[Outcome of malignant vulvar tumors]

Vulva anatomy - FIGO classification- Vulva tumors anatomopathology - Treatments of vulva cancers. Our study is a retrospective, longitudinal and continuous one. It concerns 11 malignant vulva tumors which were treated in the d‚partement "C" of the centre of maternity of Tunis. The period of study is fifty four months [2002-2006]. The aim of our study is to analyse the characteristics of the vulva cancer and to compare our results to litterature. Mean age of our patients is 67 years old. They are all menaused. The principal signs are vulva tum‚faction in 72,7% of the cases, vulva pruritis in 27,3% of the cases and genital bleeding in 27,3% of the cases. The mean period of consultation is of 14 months. We have ten cases of vulvar epidermoid carcinoma and one melanoma. The treatment was surgical in the eleven cases [10 total vulvectomy and one hemivulvectomy] They all benefited of an inguinal bilateral curage. The adjuvant radioth‚rapie was indicated in 3 cases. A patient was classed stage lb of FIGO, 7 stage II, one stage III and one stage IVA. Nine patients are in remission, 3 are dead: 2 because of their cancer and one due to a pulmonar embolism. The survival of 6 month is 72, 2%.The prevention of this cancer passes by the close follow of dystrophic states and viral pathologies of the vulva

[Fetal and maternal prognosis of breech presentation at term]

Introduction: Breech presentation is associated with increased fetal, neonatal and maternal risk. The purpose of this study was to assess the prognosis of this presentation near or at term

Patients and methods: This retrospective study included all deliveries with a breech presentation and a gestational age over 34 weeks in our service between January 2000 and December 2005

Results: 243 deliveries were indexed throughout the study period.141 patients delivered by prelabor planned cesarean section and 47 by cesarean section during labor. 2 cord prolapses were found [0.8%]. 8 babies [3,3%] had a 5 minute Apgar scores < 7 and we observed 5 admissions to the neonatal unit. There were 2 birth trauma and 2 perinatal deaths

Conclusion: Breech delivery is a risk for mother and newborns. Development of measures and standards for obstetric practice would help improve its prognosis