摘要:

Subsequent to the recognition of the intraperitoneal tumors of low malignant potential, clinicians have repeatedly faced the ambiguities inherent in a disease that seems aggressive on the basis of its wide distribution in the peritoneal cavity but benign on the basis of its histopathology and clinical course. Whereas the occasional case has been associated with extensive local reaction and ascites, except for a rare exception these tumors result in prolonged survival and in an absence of extraabdominal extension. The current review of 154 cases followed from 2 to 40 years, performed in an attempt to understand this perplexing disease, leads to the following conclusions: 1) Whereas frequently beginning on the ovary and showing a predilection for the pelvis, there are examples of widely disseminated peritoneal disease with minimal, if any, ovarian involvement; 2) the outcome without adjunctive therapy is excellent and thus such therapy is contraindicated in view of the death of only 2 of the 154 patients with disease, 1 of whom had had adjunctive intraperitoneal isotope therapy; and 3) this disease is best understood as a diffuse primary peritoneal tumor probably developing on the basis of irritating agents' reaching the abdominal cavity from the lower genital canal, a process similar to that proposed for the genesis of endometriosis. Such a lowgrade primary in situ tumor that may involve the entire peritoneal cavity is compatible with prolonged survival.

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A new method of conservative treatment of cervical pregnancy is reported, and 2 successfully treated cases are described. It is suggested that by using cervical cerclage early in cervical pregnancy, hysterectomy can be avoided.

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Five cases of pregnant woman with symptoms of right upper quadrant pain, hemoconcentration, liver dysfunction, and thrombocytopenia are presented as representative of impending gestosis. Plasma volume expansion achieved by either bed rest or intravenous albumin administration appeared to be effective therapy. It is presumed that impending gestosis represents an early form of severe toxemia (edema/proteinuria/hypertension [EPH]gestosis)

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

Supraventricular tachyarrhythmia in association with Wolff-Parkinson-White syndrome is reported in 3 pregnant women. The management of such arrhythmia is discussed, and it is suggested that pregnancy may predispose asymptomatic patients with Wolff-Parkinson-White syndrome toward exhibiting arrhythmia. The diagnosis and etiologic considerations of this syndrome in association with pregnancy are reviewed, and it is concluded that further investigations are needed to determine the incidence of Wolff- Parkinson-White syndrome-induced arrhythmia in pregnancy.

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

摘要:

A woman with bilateral hyperplasia of ovarian hilar cells, stromal lipidic cells (hyperthecosis), and unilateral adenoma of Leydig cells is described. Her clinical course was characterized by long-standing virilism with a recent exacerbation suggesting growth of a tumor from the hyperplastic stromal lipidic cells. Evidence for this hypothesis included similar light and electron microscopic features of the hyperplastic and neoplastic cells and identical patterns of secretion of steroid hormones. Comparison of the in vivo steroid biosynthesis of the hyperplastic lipidic cells with that of testicular Leydig cells showed several similarities. These included 1) secretion of 5 and A4 steroids; 2) greater secretion of the A4 hormones, progesterone and 17-hydroxyprogesterone, than of the A5 steroids, pregnenolone and 17-hydroxypregnenolone; 3) prominent secretion of testosterone but not androstenedione; and 4) limited secretion of estrogens, with estradiol as the principal estrogen. These findings support prior microscopic evidence that ovarian lipidic cells and testicular Leydig cells represent cells of common function and, likely, common origin.

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1981

数据来源: OVID