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The frozen section analysis of conization. A reappraisal of the ends and means. 锥形的冻结截面分析。对目的和手段的重新评估。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
W A Andersen, R Lieser, P T Taylor, W N Thornton
{"title":"The frozen section analysis of conization. A reappraisal of the ends and means.","authors":"W A Andersen,&nbsp;R Lieser,&nbsp;P T Taylor,&nbsp;W N Thornton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective review of 163 consecutive conizations of the cervix is reported to analyze the use of frozen section interpretation of the conization specimen in 115 patients. There were no failures to identify occult invasive cancer on the initial frozen section analysis and no differences of therapeutic significance when the permanent sections were reviewed. The frozen section conization-immediate hysterectomy technique was compared with the clinical course of 29 patients whose hysterectomy was delayed for 6-8 weeks after conization. The total operating time, estimates of operative blood loss, amount of blood required in transfusion, and morbidity were similar in both groups. Total hospital days were significantly decreased with the cone/frozen section/immediate hysterectomy technique. Because frozen section conization/immediate hysterectomy offers additional advantages of a single hospital admission, single anesthetic induction, and single postoperative recovery/convalescent period, this approach continues to deserve serious consideration in the management of patients with CIN when conization is necessary and subsequent hysterectomy is desired.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"251-4"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18133759","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
Catamenial pneumothorax with pleural endometriosis and hemoptysis. 胸膜性气胸伴胸膜子宫内膜异位症和咯血。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
A Velasco Osés, E Hilario Rodriguez, J L Santamaría García, T Aramendi Sanchez, M J Coma Corral, L Pérez Serrano
{"title":"Catamenial pneumothorax with pleural endometriosis and hemoptysis.","authors":"A Velasco Osés,&nbsp;E Hilario Rodriguez,&nbsp;J L Santamaría García,&nbsp;T Aramendi Sanchez,&nbsp;M J Coma Corral,&nbsp;L Pérez Serrano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>One case of recurrent pneumothorax, coinciding with menstruation, is documented. The ethiopathogenesis of this syndrome remains unknown, after studying the 44 cases. Their association with pleural endometriosis has only been found in nine cases. This new publication with pleural endometriosis and menstrual hemoptysis supports an endometriosis etiology. The surgical treatment of pneumothorax is effective, and a main disclosure of this syndrome would facilitate the research and enlightenment of the ethiopathogenesis.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"295-9"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18179615","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 relative fatty acid composition of serum lecithin in one woman with essential hypertension superimposed by severe preeclampsia. 原发性高血压合并严重子痫前期妇女血清卵磷脂的相对脂肪酸组成。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
U Rosing, P Johnson, A Olund, G Samsioe
{"title":"The relative fatty acid composition of serum lecithin in one woman with essential hypertension superimposed by severe preeclampsia.","authors":"U Rosing,&nbsp;P Johnson,&nbsp;A Olund,&nbsp;G Samsioe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A hospitalized woman with essential hypertension complicated by severe preeclampsia was serially studied in the end of her pregnancy and in the puerperal period. The relative composition of serum lecithin fatty acids was analyzed by gas-liquid chromatography. In the present case, the main finding during pregnancy was a dramatic decrease of the linoleic acid parallel to a vast increase of nonessential fatty acids. Of these fatty acids, 20:3 of the oleic acid series was found in an extremely high quantity which may suggest a compensatory mechanism to reduced levels of essential polyenoic fatty acids. It was suggested that the linoleic acid decrement was mainly associated with the disease. These changes were found to be enhancements of differences earlier found between preeclamptic and normal pregnant women.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"305-8"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18182817","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
Herpes simplex virus diagnosis. Antigen detection by ELISA and flow microfluorometry. 单纯疱疹病毒诊断。ELISA和流动微荧光法检测抗原。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
L Aurelian
{"title":"Herpes simplex virus diagnosis. Antigen detection by ELISA and flow microfluorometry.","authors":"L Aurelian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Rapid diagnosis of herpes virus (HSV) infection is essential, primarily in the clinical management of the obstetrical patient. We developed an ELISA procedure for viral antigen detection within 24 hours. The assay is sensitive and specific, detecting as little as 2 X 10(-3) micrograms antigen protein and reactivity with mock antigen or unrelated viruses (not observed). Good (91.6%) correlation is observed between ELISA and virus isolation. However, direct quantitative comparison indicates that the ELISA is approximately 100-1000-fold more sensitive than virus culture. Based on the established association of HSV-2 with squamous cervical cancer, and the finding of HSV antigen in atypical cervical cells, studies in our laboratory have focused on the possible use of immunologic markers for screening of abnormal cells in patients with early cervical lesions. A microfluorometric procedure is described that uses multiparameter measurements including: (1) HSV antigen, (2) DNA content, and (3) cell size to screen for abnormal cervical cells. The procedure is specific and it results in a significant enrichment of atypical cells. Its potential as a screening procedure is discussed.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"375-88"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17815299","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
Colonic pseudo-obstruction following obstetrical surgery. A review. 产科手术后结肠假性梗阻。复习一下。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
E A Reece, R H Petrie
{"title":"Colonic pseudo-obstruction following obstetrical surgery. A review.","authors":"E A Reece,&nbsp;R H Petrie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Colonic pseudo-obstruction denotes an apparent intestinal obstruction occurring in the absence of a demonstrable lesion or luminal occlusion. This syndrome is distinct from adynamic ileus, and parturition accounts for a major category of reported cases. The purpose of this paper is to 1) review the literature on the subject, 2) emphasize the severity of this condition and the need for early diagnosis and prompt management and, 3) to outline guidelines for the improved management of this disorder.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"275-80"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17815297","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
Appearance of tonofilaments and absence of microtubules in human endometrial glandular epithelium. A function of estrogen activity. 人子宫内膜腺上皮张力丝的出现和微管的缺失。雌激素活性的功能。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
M J Clyman, I Spiegelman, T Ross
{"title":"Appearance of tonofilaments and absence of microtubules in human endometrial glandular epithelium. A function of estrogen activity.","authors":"M J Clyman,&nbsp;I Spiegelman,&nbsp;T Ross","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1966, Cavazos et al.(1) carried out electron-microscopic studies of human endometrium and reported the presence of microtubules in glandular epithelial cells. This study presents evidence that no microtubules are evident at any stage of the menstrual cycle. Instead, there are numerous tonofilaments that increase in number, forming bundles that relate to the formation of new desmosomes. They are under the influence of both endogenous and exogenous estrogen and dissipate under the influence of progesterone. This feature may be of submicroscopic importance in stabilizing the rigidity of cells prior to preparation for nidation under the influence of progesterone.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"173-81"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17939538","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
Cytological diagnosis of virus-infected cells in cervical smears. Value in gynecologic and obstetric practice. 宫颈涂片中病毒感染细胞的细胞学诊断。在妇科和产科实践的价值。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
D V Coleman
{"title":"Cytological diagnosis of virus-infected cells in cervical smears. Value in gynecologic and obstetric practice.","authors":"D V Coleman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Herpes simplex virus is a common cause of infection of the female genital tract. The infection can be diagnosed by the cytopathologist from the appearances of multinucleate giant cells in Papanicolaou smears. The cytological diagnosis of this infection is of value to the gynecologist in identifying subclinical infection and in confirming clinically suspicious disease. The validity of the cytological diagnosis can be established by virus isolation or electron microscopy. Although other infections of the female genital tract such as wart virus infection, cytomegalovirus infection, and chlamydial infection can be detected by cytological methods, the reliability of the cytological approach has yet to be established. Nevertheless, cytology has provided a powerful stimulus for research into the prevalence of wart virus infection of the cervix, which has been shown to be much more common than was previously supposed, and may be a factor in cervical carcinogenesis. Cytological examination of smears of urinary sediment has proven to be a reliable method of detecting human polyomavirus excretion in pregnancy. Active infection of the urinary tract occurs in 3.2% of pregnant women who represent an \"at risk group\" with altered immunological function.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"363-73"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17360789","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
Congenital uterovesical fistula. 先天性子宫膀胱瘘。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
E A Reece, J Wible, P Gilhooly, W Tretter, C Crum
{"title":"Congenital uterovesical fistula.","authors":"E A Reece,&nbsp;J Wible,&nbsp;P Gilhooly,&nbsp;W Tretter,&nbsp;C Crum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An example of congenital uterovesical fistula is presented. The cardinal diagnostic feature is monthly painless macroscopic hematuria with onset at menarche. It is possible that a delay in prompt diagnosis and corrective surgery may lead to undesired consequences. The literature has revealed only one other recorded case of the congenital type of uterovesical fistula.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 3","pages":"207-10"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18133752","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
Colposcopic patterns and their histopathologic correlation. 阴道镜模式及其组织病理学相关性。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
H Caglar, G Creatsas, T Garcia-Bhandari, B Rodgers, W Wieckowska, M M Hreshchyshyn
{"title":"Colposcopic patterns and their histopathologic correlation.","authors":"H Caglar,&nbsp;G Creatsas,&nbsp;T Garcia-Bhandari,&nbsp;B Rodgers,&nbsp;W Wieckowska,&nbsp;M M Hreshchyshyn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>White epithelium, mosaicism, punctation, and atypical vessels are internationally used colposcopic terms describing an atypical transformation zone. Other morphologic findings are surface contour, clarity of demarcation, and tone of whiteness with or without atypical vessels. In the State University of New York at Buffalo affiliated hospitals, 665 cervical and vaginal atypical colposcopic patterns of 552 patients were matched with their histologic findings. Mosaicism, punctation, and white epithelium correlated with the histologic diagnosis of vaginal intraepithelial neoplasia and cervical intraepithelial neoplasia in 43%, 55%, and 42% of the cases, respectively. When white epithelium accompanied the mosaicism or punctation, the incidence of histologically confirmed vaginal and cervical intraepithelial neoplasia raised to 66% and 68%, respectively. In patients with prenatal DES exposure, mosaicism rarely (17%) correlated with the histologic findings of vaginal and cervical intraepithelial neoplasia. Overall, there was a great variability in the correlation depending on the specific colposcopic abnormalities.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"281-4"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18179613","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
Amyloid tumor of the breast. 乳腺淀粉样瘤。
Diagnostic gynecology and obstetrics Pub Date : 1982-01-01
A N Walker, R E Fechner, J H Callicott
{"title":"Amyloid tumor of the breast.","authors":"A N Walker,&nbsp;R E Fechner,&nbsp;J H Callicott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 55-year-old woman had a solitary mammary amyloid tumor without evidence of a systemic, amyloid-related illness. The tumor produced a palpable, firm mass suspicious for carcinoma. Microscopically, amyloid was found in a periductal and perivascular location. It was seen in the fat as well. A prominent giant cell reaction and chronic inflammatory infiltrate were present.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 4","pages":"339-41"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18182821","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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