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Diagnostic gynecology and obstetrics最新文献

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Pfannenstiel wound dehiscence complicated by cecal bascule. 膈肌创面裂开合并盲肠小囊。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
B F Helmkamp
{"title":"Pfannenstiel wound dehiscence complicated by cecal bascule.","authors":"B F Helmkamp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 43-year-old female with a Pfannenstiel wound dehiscence complicated by cecal bascule is reported. The etiology of both cecal bascule and dehiscence is discussed. Contributing factors in this case include increased intra-abdominal pressure from the cecal bascule, and a running catgut closure of the anterior rectus sheath. When the diagnosis of cecal bascule is made, cecostomy with cecopexy is the treatment of choice. For prevention of wound disruption, the optimal closure of a Pfannenstiel incision utilizes interrupted nonabsorbable suture material.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"211-4"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17802990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uterine, placental, renal biopsies, and fibrin deposits in toxemia of pregnancy. 妊娠毒血症的子宫、胎盘、肾脏活检和纤维蛋白沉积。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
S C Sommers
{"title":"Uterine, placental, renal biopsies, and fibrin deposits in toxemia of pregnancy.","authors":"S C Sommers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Histopathologic lesions of toxemia of pregnancy found in 46 first trimester-induced abortions and 82 women with kidney biopsies are reviewed and discussed. Decidual arteriolar vasospasm and degeneration, syncytial trophoblastic degeneration, and chorionic villous fibrin deposits characterize the early toxemic changes of the uterus and placenta. Pure toxemic glomerular, arteriolar, tubular, and juxtaglomerular alterations were present in about 40% of the kidney biopsies. Others had arteriolar nephrosclerosis, chronic glomerulonephritis or both. Two women had renovascular hypertension. Excessive vascular permeability predisposed to fibrinogen leakage and fibrin deposits. The mechanisms of preclinical toxemia of pregnancy and clinical preeclampsia are considered in view of these biopsy observations.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"193-205"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18133751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Müllerian adenofibroma of the endometrium. A report of a case with ultrastructural study. 子宫内膜<s:1>勒氏腺纤维瘤。超微结构研究1例报告。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
P A Miles, G A Herrera, H Greenberg, I Trujillo
{"title":"Müllerian adenofibroma of the endometrium. A report of a case with ultrastructural study.","authors":"P A Miles,&nbsp;G A Herrera,&nbsp;H Greenberg,&nbsp;I Trujillo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of müllerian endometrial adenofibroma is presented and the light and ultrastructural features are described. The tumor arose in the lower uterine segment and was composed of a prominent fibroblastic growth of club-shaped papillae projecting into cystic spaces and into the endometrial canal. The lining epithelium was both mucinous endocervical and endometrial in type. A feature not previously described was smooth muscle within the stromal component. The endometrial adenofibroma is a distinct clinicopathologic entity and is part of the family of uterine mixed mesodermal tumors.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"215-21"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18133753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proliferating endometrioid cystadenofibroma of the ovary. Report of a case in a teenager. 卵巢增殖性子宫内膜样囊腺纤维瘤。报告一例青少年病例。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
D Nasca
{"title":"Proliferating endometrioid cystadenofibroma of the ovary. Report of a case in a teenager.","authors":"D Nasca","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 17-year-old female with recent onset of amenorrhea was found to have a large solid and cystic ovarian mass. Histology revealed a proliferating endometrioid cystadenofibroma. These are rare neoplasms that generally occur in older women. The long-term malignant potential of proliferating endometrioid cystadenofibromas is not yet known.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"317-24"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18182819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chemosensitivity testing with CIS-platinum (2) diamminedichloride in squamous cell carcinoma of the cervix uteri. 顺铂(2)氯化二胺在宫颈鳞状细胞癌中的化疗敏感性试验。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
K Yannopoulos, C J Cohen, G Deppe, S B Gusberg
{"title":"Chemosensitivity testing with CIS-platinum (2) diamminedichloride in squamous cell carcinoma of the cervix uteri.","authors":"K Yannopoulos,&nbsp;C J Cohen,&nbsp;G Deppe,&nbsp;S B Gusberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prophylactic Papanicolaou Test contributes in diagnosing dysplasias and carcinoma in situ of the uterine cervix with a realistic 100% cure. Surgery and radiotherapy improved considerably quantity and quality of life in stages 1 and 2 lesions. However, stages 3 and 4 have shown little improvement in results. Systemic treatment with chemotherapy offers hope for control. Most of the drugs are ineffective against squamous cell carcinoma of the cervix. Experimental and clinical trials with CIS-platinum (2) diamminedichloride (DDP) show effectiveness against cervical carcinoma. In an effort to individualize the treatment, a chemosensitivity testing (CST) is applied analogous to the radiosensitivity testing (RST). Basically, a control biopsy and posttest dose of DDP biopsies are studied to evaluate the response using objective morphological criteria. This safe, relatively simple, clinically applicable approach offers an objective dimension in selecting the patients and in monitoring the treatment. An important observation that gives this study an original authenticity is the fact that radiation and chemotherapy affects the cells in an identical way. This similar morphological reaction most probably means an analogous biological expression of cellular injury and necrosis of the neoplastic cells.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 2","pages":"115-25"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18216908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The value of colposcopy in evaluating cervical intraepithelial neoplasia during pregnancy. 阴道镜在评估妊娠期宫颈上皮内瘤变中的价值。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
K Behnam, E Mariano
{"title":"The value of colposcopy in evaluating cervical intraepithelial neoplasia during pregnancy.","authors":"K Behnam,&nbsp;E Mariano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two hundred eighty-three patients with abnormal Papanicolaou smears of the cervix underwent colposcopic examination during pregnancy. Two hundred fifty-six were biopsied and 27 patients were not. Forty-five patients had cone biopsies done during the postpartum period. Despite previous reports which have shown colposcopy as a safe and accurate method of investigating an abnormal Pap smear during pregnancy, this study advocates colposcopy and biopsy as complementary procedures without serious complications.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":" ","pages":"133-5"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intrauterine growth retardation: diagnosis and management. 宫内发育迟缓的诊断与处理。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
H R Barber
{"title":"Intrauterine growth retardation: diagnosis and management.","authors":"H R Barber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":" ","pages":"83-5"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Squamous papilloma arising in cervical ectropion associated with intrauterine diethylstilbestrol exposure. 宫颈外翻引起的鳞状乳头状瘤与宫内暴露己烯雌酚有关。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
K T Chen, J J Bocian
{"title":"Squamous papilloma arising in cervical ectropion associated with intrauterine diethylstilbestrol exposure.","authors":"K T Chen,&nbsp;J J Bocian","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":" ","pages":"137-9"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fetal blood analysis. II. Effect of delayed assay on pH and lactate. 胎儿血液分析。2延迟试验对pH和乳酸的影响。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
S J Wilson, F Silverman, B K Young
{"title":"Fetal blood analysis. II. Effect of delayed assay on pH and lactate.","authors":"S J Wilson,&nbsp;F Silverman,&nbsp;B K Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fetal umbilical artery blood was analyzed for pH and lactate at intervals over a 3-hour period. No significant change occurred in pH over the first 30 minutes, despite a progressive rise in plasma lactate. The pH changes paralleled the lactate in an inverse relationship, but remained within the error of the method for the first hour. Lactate analysis should be considered for clinical use, for confirmation of pH observations. Also pH assays may be used in any hospital with a blood-gas capability, since a 30-minute delay within the assay does not materially alter the results. A laboratory in the delivery room area is not essential to proper use of fetal blood pH analysis.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":" ","pages":"93-6"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Papillary carcinoma arising from ectopic breast tissue in an axillary lymph node. 乳头状癌起源于腋窝淋巴结内的异位乳腺组织。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
A N Walker, R E Fechner
{"title":"Papillary carcinoma arising from ectopic breast tissue in an axillary lymph node.","authors":"A N Walker,&nbsp;R E Fechner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A cystic carcinoma was located in an axillary lymph node of a 90-year-old woman. The lymph node also contained cytologically benign mammary ducts and a few small glands that had epithelium cytologically intermediate between the normal epithelium and the neoplastic cells. In a subsequent mastectomy specimen, a small intraductal papillary carcinoma was found, differing cytologically and architectonically from the nodal carcinoma. The nodal carcinoma is considered primary because of its morphologic differences from the mammary lesion, the in situ nature of the mammary tumor, and the transition of benign to atypical epithelium in the nodal inclusions. The occurrence of two tumors is viewed as a field effect.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 2","pages":"141-5"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17347278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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