1/6. diagnosis of culture-negative female genital tract tuberculosis with peritoneal involvement by polymerase chain reaction.BACKGROUND: female genital tract tuberculosis (TB) is a common cause of infertility in developing countries. It is a paucibacillary form of the disease of which smears and cultures are usually negative. CASE: We were able to use polymerase chain reaction (PCR) amplification of mycobacterium tuberculosis dna to support a clinical and histologic diagnosis of a typical case of culture negative female genital tract TB. CONCLUSION: PCR may be a useful adjunct to diagnostic efforts in gynecologic tuberculosis.- - - - - - - - - - ranking = 1keywords = gynecologic (Clic here for more details about this article) |
2/6. Genital tuberculosis in a menopausal woman. A case report.We have analysed the role played by genital tuberculosis (TBC) in italy today, and in particular in L'Aquila, in the light of a worrying recrudescence. We report the case of a 64-year-old patient, in menopause for the past 11 years or so, referred to the gynecology and obstetrics Clinic of the University of L'Aquila, with an anamnesis of menometrorrhagia since the age of 55. The patient was studied from a gynecological and internist profile including the following procedures: gynecological examination and pap-test, colposcopy, transvaginal scan, chest X-ray, abdominal and pelvic CAT, laboratory tests and Mantoux reaction. The uterus was found to be fibromatous during the gynecological examination and scan, whereas colposcopy revealed a small ectropion and the presence of very adherent yellowish mucus. The Mantoux test was positive. CAT showed cicatricial sequelae in the pulmonary parenchyma. It was decided to perform curettage, but this was prevented by the presence of pyometra. The patient was treated with specific chemotherapy and then underwent total laparohysterectomy with bilateral adnexectomy. The histological findings confirmed genital TBC. Genital TBC is now undergoing a worrying recrudescence. We need to have a full knowledge of the pathology, the diagnostic means with which to discover it and the correct therapeutic instruments to overcome it.- - - - - - - - - - ranking = 3keywords = gynecologic (Clic here for more details about this article) |
3/6. Management of bilateral fallopian tube carcinoma coexistent with tuberculous salpingitis.Primary carcinoma of the fallopian tube is a rare gynecologic malignancy. Chronic tubal inflammation is associated with primary carcinoma of the fallopian tube. There are only a few reports on primary carcinoma of the fallopian tube coexisting with tuberculous salpingitis. We are reporting a patient with both the primary carcinoma of the fallopian tube and tuberculous salpingitis, which were detected in bilateral fallopian tubes. The histologic type was serous adenocarcinoma. The patient was treated with total abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic omentectomy, and bilateral pelvic lymphadenectomy followed by chemotherapy consisting of paclitaxel and cisplatin. She has been alive without evidence of disease for 18 months.- - - - - - - - - - ranking = 1keywords = gynecologic (Clic here for more details about this article) |
4/6. Primary adenocarcinoma of the fallopian tube with tuberculosis (short communication).A case of primary adenocarcinoma and tuberculosis of the Fallopian tube is presented. The clinical symptoms of the patient were pelvic pain and primary infertility. The gynecologic examination revealed a palpable tubal mass and the diagnosis was performed from the laparotomy and the pathology report.- - - - - - - - - - ranking = 1keywords = gynecologic (Clic here for more details about this article) |
5/6. Postmenopausal tuberculosis of the female genital tract.A study was made of women with postmenopausal tuberculosis of the genital tract investigated between January 1, 1951, and March 1, 1981. Twenty-six of 701 patients (3.7%) with proved gynecologic tuberculosis had postmenopausal infection. The age incidence of gynecologic tuberculosis has changed in recent years; the proportion of patients over 40 years of age is now much higher than in the past. Since January 1, 1976, a combination of rifampicin, ethambutol, and isoniazid has been employed in the treatment of this disease. Six new cases treated with this drug program are described. No patient showed evidence of recurrence at follow-up.- - - - - - - - - - ranking = 2keywords = gynecologic (Clic here for more details about this article) |
6/6. The female gonadic syndrome in bacillary endocrine diseases.The paper reports on the endocrine-gynecologic syndrome of genital tuberculosis in the woman. The localization of the disease has a much higher incidence than it is currently believed by gynecologic and endocrinologic practitioners. The casuistry and pathogenic data exposed herein are aimed at reminding this situation. A selective list of references comes in support of authors' observations.- - - - - - - - - - ranking = 2keywords = gynecologic (Clic here for more details about this article) |