1/85. Delivery of a severely anaemic fetus after partial molar pregnancy: clinical and ultrasonographic findings.The incidence of a normal live fetus and a partial molar placenta is extremely rare. Although triploidy is the most frequent association, a fetus with normal karyotype can survive in cases of partial molar pregnancy. We report a case of partial molar placenta in which a live female baby was delivered at 32 weeks gestation by a 30-year-old woman. At the 18th week, ultrasonographic examination revealed a normal fetus with a huge, multicystic placenta. Chromosomal evaluation by amniocentesis revealed a normal female karyotype (46,XX), and serial biometric measurement of the fetus showed normal growth during pregnancy. There were no obstetric complications until the 32nd gestational week when preterm rupture of the membranes occurred. The electronic fetal heart beat tracing showed a repeated sinusoid pattern and late deceleration after admission. The patient underwent emergency Caesarean section and delivered a 1551-g, anaemic female baby with an apgar score of 1, 4 and 6 at 1, 5 and 10 min, respectively. The baby recovered within 2 weeks after respiratory support and transfusion of packed red blood cells. Although anaemia is one of the risk factors that jeopardize the fetus in the case of partial molar pregnancy, termination is not indicated when the fetus is normal and no complications have occurred.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
2/85. Sonographic evaluation of a leiomyoma of the broad ligament of the uterus.Leiomyomas of the uterus generally have a characteristic ultrasound appearance. We present a case of leiomyoma of the broad ligament of the uterus. A 46-year-old woman who had previously undergone a hysterectomy had a pelvic mass with a whorled appearance and acoustic shadowing suggestive of a leiomyoma on sonography. Based on the sonographic appearance, a preoperative diagnosis of a leiomyoma was made despite the unusual location. Histologic examination of the excised mass revealed leiomyoma originating from the broad ligament.- - - - - - - - - - ranking = 757.42799887802keywords = ligament (Clic here for more details about this article) |
3/85. female adnexal tumour of probable wolffian origin.We report a case of female adnexal tumour of probable wolffian origin, a rare tumour of the broad ligament, and discuss aspects of its origin, differential diagnosis and behaviour.- - - - - - - - - - ranking = 126.237999813keywords = ligament (Clic here for more details about this article) |
4/85. Mola invasiva--special form of GTD.Invasive hydatidiform mole is a relative rare form of gestational trophoblastic disease (GTD). Most of hydatidiform moles remit after evacuation but some of them have the tendency to invade the myometrium. In some rare cases the trophoblastic tissue can be found in other tissues like lungs, vulva, vagina or broad ligament. The aim of the study was to demonstrate some of clinical, immunohistochemical and dna analysis findings of a patient with a previous diagnosis of a complete hydatidiform mole.- - - - - - - - - - ranking = 126.237999813keywords = ligament (Clic here for more details about this article) |
5/85. Endometrial endometrioid carcinomas associated with Ewing sarcoma/peripheral primitive neuroectodermal tumor.Three uterine tumors, each consisting of endometrioid carcinoma and Ewing's sarcoma/peripheral primitive neuroectodermal tumor (ES/pPNET) are described. The diagnosis of ES/pPNET in each case was first established in the hysterectomy specimen because each ES/pPNET was misinterpreted on the endometrial biopsy specimens as a high-grade homologous sarcoma. The ES/pPNET element in each case consisted of solid masses of small- to medium-sized round cells without Homer-Wright pseudorosettes, glial or ganglion cells, true rosettes with central lumens, or medulloepithelial tubules. Each ES/pPNET exhibited focal positive immunostaining for neuron-specific enolase, diffuse staining for vimentin, and strong cell membrane immunoreactivity for O13 (CD99), the last finding providing the first clue to the diagnosis of ES/pPNET in each case. The diagnosis in each case was confirmed by detection of EWS/FLI-1 fusion transcript through reverse transcription polymerase chain reaction. We also examined O13 immunoreactivity retrospectively in 40 cases of malignant mixed mullerian tumors (MMMT) with homologous or heterologous elements. O13 immunoreactivity was not observed in the malignant epithelium or in the homologous or heterologous sarcomas. The immunoreactivity of O13 in round cell endometrial sarcomas provides a clue to the diagnosis of ES/pPNET.- - - - - - - - - - ranking = 1keywords = membrane (Clic here for more details about this article) |
6/85. Old ectopic pregnancy remnants with morphological features of placental site nodule occurring in fallopian tube and broad ligament.Placental site nodule (PSN) is an asymptomatic benign proliferation of intermediate trophoblast from a previous gestation that failed to involute. It is most commonly found in the endometrium or endocervix; however, placental site nodule has recently been reported to occur at sites of ectopic gestation. This is the first case of PSN in the broad ligament in direct contact with the fallopian tube. The patient underwent surgery for an adenocarcinoma of the opposite tube. Microscopically and immunohistochemically, the lesion showed the characteristics of a proliferation of intermediate trophoblast.- - - - - - - - - - ranking = 631.18999906502keywords = ligament (Clic here for more details about this article) |
7/85. Cotyledonoid leiomyoma of the uterus: report of a case.A 46-year-old woman presented with a pelvic mass. At the time of operation a large, exophytic, multinodular tumor extended into the peritoneal cavity and right broad ligament from a pedunculated attachment to the uterus in the region of the right cornu. On external examination the lesion had the appearance of cotyledonoid dissecting leiomyoma. On microscopic examination bulbous processes were composed of benign smooth muscle arranged in interlacing fascicles or swirls; there was focal hydropic degeneration. Significant nuclear atypia, mitotic activity, and coagulative tumor necrosis were not encountered. No intravascular involvement was present. There was no demonstrable parent leiomyoma or intramural dissecting component, and thus the case differed from previously reported cases of both cotyledonoid dissecting leiomyoma and intramural dissecting leiomyoma. This tumor represents another variation in the group of benign uterine smooth muscle tumors with unusual growth patterns.- - - - - - - - - - ranking = 126.237999813keywords = ligament (Clic here for more details about this article) |
8/85. Diffuse uterine leiomyomatosis with ovarian and parametrial involvement.BACKGROUND: Diffuse uterine leiomyomatosis is a rare, benign entity and approximately 30 cases have been described previously. CASE: A 42-year-old woman who complained of abdominal pain had a pelvic ultrasound scan showing a uterine mass. During the operation, the surgeon observed that both ovaries, the broad ligament, and the pelvis contained various nodules of striking size. On sectioning, uterus and ovaries contained multiple nodules of elastic consistency; microscopically, all consisted of benign smooth muscle tissue. CONCLUSION: leiomyomatosis may exhibit concomitant parametrial, pelvic, and bilateral ovarian involvement.- - - - - - - - - - ranking = 126.237999813keywords = ligament (Clic here for more details about this article) |
9/85. Lipoleiomyoma of broad ligament: a case report.Lipoleiomyoma is a very uncommon tumor, and broad ligament of uterus is one of the rare sites. No case has been reported in last five years. This case is presented because of its rarity and its uncommon site of occurrence.- - - - - - - - - - ranking = 631.18999906502keywords = ligament (Clic here for more details about this article) |
10/85. Vaginal leiomyoma co-existing with broad ligament and multiple uterine leiomyomas.A 48 year old African American woman presented with bladder pressure leading to the diagnosis of broad ligament and multiple uterine leiomyomas. She was also found to have a lateral vaginal wall mass which was confirmed to be a leiomyoma. Unlike uterine leiomyomas, vaginal leiomyomas are uncommon and are most often found in Caucasian women. Cases of such coexisting tumors are rare and their etiologic relationship is uncertain.- - - - - - - - - - ranking = 631.18999906502keywords = ligament (Clic here for more details about this article) |
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