[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

[Borderline tumors: diagnosis and management: about 10 cases]

Since their discovery in 1929 by Taylor border tumors of the ovary, also known as borderline tumor [TOLM] inspired confusion, apprehension and disagreement. Identify epidemiological, clinical and therapeutic particularities of borderline tumors of the ovary.-Study the different surgical approaches for borderline tumors of the ovary.-Assess the value of frozen section in this pathology. This is a retrospective study of 10 patients operated for borderline tumor of the ovary and collected at the department C of the center of maternity and newborn in Tunis. The average age of our patients was 35.6 years Pelvic pain was the main circumstance of discovery, it accounted for 50% of the cases. The discovery was fortuitous in 40% of the cases Ultrasound has shown purely cystic tumors in 70% of cases and solido-cystic ones in 30% of cases. There was a tumor in the controlateral ovary in only one case. The surgery was conservative whenever possible. Histological examination concluded to 6 cases of serous tumor and 4 cases of mucinous ones. Among the 10 patients, 8 were classified as stage la, one stage Ib and one stage Ic. The frozen section was performed in 8 cases. The diagnosis of borderlines tumors of the ovary remains difficult. The laparoscopy is of great use in the management of this pathology. Histological examination is an interesting addition and the conservative treatment is the more appropriate treatment