Résumé
A young patient with pleuroperitoneal endometriosis presented with an haemorrhagic effusion. Two years later, she developed massive ascites with resolved after treatment with oral Danazol and Depo-Provera injections.
Sujets)
Humains , Adulte , Femelle , Ascites/étiologie , Endométriose/complications , Hémothorax/étiologie , Progestérone/usage thérapeutique , Ascites/traitement médicamenteux , Laparoscopie , Danazol/usage thérapeutique , Endométriose/traitement médicamenteuxRésumé
In Trinidad, genital tract malignancy is the leading cause of death and the commonest of all female cancers, constituting 38.9 per cent of all malignant neoplasms. This clinico-pathological study comprised 82 patients who were diagnosed as having a genital organ malignancy at the Mount Hope Womens Hospital, during a five-year period between November, 1981 and Octuber, 1986. The malignancies were categorized by site and broad-type, baed on the SixthInternational Classification of Disseases. Carcinoma of the cervix was the commonest malignancy (62.2) after the age of 25. It was 3.2 times more frequemt than corpus uteri cancer, and the mean age at presentation was 54.4 years. Endometrial carcinoma was found only in postmenopausal patients presenting with bleeding at a higher mean age of 63.2 years (0.05>p>.02). Diabetes mellitus, obesity and hypertension were more commonly associated with endometrial carcinoma than with carcinoma of the cervix, but only hypertension significantly so (.01>p>.001. There was no significant difference in the incidence in both major ethinic groups in endometrial and cervical carcinma. However, only one Muslim patient had a genital tract cancer (p < .05). Forty-four per cent of our patients with Stage I cervical carcinoma were in the reproductive age group
Sujets)
Adulte , Adulte d'âge moyen , Humains , Carcinomes/épidémiologie , Tumeurs de l'appareil génital féminin/épidémiologie , Trinité-et-Tobago , Carcinomes/ethnologie , Études rétrospectives , Facteurs âges , Tumeurs de l'appareil génital féminin/ethnologieRésumé
An evaluation of the characteristics of 425 womwn on whom surgical sterilization were performed revealed that 40% were 35 years or older and 48% had 5 or more children. Thirty-five per cent were Roman Catholics, and there was an equal incidence among the two major ethnic groups of Trinidad. Parental desire was the chief indications for tubal ligation. Complications were few, regardless of the procedure. A plea is made for intensifying efforts in promoting postpartum sterilizations following vaginal delivery, particularly for mothers whose life circumstances would prohibit them from returning for interval sterilization