摘要:

Recently the occurrence of adenocarcinoma of the endometrium has been reported in young women exposed to sequential oral contraceptive agents for long periods of time. Twelve young women who had been using Oracon for periods of from 13 to 93 months were subjected to office endometrial aspirations. Tissue specimens showed endometrium which varied in diagnosis from proliferative endometrium to severe atypical adenomatous endometrial hyperplasia bordering on endometrial carcinoma in situ. Adenomatous endometrial hyperplasia is thought by many investigators to be a precancerous condition. The progression of endometrial changes from benign proliferation to cystic hyperplasia and adenomatous hyperplasia accompanied by varying degrees of anaplasia in young women exposed to Oracon for long periods of lime is significant. It is not surprising, therefore, that adenocarcinoma of the endometrium has been reported in these women at an age where this condition had been relatively uncommon prior to the use of sequential oral contraceptives.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The origin and quantity of estrogen and androgen were measured in a postmenopausal woman with clinical signs of estrogen excess and a nonendocrine tumor of the ovary. The plasma androstenedione production rate was elevated 5-fold. The estrone production rate was also five times that normally expected for a postmenopausal woman and could be accounted for totally by the extraglandular conversion of plasma androstenedione. Following removal of the tumor, the concentration of plasma androstenedione and the estrone production rate fell dramatically to normal postmenopausal levels. It is concluded that this markedly increased androstenedione production was the result of excessive secretion of androstenedione by the hyperplastic stromal cells of the ovary containing the mucinous cystadenocarcinoma. The excessive prehormone production together with its normal extraglandular conversion to estrone resulted in the massive increase in endogenous estrogen formation.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Five patients are presented who manifested a heretofore unreported uterine anomaly: uterus unicornis with uterus solidaris. The condition is illustrated and described in detail. Patients with this anomaly have a good fertility potential, although they may expect a high fetal wastage, frequent premature labor and delivery, increased complications of pregnancy and delivery, and an increased incidence of infants that are small for the pregnancy duration. The importance of laparoscopy in diagnosing this anomaly is emphasized.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Six cases of concomitant uterine anomalies and absent kidney are reported. Five of these were obstructive in type, 2 representing a mother and daughter relationship. The importance of investigation of the genitourinary system in the presence of uterine anomaly is emphasized. Fertility is unimpaired but obstetric complications are common, especially premature delivery and breech presentation. Treatment can be simple—drainage of unilateral hematocolpos—but excision of the septum may he necessary. The abnormal embryonic development is reviewed.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The normal pattern and duration of ovum transport was determined in a group of unmated, spontaneously ovulating baboons (Papio anubis) in which the time of ovulation had been determined directly using serial laparoscopy or indirectly using periovulatory estrogen values, perineal sex skin changes, and corpus luteum histology. At laparotomy, the reproductive tract was segmentally flushed at 24,48, or 72 hours after ovulation and the position of the ova within the tract ascertained. Ova were consistently recovered from the ampulla 24 hours after ovulation, from both the ampulla and isthmus at 48 hours, and from the uterus 72 hours after ovulation. These results suggest that the baboon constitutes a potentially valuable animal model for the investigation and preclinical evaluation of contraceptive technics affecting tubal function.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

The technics of T-tube suction drainage of the retroperitoneal space and of prophylactic antibiotics were evaluated each alone and then in combination in a randomized study of 451 private patients undergoing abdominal or vaginal hysterectomy. As compared with results in a control group, suction drainage alone and prophylactic antibiotics alone were equally effective in reducing the incidence of postoperative pelvic infection and febrile morbidity. When the two technics were used in combination, there was further reduction in the incidence of pelvic infection and febrile morbidity. However, these results were not statistically different from those of either technic alone. Data are presented to indicate that hysterectomy is performed in a bacteriologically contaminated operative field and that a contaminated fluid collection routinely accumulates in the retroperitoneal space. It is therefore suggested that hysterectomy be managed as a potentially infected surgical wound.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Ninety-three infertile women were treated with clomiphene citrate alone or in combination with human chorionic gonadotropin (hCG) for absent or infrequent ovulation. The patients were divided into eight categories according to the diagnosis obtained: ovarian androgenic hyperplasia, adrenal androgenic hyperplasia, mixed ovarian and adrenal androgenic hyperplasia, hypothaiamic anovulation, postpill anovulation, follicular phase defect, lutcal phase defect, and amenorrhea-galactorrhea syndrome. Each group was analyzed individually to compare the ovulation and conception rates and the complications involved. A survey of the data presented in this study shows that the best response was noted in patients with ovarian androgenic hyperplasia. Patients with a functional pathologic adrenal component responded favorably when dexamethasone was used as an adjuvant to clomiphene therapy. Those with hypothalamic anovulation responded better when hCG was added to clomiphene therapy. Women with postpill anovulation as well as those with follicular phase defect were found to be good candidates for clomiphene therapy. In properly selected patients with poor luteal phase defect, hCG secured excellent results both in ovulation and conception. Patients with lactation amenorrhea failed to ovulate when treated with clomiphene alone.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Clomiphene citrate was administered to 17 patients with either secondary amenorrhea or oligomenorrhea to study its effect on hypothalamic-pituitary response. Measurement of pulsatile gonadotropin output was accomplished utilizing samples collected every 20 minutes for 6 to 8 hours before and after clomiphene administration. Response to 100 µg synthetic Iuteinizing hormone releasing hormone (LRH) was measured at the end of the sampling period. Patients with polycystic ovarian disease who ovulated showed increased baseline FSH and LH, decreased peak LH, and a decrease in the percentage increase over baseline for both LH and FSH. One patient with clinical anorexia nervosa responded to clomiphene as an estrogen, with lowered baseline LH and FSH values. Patients with resolving anorexia responded to clomiphene as an antiestrogen, with increased baseline gonadotropins, and decreased gonadotropin peak values. A patient with a surgically treated chromophobe adenoma showed no change in parameters measured before and after clomiphene administration. Baseline and pulsatile LH output appear to reflect the tonic output of gonadotropin as affected by estrogen acting in a negative feedback system, and the peak response to LRH administration, the response to the positive feedback of estrogen. Thus, LRH stimulation in clomiphcneresistent patients may be of value in diagnosing the site and degree of the defect and aid in improving therapy.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Serum testosterone (T) and dihydrotestosterone (DHT) were measured by radioimmunoassay in 14 patients with unaborted hydatidiform mole and in 16 patients with normal pregnancy of similar gestational age. Serum human chorionic gonadotropin (hCG) was measured by the radioreceptor assay in patients with hydatidiform mole. Serum T ranged from 0.27 to 5.39 ng/ml with a mean ± SE of 2.21 ± 0.45 ng/ml in patients with hydatidiform mole mole and from 0.20 to 2.40 ng/ml with a mean ± SE of 0.80 ± 0.14 ng/ml in patients with normal pregnancy, the difference being statistically significant (P=<0.005). Similarly, patients with molar pregnancies had a significantly higher (P=<0.005) serum DHT (range: 0.09 to 0.62 ng/ml; mean ± SE: 0.29 ± 0.05 ng/ml) than patients with normal pregnancies (range: 0.04 to 0.28 ng/ml; mean ± SE: 0.12 ± 0.02 ng/ml). There was no significant correlation between uterine size or serum hCG and serum T or DHT. The possible sources of the elevated serum T and DHT and the lack of hirsutism or virilization in patients with trophoblaslic disease are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

Two cases of primary squamous cell carcinoma of the vagina with a coincidental finding of vaginal adenosis, both in young women, are presented

ISSN:0029-7844    

出版商:OVID    

年代:1976

数据来源: OVID