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991.
Namizato CS Muriel-Cueto P Baez-Perez JM Bartha JL Hervias-Vivancos B 《Archives of gynecology and obstetrics》2008,278(4):369-372
BACKGROUND: Pure heterologous sarcomas of the uterine corpus are extremely rare, accounting for 4% of all uterine sarcomas. Primary chondrosarcoma, which is characterized by the absence of epithelial or other heterologous mesenchymal elements, is included in this group. To this date, only 17 cases, including the presenting case, have been reported. CASE: A 55-year-old female presenting with post-menopausal bleeding was diagnosed with chondrosarcoma of the uterus, after abdominal hysterectomy and bilateral salpingoophorectomy. After 8 months of surgery, there is no evidence of recurrence after receiving external radiotherapy and brachytherapy. CONCLUSION: Primary chondrosarcoma of the uterus is an extremely rare uterine tumour most frequently diagnosed by the pathologist. They are usually aggressive malignant tumours with an early relapse and metastases. 相似文献
992.
Pseudomyxoma peritonei (PMP) is most commonly associated with intra-abdominal spread of an appendiceal mucinous neoplasm and very rarely seen in cases of primary ovarian tumours. Mucinous adenocarcinoma arising in a mature cystic teratoma giving rise to PMP is even rarer. Extensive medlar search has revealed only nine cases; we are reporting tenth such case. 相似文献
993.
BACKGROUND: If cervical polyps are a common pathology in the female adult population, giant cervical polyps with a size greater than 4 cm are rare and until now only several cases have been described in literature. The size and the clinical presentation can mimic a cervical neoplasia. The management is surgical and can be conservative regarding to the benign pathological feature of this entity. CASE REPORT: We report the case of a giant cervical polyp of 5.5 cm occurring in a multiparous 47-year-old woman who clinically presented vaginal bleeding. The lesion was resected by electrosurgery with no recurrence 7 months after surgery. CONCLUSION: The diagnosis, management and outcome of this rare entity had been reviewed according to the literature. 相似文献
994.
BACKGROUND: Duplicated collecting systems comprises renal units containing two pyelocalyceal systems associated with a single ureter or double ureters and is the most common upper tract anomaly. CASE: This report presents a rare entity: an adult woman who had giant hydroureter of upper-pole moiety of the duplex kidney, which was an incidental finding during cesarean section. Heminephroureterectomy was done containing 2 L of fluid. This case is the first of its kind during cesarean section. CONCLUSION: The cause of this unusually massive degree of dilatation of the upper-pole moiety of the duplicated collecting system is uncertain, but may have resulted from an error in the development or because of VUR. We suggest mandatory intraabdominal examination after delivering uterus while conducting a cesarean section. 相似文献
995.
Kilic-Okman T Yardim T Gücer F Altaner S Yuce MA 《Archives of gynecology and obstetrics》2008,278(1):75-77
BACKGROUND: Peutz-Jeghers Syndrome (PJS) is a rare autosomal dominant disorder characterized by gastrointestinal hamartomatous polyps and mucocutaneous pigmentation. Patients with PJS have increased risk for gastrointestinal, breast, and female genital tract cancers. CASE: Multiple genital tract cancers in a 34-year-old woman with PJS are described. The patient, who was admitted to our department with severe vaginal bleeding, was performed right salpingo-oophorectomy because of pure gonadoblastoma in 1996. In 2003, concomitant to cervical carcinoma, breast cancer was diagnosed. Patient underwent left modified radical mastectomy due to the invasive papillary carcinoma. The patient received six cycles combination chemotherapy and radiation therapy because of stage IIIB cervical cancer. CONCLUSION(S): This is the first case report presenting PJS associated with multiple genital tract tumors including ovarian gonadoblastoma in literature. The clinical significance of these tumors in PJS patients has been reviewed. 相似文献
996.
Gupta N Singh N Sarangi S Dalmia S Mittal S 《Archives of gynecology and obstetrics》2008,278(2):169-170
INTRODUCTION: Tuberous sclerosis is an autosomal dominant disorder of hamartoma formation that can manifest as cardiac or central nervous system lesions and adversely affect maternal and fetal outcome. CASE REPORT: We report a case of maternal tuberous sclerosis with fetal cardiac rhabdomyoma detected in utero at 26 weeks gestation. CONCLUSION: To conclude, a pregnancy complicated by maternal or fetal tuberous sclerosis deserves careful vigilance and the fetus should undergo prenatal fetal Doppler echocardiography and if possible an MRI, so that parents can be counseled regarding its future prognostic implications. 相似文献
997.
Filariasis is a helminthic infection caused by tissue nematodes. It is estimated that at least 120 million people are infected
worldwide and another 1 billion are “at risk” of infection. The prevalence is increasing due to uncontrolled urbanization
in many of the endemic countries. The geographical distribution is determined mainly by climate and the distribution of the
mosquito vector. We report a case of huge filarial elephantiasis of the vulva, in a 40-year-old multipara with background
history of secondary infertility. She had excision of the elephantoid vulva lesion under general anaesthesia. A nontender
irreducible pedunculated mass (25 cm × 21 cm) with a large stalk arising from the right groin down to the ipsilateral labia
majora was removed. A similar mass on the left groin, measuring 10 cm × 6 cm was removed. Diagnosis was confirmed at histopathologic
analysis of the excised masses. Patient was placed on diethyl carbamazine. 相似文献
998.
Simsek A Celen S Islimye M Danisman N Buyukkagnici U 《Archives of gynecology and obstetrics》2008,278(6):559-563
Objective
We sought to determine whether meconium-stained amniotic fluid is based on chronic hypoxia or not? In case of chronic hypoxia, higher red blood cell (Rbc) count and/or total hemoglobin levels (Hgb) and/or higher fetal hemoglobin (HbF) and/or lower adult hemoglobin (HbA) levels were expected when compared with controls.Design
Case–control study.Setting
Obstetric unit of a tertiary ministry of health hospital.Sample
Fifty singleton pregnancies with meconium-stained amniotic fluid and 50 singleton pregnancies with clear amniotic fluid at all stages of labor.Methods
Umbilical cord blood samples were collected for determination of total blood parameters and hemoglobin electrophoresis.Main outcome measures
Red blood cell count, total hemoglobin, fetal and adult hemoglobin contents (HbF and HbA).Results
Red blood cell count, total hemoglobin, fetal hemoglobin (HbF) and adult hemoglobin (HbA) contents were not different between meconium stained and clear amniotic fluid groups.Conclusion
These results suggest that meconium passage may not be associated with chronic fetal hypoxia as demonstrated by similar red blood cell count, total hemoglobin values and fetal hemoglobin (HbF) and adult hemoglobin (HbA) contents.999.
Pregnancy and tuberculosis (TB) To assess TB cases during pregnancy in a developing region retrospectively and to present two case reports.
Objectives Since TB cases activated by HIV infection during pregnancy are well reported in the literature, we aimed to investigate the
aggressiveness of pulmonary TB among pregnant women and to assess the effects of TB on the fetus in Kutahya, an area where
HIV positive cases are not seen.
Materials and methods The medical records between 2000 and 2005 of the Provincial Health Directorate and Dispensary Against Tuberculosis in Kutahya
were reviewed and analyzed retrospectively.
Results Between 2000 and 2005, 667 pulmonary TB cases were examined in the Kutahya region. Of these, 106 occurred in women at reproductive
ages between 20 and 44. All were HIV negative cases. In this area, five TB cases were found during pregnancy. There were three
cases seen in the first trimester, but pregnancy was ended by curettage. Two women had pulmonary TB and gave birth. Five cases
were evaluated as class 1 TB. During and after pregnancy, isoniazid, rifampin, ethambutol, and pyrazinamide (INH + RFP + ETB + PRZ)
were used for the treatment. Resistance to anti-TB drugs was not seen during the treatment. Neither congenial nor neonatal
TB was seen.
Conclusion Generally, TB is expected to be more aggressive during pregnancy. Since our cases were HIV negative, it can be thought that
TB did not progress aggressively. Less aggressiveness and non-resistance to TB treatment in HIV-negative pregnant women compared
with HIV-positive women were observed. Therefore, HIV infection results in greater mortality than the triple combination of
human immunodeficiency virus, mycobacterium TB, and pregnancy. Besides, the advance of TB in pregnant women was not different
from that in non-pregnant women in Kutahya. The fetus and the newborn were not affected. INH, RFP, ETB, and PRZ were used
for therapy. 相似文献
1000.
Peled Y Yogev Y Kahn A Mashiach R Berant M Pardo J 《Archives of gynecology and obstetrics》2008,278(3):237-239
Objective Correct prenatal determination of the fetal right/left axis is essential for the diagnosis of fetal malformations, in particular
congenital heart anomalies. A reliable method of transabdominal echocardiographic assessment of the fetal situs in the late
second trimester was established. We aimed to determine the validity of the transvaginal approach to assess fetal axis.
Method The study group consisted of 108 consecutive women in the second trimester of a singleton pregnancy, undergoing elective transvaginal
anatomy scans. All had undergone previous transabdominal echocardiography to establish fetal axis. The same technique was
used to assess the fetal axis during the transvaginal study, and the findings were compared.
Results There was total agreement in fetal axis determination between transabdominal and transvaginal scans in all cases. The accuracy
of the transvaginal study was not affected by maternal obesity, fetal position or the presence of cardiac malformation (in
one case).
Conclusion Transvaginal ultrasonography is the reliable and accurate means of determining the fetal axis.
Both affiliations are affiliated with Sackler Faculty of Medicine, Tel Aviv
University. 相似文献