摘要:

&NA;One hundred and eleven consecutive women with FIGO Stages III and IV ovarian adenocarcinoma were treated with melphalan as their initial chemotherapy. The response rate was 19.8% with 10.8% having a complete response. There was a statistically significant improvement in response in those women with no prior radiation therapy. Moreover, there was a statistically significant improvement in median survival in those patients achieving a complete response to melphalan as compared to those with a partial response, with no change or progression of their malignancy. A review of the results of maximal surgery and combination chemotherapy is presented as a plan of therapy to improve upon the results of melphalan chemotherapy in women with advanced ovarian carcinoma.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Arrhenoblastoma is a rare complication of pregnancy. A case of fatal nonvirilizing arrhenoblastoma in a pregnant adolescent, the third such case to appear in the literature, is discussed. Fifteen cases of arrhenoblastoma in pregnancy that have appeared in the recent literature are reviewed; 87% of these tumors were virilizing. When virilization is absent the diagnosis is difficult. Among the more common presenting symptoms are weight loss, nausea and vomiting, abdominal pain, and a palpable abdominal mass. Arrhenoblastoma occurring during pregnancy has a 31% maternal mortality, 44% rate of malignancy, and a 50% perinatal mortality.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;The Counsellor modification of McIndoe's procedure was used to create a vagina in 12 of 15 patients who presented with Rokitansky‐Kuster‐Hauser syndrome. Eighty percent of these patients, followed postoperatively from 4 months to 8 years, report satisfactory coital function. Our experience suggests that a malleable stent fashioned to conform to the surgically created neovagina is superior to a preformed, nonmoldable stent to which the endopelvic fascial dissection must conform.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;A case of maternal artifact on fetal monitor tracing mimicking fetal decelerations is reported.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;A case is presented of a patient with microinvasive carcinoma of the vulva which was treated by conservative surgery. Six years later, the patient developed inguinal and pelvic lymph node recurrence of carcinoma. A review of the literature on similar cases is also presented.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;The hospital‐based alternative birth center answers the needs of many low‐risk patients. At the same time, it provides safety factors that cannot be approached by home delivery. A home‐like environment facilitates labor, simplifies delivery, and strengthens the family unit.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;The purpose of this paper is to summarize the author's views on precancerous lesions of the epithelium of the uterine cervix. It is pointed out that the pathologist's ability to prognosticate the outcome of any such lesion is limited. The names attached to these lesions, ranging from mild dysplasia to carcinomain situdo not necessarily reflect their true biologic potential in terms of disappearance, persistence, or progression. It is suggested that a unified nomenclature of these lesions may be helpful in clarifying the issue at hand. Comments on the accomplishments and failures of the cytologic methods of diagnosis of these lesions are appended.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;Two thousand seven hundred ninety two contraction stress tests (CST) were analysed. Oxytocin was administered in 1730 of these to stimulate uterine contractions and the hyperstimulation which occurred in 48 tests (2.8%) was studied extensively. Seven patients went into labor within 24 hours of the hyperstimulation. Two infants weighed less than 2500 g. One was mature but small‐for‐dates and the other (who died neonatally) had a trisomy‐18 syndrome with severe congenital abnormalities. There were no other intrapartum or neonatal complications. Ten CSTs demonstrated hypertonicity without any preceding oxytocin administration. No harmful effects from the hyperstimulation could be found.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

&NA;It recently has been shown that the sonar predictive accuracy of gestational age can be markedly enhanced by separating fetuses into one of three cephalic growth patterns, namely, large, average, and small. In this way it becomes possible to adjust fetal age in relation to biparietal diameter (BPD) growth. In this report we are defining the application of a growth adjusted sonographic age (GASA). Additionally, we are introducing a table which simplifies the assignment of GASA on a routine basis.

ISSN:0029-7844    

出版商:OVID    

年代:1978

数据来源: OVID