[Fibroid and pregnancy: the complications]

To study the maternal and fetal morbidity in the association fibroid and pregnancy and the management in this case. A retrospective study of 80 cases of fibroids associated to pregnancy. These cases were taken from the department "C" of gynecology and obstetrics in the center of maternity and neonatology of Tunis. We studied 80 cases of fibroid associated to pregnancy in our study. The mean age of the patients was 32 years old. 45% of the patients were primipares. The interstitial fibroids [68%] are the most frequent. The average number of fibroid is 1, 7 in each pregnancy. The aseptic necrobiosis is the most frequent complication of the fibroid whereas for the mother the main complications are the premature delivery, the premature rupture of membranes and the placenta praevia during the third term of pregnancy. The dystocic presentations are more frequent than in the general population, responsible of a higher rate of caesarian sections. The delivery hemorrhage constitutes the most frequent complication of the post partum. The fetal prognosis is globally good with a morbidity dominated by growth restrictions but with no superior mortality rate. The myomectomy was practiced during the caesarian section in 3 cases, the abstention being the rule for the other patients. The association fibroid and pregnancy is not rare, the complications are frequent that is why it is considered as a high risk pregnancy. An early detection of the complications and a prevention of delivery hemorrhage would reduce the maternal and fetal morbidity

Fine-wire localizations in Nnon palpable breast lesions

Breast cancer represents a major health problem in Tunisia. Mammography allows screening and early diagnosis of breast cancer. The Harpoon allows the location of these small lesions in order to have a histological study and to adapt the management. Aim: To demonstrate on one hand, the feasibility and the safeness of the fine-wire localizations of breast lesions due to the collaboration of radiologists and gynecologists, and on the other hand, to show the possibility of outpatient management in these cases. Our study is a retrospective study reporting 45 patients who had fine wire breast lesion localization, in the department [C] of the center of maternity and neonatology of Tunis, during a period of 5 years and a half. The rate of malignant lesions was 22.4% among the patients who had screening mammographies with nine breast cancers among which two bifocal. The rate of in situ cancer was 33.3% and invasive cancers 66.6% allowing a less aggressive treatment of a third of the patients. The 38 patients were taken in charge in ambulatory reducing the cost of hospitalization. In our series, we didn't have any complication during the insertion of the harpoon. Fine wire breast lesion localization with harpoon is an easy elegant method, under expert hands, allowing a rapid diagnosis compulsory in breast cancers