{"title":"Placental and fetal pathology in infectious mononucleosis. A possible indicator for Epstein-Barr virus teratogenicity.","authors":"A Ornoy, M Dudai, E Sadovsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Placentae and membranes were studied microscopically in five cases of pregnancy interruption due to maternal infectious mononucleosis in the first 2 months of pregnancy. This viral disease, caused by Epstein-Barr virus and apparently rare in pregnancy, induced specific placental lesions. In the decidua, these lesions were manifested by perivasculitis and necrotizing deciduitis. The membranes exhibited slight to moderate chorionitis. In the villi, endovasculitis, perivasculitis, and occasional vascular obliteration were found, as well as mononuclear and plasma cell villitis, with many large atypical vacuolated cells resembling plasma cells. Three fetuses were studied, two of which exhibited myocarditis. The fact that there were placental lesions in all cases studied, and that two of the fetuses exhibited myocarditis, must stimulate further research concerning the possible teratogenicity of this virus in man.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"4 1","pages":"11-6"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17342538","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}
{"title":"The relative fatty acid composition of serum lecithin in preeclampsia.","authors":"U Rosing","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fasting vein blood samples were drawn from 12 women with an early, and from 14 women with a late, onset of preeclampsia and, in addition, from 21 normal pregnant women at comparable gestational length. The relative fatty acid composition of serum lecithin was an analyzed by gas-liquid chromatography. There seemed to be more pronounced fatty acid changes between early and late start of preeclampsia than between severe and mild preeclampsia as defined in terms of maternal symptoms. In the preeclamptic groups, palmitic acid increased and stearic acid decreased as among the normal pregnant women, suggesting a similar amount of lecithin synthesized along pathway. 1. Linoleic acid was reduced in preeclamptic patients as compared to normal pregnant women. This finding seems to be associated partly with the increased incorporation of longer polyunsaturated fatty acids and partly with the increased incorporation of nonessential monoenoic fatty acids. The increased content of longer polyunsaturated fatty acids in serum lecithin might indicate a further reinforcement of the deacylation-reacylation cycle in preeclampsia. Linoleic acid reduction may be associated with intrauterine growth retardation.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":" ","pages":"107-13"},"PeriodicalIF":0.0,"publicationDate":"1982-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35220825","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}
{"title":"A new study of intrauterine synechiae.","authors":"A C Weseley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study is based on a series of 37 hysteroscopies performed in the knee-chest on patients undergoing culdoscopy as part of an infertility work-up. Local anesthesia was used for the two procedures. All the patients had a thorough infertility work-up that was completely negative. Ruled-out by hysterogram prior to the procedure were congenital abnormalities of the uterus, endometrial polyps, and submucous myomas. There were several different types of endometrial scars in nine patients and this was the only intrauterine pathology discovered. They were intrauterine synechiae typical of the Asherman's syndrome in four cases, cesarean section scars in two, adhesions due to an infected IUD in two, and in one patient there were vertical linear scars secondary to an endometrial biopsy. In this study, the hysterogram was particularly accurate in predicting major endometrial abnormalities, but specific evidence as to the type of minor intrauterine pathology had to be obtained with a hysteroscope. The firmer adhesions that were not of the Asherman's type were difficult to remove and could not be broken up with a hysteroscope. The types of scar visualized are described in some detail. Intrauterine synechiae probably derive ultimately from any type of trauma to a decidual or predecidual endometrium and need not be pregnancy related.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 2","pages":"127-9"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18285264","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}
{"title":"Benign glandular inclusions of the peritoneum and periaortic lymph nodes.","authors":"K T Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A rare case of benign glandular inclusions is described involving the peritoneum and periaortic lymph node simultaneously. Some of the inclusions appeared as solid cell nests or cribriform glands, which let to the initial misinterpretation of metastatic adenocarcinoma in an appendectomy specimen. The concomitant involvement of the peritoneum and periaortic nodes indicates that the process in these two sites has a similar histogenesis. The absence of mesothelial surface involvement, the lack of report of mesothelial inclusions within the periaortic lymph nodes, and the known metaplastic potential of the subcoelomic mesenchyme suggest that glandular metaplasia from totipotential subcoelomic mesenchyme is the most likely histogenetic mechanism. The female hormonal milieu is essential for this process to develop since the lesions have exclusively been described in females. Chronic inflammation is a frequent associated finding and it may represent one of the metaplastic stimuli.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 3","pages":"265-8"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18339566","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}
{"title":"Intramuscular angiomatosis of pelvic wall complicating pregnancy. Clinical, histological, and ultrastructural observations.","authors":"A J Amortegui, H Salazar, A Kunschner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the first report of intramuscular angiomatosis involving the right bulbocavernous muscle in a pregnant woman, who underwent a cesarean section because of the risk of dystocia. The tumor was formed by well- and poorly differentiated vessels infiltrating the skeletal muscle fibers, which showed various degrees of degeneration. On electron microscopy, the neoplastic vessels were formed by large endothelial cells rich in organelles, limiting a luminal space and surrounded by a multilayered basal lamina. Pericytes were usually present around the endothelial layers. The neoplastic vascular structures seemed to grow by a process of gemmation. Our observations confirm the notion that this kind of benign neoplasm may pursue a rapidly growing course and presents a disturbing histological appearance which requires proper interpretation and precise diagnosis.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 4","pages":"283-90"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18351556","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}
{"title":"Single bifid ectopic left ureter presenting clinically as a vaginal cyst.","authors":"A Kjaeldgaard, S Fianau, T Thorgeirsson, P Ekman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of vaginal cyst formation, communicating with the bladder and with a single ectopic left ureter, is reported. It was concluded that this anomaly represented an ureter with the original relationship to the wolffian duct (Gartner's cyst). Extirpation of the cyst and reimplantation of the ectopic ureter in the bladder was performed.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 4","pages":"321-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18351561","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}
{"title":"Diagnosis--the lost art.","authors":"H R Barber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 2","pages":"99-100"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18276404","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}
{"title":"Clinical evaluation of gallium 67 citrate scanning in noninflammatory and nonmalignant pelvic conditions.","authors":"M A Pelosi, R J D'Amico, J Apuzzio, D Fricchione","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gallium 67 citrate scanning has recently been introduced in the detection and localization of malignant and inflammatory pelvic processes. A total of 26 obstetrical and gynecological patients with proven benign and noninflammatory pelvic processes were injected with gallium 67 citrate and scanned. All the patients showed normal studies. Our results indicate that benign and noninfectious pelvic conditions do not show an increased uptake of gallium 67 citrate. It is concluded that the presence of a positive scan during the postpartum or postoperative period strongly suggests the possibility of infection. Benign pelvic tumors did not show an increased accumulation of the gallium 67 citrate. As a consequence an increased uptake by a pelvic mass strongly suggests the possibility of malignancy. An important observation from a clinical point of view was the absence of gallium uptake at the site of noninfected surgical incisions in the postoperative period.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 2","pages":"131-5"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17993076","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}
{"title":"Mucinous ovarian tumors with giant cell mural nodules. A report of two cases.","authors":"P Russell, E J Wills, P Schweitzer, P M Bannatyne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases are reported in young women of a variant of ovarian mucinous tumor with giant cell mural nodules. The first tumor was a predominantly proliferating mucinous tumor with a giant cell mural nodule adjacent to foci of haemorrhage and reactive vascular proliferation. No invasive carcinoma could be identified. In the second tumor, which was examined by electron microscopy, a sharp demarcation was observed between typical invasive mucinous carcinoma and areas which, on low-power examination, were indistinguishable from malignant giant cell tumor of soft parts. Closer examination revealed, in these latter areas, an intimate mixture of anaplastic, predominantly mononuclear tumor cells and multinucleate osteoclast-like giant cells. The histogenesis of these lesions is suggested as being reactive to the tumor cells or their products and is discussed with reference to similar tumors reported from the ovary and other sites in the body.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 3","pages":"233-49"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17338125","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}
{"title":"Placental tissue registry. Analysis of the first 500 cases.","authors":"J R Cipparone, L E Nathan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An analysis has been given of the first 500 cases submitted to the Placental Tissue Registry. Placental lesions were studied in a variety of clinical situations other than the usual complications of pregnancy. There were more infant deaths than infants with a good outcome in the cases of absence of one umbilical artery, amnion nodosum, atheromatosis of the decidual vessels, and acute and chronic villitis. The etiology of chronic villitis remains obscure.</p>","PeriodicalId":79216,"journal":{"name":"Diagnostic gynecology and obstetrics","volume":"3 1","pages":"19-26"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18229953","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}