RESUMEN
OBJECTIVE: Development of endometriosis is associated with endometrial stromal cell proliferation. The effects of nitric oxide (NO) on the proliferation of endometrial cells and the effects of peritoneal fluid from women with and without endometriosis on the production of NO and NO-induced changes were investigated. METHODS: Endometrial stromal cells were prepared from women with endometriosis (n=10) and healthy control (n=10). Peritoneal fluid from 10 patients were collected at the beginning of laparoscopic procedures. The proliferation of cells was assessed by [3H]thymidine. Nitrite, a stable NO product, was measured with Griess reagents. Expression level of endothelial nitric oxide synthase (eNOS) was analyzed by quantitative RT-PCR. RESULTS: Sodium nitroprusside, an NO donor, reduced proliferation of the endometrial and endometriosis cells from primary culture in a dose-dependent manner. The increased production of NO and inhibitory effect of NO on the endometrial stromal cell proliferation were reduced by peritoneal fluid from patients with endometriosis but not by interleukin-8, 17-beta estradiol or TGF-beta1. Transcripts of the endothelial NOS (eNOS) gene were detected in unstimulated endometrial cells and the expression patterns were not changed by exposure of cells to SNP or peritoneal fluid for 24 hours. CONCLUSION: It is postulated that these findings show NO inhibits proliferation of endometrial cells and the inhibitory effect of NO on endometrial cells was abrogated by certain factor (s) of peritoneal fluid from patients with endometriosis. In conclusion, NO appears to be involved in the pathogenesis of endometriosis.
Asunto(s)
Femenino , Humanos , Líquido Ascítico , Endometriosis , Estradiol , Indicadores y Reactivos , Interleucina-8 , Óxido Nítrico Sintasa de Tipo III , Óxido Nítrico , Nitroprusiato , Células del Estroma , Donantes de Tejidos , Factor de Crecimiento Transformador beta1RESUMEN
OBJECTIVE: To evaluate the impact of the cytologic smear of the endocervical canal immediately after cervical conization on the rate of residual cervical lesions. METHOD: A retrospective review of 229 patients who underwent cervical conization for high grade cervical intraepithelial neoplasia or microinvasive cancer followed by hysterectomy. Endocervical Papanicolaou smear with a cytologic brush performed immediately after cervical conization in all 229 patients. RESULTS: Fifty-four of 229 patients undergoing cervical conization followed by hysterectomy had residual lesion in the hysterectomy specimen. The prevalence rate of residual lesion according to the margin status of conization specimen as well as the results of the postconization Papanicolaou smear of the endocervical canal was compared. Forty-one of 78 patients (52.6 %) with positive margins had residual lesion compared with thirteen of 151 patients (8.6 %) with negative margins. Twenty-six of 34 patients (76.5 %) with positive postcone cytology had residual lesion compared with twenty-eight of 195 patients (14.4 %) with negative postcone cytology. CONCLUSIONS: Postcone cytologic smear of the endocervical canal as well as margin status are useful in predicting residual lesion after conization.
Asunto(s)
Femenino , Humanos , Displasia del Cuello del Útero , Cuello del Útero , Conización , Histerectomía , Prueba de Papanicolaou , Prevalencia , Estudios RetrospectivosRESUMEN
The purpose of this study was to determine the frequency of chromosomal or genetic causes of primary amenorrhea, and was made to assess the etiology of disorders in those patients whose chromosome appeared normal. Sixty eight patients with primary amenorrhea were evaluated clinically and cytogenetically, which were refered to our Cytogenetic Laboratory in Department of Obstetrics and Gynecology, Pusan National University Hospital, from Aug. 1988 to Dec. 1996. The results were as follows. l. Out of 68 cases with primary amenorrhea, 40 cases (58.9%) had the normal chromosome constitutions and 28 cases (41.1%) had the abnormal chromosome constitutions including 46, XY. 2. Turner's syndrome was found in 25 cases (36.7%), consisting of 11 cases (16.1%) of 45, X, 3 cases (4.3%) of 46, X, i (Xq), 1 case (1.5%) of 46, X, inv (X), 1 case (1.5%) of 46, X, del (Xq), 1 case (1.5%) of 46, X, del (Xp), 1 case (1.5%) of 46, X, tel (Xq), 1 case (1.5%) of 45, X/46, XX, 1 case (1.5%) of 45, X/46, XY, 1 case (1.5%) of 45, X/47, XXX, 2 cases (2.9%) of 45, X/46, X, del (Xq), I case (1.5%) of 45, X/46, X, del (Xq), 1 case (1.5%) of 45, X/46, X, r (X). 3. 3 cases (4.3%) had the 46, XY chromosome constitution consisting of 2 cases (2.9%) of testicular feminization syndrome and 1 case (1.5%) of pure gonadal dysgenesis. 4. Among 40 patients whose chromosome are normal, the etiologies of amenorrhea were assumed to be caused by 11 cases (27.5%) of hypogonadotropic hypogonadism (idiopathic), 10 cases (25.0%) of congenital absence of vagina, 5 cases (12.5%) of pure gonadal dysgenesis in order of frequency.
Asunto(s)
Femenino , Humanos , Masculino , Amenorrea , Síndrome de Resistencia Androgénica , Constitución y Estatutos , Citogenética , Disgenesia Gonadal , Ginecología , Hipogonadismo , Obstetricia , Síndrome de Turner , VaginaRESUMEN
Angiomyofibroblastoma is a recently described mesenchymal tumor characterized by unique morphologic features, a propensity to arise in the vulva, and a non-aggressive beni-gn biologic behavior. It is typically well circumscribed and superficially located tumor and its cellularity is variable with hypercellular and hypocellular areas composed of bland-looking, pump stromal cells showing the immunophenotype of vimentin-/desmin - positive, and muscle specific actin(MSA)-/alpha-smooth muscle actin(ASMA) - negative. Spindle or plasm-acytoid cells are the characteristic cell types of most tumors. It is similar to an aggressive pelvic angiomyxoma in histology. Because of histologic similarity and differences in the clinical course and treatment, distinction from aggressive angiomyxoma was needed. It rep-resents new type in the expanding spectrum of tumors of which myofibroblasts constitute an integral component. We experienced a case of angiomyofibroblastoma of the vulva occuring in a 42 years old woman. The lesion was relatively well encapsulated mass(3 X 1.5 X 0.9 cm in dimension), showing intimate admixture of hypercellular and hypocellular area. The tumor contained prominent, somewhat ectatic vessels surrounded by smooth muscle cells, some of which blend or fan out from the muscular walls of the vessels. The margin was relatively free from tumor cells. At immunohistochemical stain, vimentin and desmin was diffuse and weak positive, smooth muscle actin was very a few and weak positive in tumor cells.
Asunto(s)
Adulto , Femenino , Humanos , Actinas , Desmina , Músculo Liso , Miocitos del Músculo Liso , Miofibroblastos , Mixoma , Células del Estroma , Vimentina , VulvaRESUMEN
No abstract available.