim 2015. Bangladesh has set some
Obstetrics and Gynaecology, Dhaka Medical additional targets for achieving the goal by 2015.
College, Dhaka). PELVIC TUBERCULOSIS: The main objective of this paper is to make an
AN ATYPICAL GYNAECOLOGICAL extensive review on selected studies on maternal
PRESENTATION CREATING DIAGNOSTIC mortality, with particular reference to: (1)
PROBLEM. Bang. Med. J., 2006, 35 (2), 71-72. historical and present interventions to avert
maternal mortality, and (2) the six targets of
Tuberculosis still becomes a serious threat to MDG Five set for Bangladesh. A conceptual
public health world wide. A recent report from the framework has been developed where the global
centers for diseases control and prevention target is integrated into the targets set by
indicated an increase of 20% in the incidence of Bangladesh. This paper concludes maternal
tuberculosis overall with 44% of these increase mortality is a multifaceted and broad based issue
occurring among persons aged 25 to 44 and 27% to be considered. The inclusion of additional
among children under 15 years old. Tuberculosis is targets in MDG Five for Bangladesh also reflects
endemic in less develop parts of the world. The this complex reality of maternal mortality.
demographic characteristics of what appears to be
new "epidemic of tuberculosis reflect the medical 309 ALAM, H.; KHANAM, N.N.;
and social programs of poverty in urban popula- KAZAL, R.K. & KULSUM, S.U. (Dept. of
tions, with increasing prevalence of risk factors Obstetrics & Gynaecology, BSMMU, Dhaka).
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