1/4. Premalignant and malignant uterine changes in immunosuppressed renal transplant recipients.29 female immunosuppressed renal transplant recipients were examined gynecologically. In 2 cases the epithelium of the portio was found to be dysplastic, while endometrial carcinoma was present in 1 patient. A review of the literature suggests that immunosuppressed patients are more likely to develop tumors than others. The authors stress the need for gynecological and cytological examinations at short intervals, to identify premalignant and early malignant uterine changes at a time at which these can readily be treated without discontinuation of the immunosuppressive therapy.- - - - - - - - - - ranking = 1keywords = gynecologic (Clic here for more details about this article) |
2/4. The inadequacy of standard treatment of dysplasias in a woman with acquired immune deficiency syndrome.The current state of knowledge regarding the gynecologic care of hiv-infected women is in its infancy. Standard algorithms are not valid. We present an example of the inadequacy of routine surveillance and treatment methods in these patients. Practitioners should maintain a high index of suspicion for multifocal genital dysplasias and individualize patient follow-up and therapy.- - - - - - - - - - ranking = 0.5keywords = gynecologic (Clic here for more details about this article) |
3/4. Severe hemorrhage complicating the klippel-trenaunay-weber syndrome.The Klippel-Trenaunay-Weber (KTW) syndrome is a congenital disorder of angiogenesis characterized by macular nevus, skeletal and soft tissue hypertrophy, venous varicosities, and arteriovenous fistulas. disseminated intravascular coagulation (DIC) and the kasabach-merritt syndrome, a consumptive coagulopathy with thrombocytopenia, are both associated with the KTW syndrome. We describe a 30-year-old woman with KTW syndrome and kasabach-merritt syndrome who had DIC with severe hemorrhage after a routine gynecologic procedure. The bleeding was controlled with the use of intravenous low-dose heparin and antithrombin iii.- - - - - - - - - - ranking = 0.5keywords = gynecologic (Clic here for more details about this article) |
4/4. Anaplastic carcinoma of the fimbriated end of the fallopian tube as an incidental finding.carcinoma of the fallopian tube is an uncommon gynecologic tumor that is usually diagnosed in an advanced stage. The majority are tubal in origin, and rarely arise in the fimbriae. It appears that the latter may have a worse prognosis than the equivalent stage of tubal tumors that do not arise from fimbriae. We present a case of a 53-year-old white woman with FIGO stage 1 primary anaplastic carcinoma of the fimbriated end of the fallopian tube that was incidentally found in a specimen resected during a total abdominal hysterectomy with bilateral salpingo-oophorectomy. The patient underwent surgery because of findings of severe cervical dysplasia, atypia and dyskaryosis on a routine Papanicolau smear. Postoperative recovery was uneventful, and follow-up abdominal and pelvic CT scans showed no evidence of disease. However, because of the poor degree of differentiation, focal serosal infiltration and fimbrial end tube site of the carcinoma she was considered to have a high risk of recurrence. Thus, it was recommended that she undergo adjuvant chemotherapy with cyclophosphamide and carboplatin. Eighteen months after diagnosis, the patient is alive and well with no evidence of disease.- - - - - - - - - - ranking = 0.5keywords = gynecologic (Clic here for more details about this article) |