RESUMO
This is a prospective evaluation of the relationship between the amniotic fluid index (AFI) and perinatal outcome in 55 postdates pregnancies. The gravid abdomen was divided into four quadrants, using real-time ultrasound with a 3.5 mHz transducer, the largest pocket of amniotic fluid in each quandran was measured and their sum totalled to arrive at the amniotic fluid index. AFI in this study ranged from 2.8 cm to 22.6 cm. The mean for 41 weeks was 13.52 ñ 4.6 cm and for 42 weeks, 9.93 ñ 4.37 cm. Oligohydramnios was noted in four patients, AFI less than 5.3 cm. Two of these cases developed intrapartum foetal distress and had caesarean section. All four babies were admitted with meconium aspiration and one died from this complication.
Assuntos
Humanos , Feminino , Gravidez , Gravidez Prolongada , Resultado da Gravidez , Líquido Amniótico , Oligo-Hidrâmnio/complicações , Ultrassonografia Pré-Natal , Idade GestacionalRESUMO
Although endometrioid carcinoma constitutes the second most common type of primary ovarian adenocarcinoma, the sertoliform variant is rarely encountered. We describe a case of this rare ovarian carcinoma which mimics a Sertoli cell tumour in its pathological appearance
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias Ovarianas/patologia , Tumor de Células de Sertoli/patologia , Carcinoma Endometrioide/patologia , Neoplasias Ovarianas/cirurgia , Neoplasias Ovarianas/diagnóstico , Carcinoma Endometrioide/cirurgia , Carcinoma Endometrioide/diagnóstico , HisterectomiaRESUMO
The technique of large loop excision of the transformation zone (LLETZ) as an alternative to destructive/ablative method of treatment of cervical intraepithelial neoplasia (CIN) such as cryotherapy, laser vaporization and cone biopsy of uterine cerix is assessed. Forty-five patients underwent this procedure for either diagnostic or therapeutic reasons. It was well-tolerated, and minor bleeding occurred in 4.4 per cent of patients. The quality of the histological specimen was excellent in all cases, only two showing evidence of charring artefacts. In 11 patients (24.4 per cent ), a more serious lesion was detected than that found at punch biopsy of the cervix. This method offers a cheaper and more effective alternative to laser vaporization and combines the benefits of the gold standard cone biopsy of the cervix with that of local ablative techniques.