RESUMEN
A 6 year retrospective study was conducted from January 1983 till December 1988. During this period there were 13,014 births, 1,776 registered spontaneous abortions and 200 tubal pregnancies. 1,437 sterilizations were performed in the same period via bipolar electrocoagulation. 11.5% of the ectopic pregnancies were in patients who had previously undergone a tubal sterilization. The failure ratio following bipolar coagulation was 1.18%, and all failures were extra-uterine pregnancies, with an average interval between sterilization and ectopic pregnancy of 28.8 months. This reflects the importance of previous sterilizations as an etiologic agent in ectopic gestations. We will discuss the possible etiological factors for our sterilization failures and how these failures can be avoided or minimized. Also diagnostic difficulties and management of an extra-uterine pregnancy (EUP) following sterilization will be presented.
PIP: A 6-year retrospective study was conducted from January 1983-december 1988. During this time, there were 13,014 births, 1776 registered spontaneous abortions, and 200 tubal pregnancies. 1437 sterilizations were performed in the same period via bipolar electrocoagulation. 11.5% of the ectopic pregnancies were inpatients who had previously undergone a tubal sterilization. The failure ratio following bipolar coagulation was 1.18% and all failures were extrauterine pregnancies, with an average interval between sterilization and ectopic pregnancy of 28.8 months. This reflects the importance of previous sterilizations as a contributing factor in ectopic gestations. The authors discuss the possible etiological factors involved in these sterilization failures and how these could by avoided or minimized. Also, diagnostic difficulties and management of an extrauterine pregnancy (EUP) following sterilizations presented.
Asunto(s)
Electrocoagulación/efectos adversos , Embarazo Ectópico/etiología , Esterilización Tubaria/efectos adversos , Trompas Uterinas/cirugía , Femenino , Humanos , Embarazo , Embarazo Ectópico/cirugía , Estudios Retrospectivos , Esterilización Tubaria/métodosRESUMEN
By immunohistochemical staining C-erbB-2 (neu) oncogene was found on the cell membrane in 19 out of 44 primary breast cancers from a pathology archive. No obvious relation was found between neu oncogene, age, and lymph node status and tumor size. There was a tendency towards smaller primary tumors and more estrogen receptor-negative tumors in the oncogene-positive group. No case of distant metastasis during follow-up was found among the oncogene-negative patients, while 6 oncogene-positive patients developed such metastases. This suggests that the neu oncogene is an independent prognostic factor, which might predict the development of distant metastasis. Further studies including more patients and long-term survival analysis are, however, needed in order to evaluate the prognostic significance of the neu oncogene.
Asunto(s)
Neoplasias de la Mama/genética , Proteínas Proto-Oncogénicas/genética , Proto-Oncogenes , Neoplasias de la Mama/patología , Femenino , Expresión Génica , Humanos , Inmunohistoquímica , Persona de Mediana Edad , Metástasis de la Neoplasia , Receptor ErbB-2 , Estudios Retrospectivos , RiesgoRESUMEN
A case of myomectomy during pregnancy is presented. Generally myomectomy is contraindicated during this period. On the 14th week of pregnancy our patient presented with progressive lower abdominal pain and a tender mass of nearly 12 centimeter diameter in the pouch of Douglas. Therefore an exploratory laparotomy was performed to exclude torsion of an adnexal mass or pedunculated subserous myoma. A dorsal degenerating myoma with short thick pedicle (4 cm diameter) was found. It was compressed between the promontory of the sacrum and the uterus. Myomectomy was performed and pregnancy progressed without complications.
Asunto(s)
Mioma/cirugía , Neoplasias Pélvicas/cirugía , Complicaciones Neoplásicas del Embarazo/cirugía , Adulto , Fondo de Saco Recto-Uterino , Femenino , Humanos , Recién Nacido , Masculino , Mioma/diagnóstico , Neoplasias Pélvicas/diagnóstico , Embarazo , UltrasonografíaRESUMEN
An unusual complication of myomatous uterus in pregnancy is presented. It shows spontaneous perforation of a myoma after red degeneration, presenting as an acute abdomen. To our knowledge spontaneous perforation of a necrotising leiomyoma has not been reported earlier. A review of the literature is given.