ABSTRACT
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 quadrant 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 +/- 4.6 cm and for 42 weeks, 9.93 +/- 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.
Subject(s)
Amniotic Fluid/diagnostic imaging , Oligohydramnios/diagnostic imaging , Pregnancy, Prolonged , Ultrasonography, Prenatal , Female , Gestational Age , Humans , Morbidity , Oligohydramnios/etiology , Pregnancy , Pregnancy Outcome , Prospective Studies , Reproducibility of Results , Severity of Illness IndexABSTRACT
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.
Subject(s)
Carcinoma, Endometrioid/pathology , Ovarian Neoplasms/pathology , Sertoli Cell Tumor/pathology , Diagnosis, Differential , Female , Humans , Middle AgedABSTRACT
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 (AU)
Subject(s)
Humans , Female , Middle Aged , Ovarian Neoplasms/pathology , Carcinoma, Endometrioid/pathology , Sertoli Cell Tumor/pathology , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/surgery , Carcinoma, Endometrioid/diagnosis , Carcinoma, Endometrioid/surgery , HysterectomyABSTRACT
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. (AU)
Subject(s)
Humans , Female , Pregnancy , Pregnancy, Prolonged , Pregnancy Outcome , Amniotic Fluid/diagnostic imaging , Oligohydramnios/complications , Ultrasonography, Prenatal , Gestational AgeABSTRACT
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.
Subject(s)
Humans , Female , Pregnancy , Pregnancy, Prolonged , Pregnancy Outcome , Amniotic Fluid , Oligohydramnios/complications , Ultrasonography, Prenatal , Gestational AgeABSTRACT
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
Subject(s)
Humans , Female , Middle Aged , Ovarian Neoplasms/pathology , Sertoli Cell Tumor/pathology , Carcinoma, Endometrioid/pathology , Ovarian Neoplasms/surgery , Ovarian Neoplasms/diagnosis , Carcinoma, Endometrioid/surgery , Carcinoma, Endometrioid/diagnosis , HysterectomyABSTRACT
This a prospective evaluation of the relationship between the amniotic fluid index (AFI) and perinatal outcome in 55 patients managed at the Obstetrical Unit at the University Hospital of the West Indies. The subjects had an otherwise uncomplicated pregnancy and early confirmation of gestational age by ultrasound. Forty-two patients had delivered by 41 weeks and the remaining thirteen by 42 weeks. The gravid abdomen was divided into four quadrants, using realtime ultrasound with a 3.5 Mhz transducer, the largest pocket of amniotic fluid in each quadrant was measured and their sum totalled to arrive at the AFI. The pregnancies were managed without knowledge of this evaluation. Perinatal outcome was assessed by the presence of meconium-stained liquor and its aspiration, intrapartum foetal delivery, low APGAR scores at delivery, the need for admission to the nursery and perinatal death. 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 was 9.93 ñ 4.37 cm. Oligohydramnios was noted in four patients, AFI < 5.3 cm. Two of these cases developed intrapartum foetal distress and had Caesarian Section. All four babies were admitted with meconium aspiration, and one died from this complication (AU)
Subject(s)
Humans , Female , Pregnancy , Amniotic Fluid , Pregnancy, Prolonged , Pregnancy OutcomeABSTRACT
This is a prospective evaluation of the relationship between the amniotic fluid index (AFI) and perinatal outcome in 55 patients managed in the Obstetric Unit at the UHWI. The subjects had an otherwise uncomplicated pregnancy and early confirmation of gestational age by ultrasound. Forty-two patients had delivered by 41 weeks and the remaining thirteen by 42 weeks. 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 quadrant was measured and their sum totalled to arrive at the amniotic fluid index. The pregnancies were managed without knowledge of this evaluation. Perinatal outcome was assessed by the presence of meconium stained liquor and its aspiration, intrapartum fetal distress, low APGAR scores at delivery and the need for admission to the nursery. AFI in this study ranged from 2.8 cm to 22.6 cm. The mean for 41 weeks was 13.52 +/- 4.6 cm and 42 weeks 9.93 +/- 4.37 cm. Oligohydramnios was noted in four patients, AFI less than 5.3 cm. Two of these cases developed intrapartum fetal distress and had caesarian section. All four babies were admitted with meconium aspiration and one died from this complication. Evaluation of the AFI can be useful in the monitoring of post-dates pregnancy. (AU)
Subject(s)
Humans , Pregnancy , Pregnancy, Prolonged , Amniotic FluidABSTRACT
The technique of large loop excision of the transformation zone (LLETZ) as an alternative to destructive/ablative methods of treatment of cervical intraepithelial neoplasia (CIN) such as cryotherapy, laser vaporization and cone biopsy of uterine cervix 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% 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%), 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.
Subject(s)
Carcinoma in Situ/surgery , Electrosurgery/methods , Uterine Cervical Neoplasms/surgery , Adolescent , Adult , Carcinoma in Situ/pathology , Female , Humans , Middle Aged , Prospective Studies , Uterine Cervical Dysplasia/pathology , Uterine Cervical Dysplasia/surgery , Uterine Cervical Neoplasms/pathologyABSTRACT
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. (AU)
Subject(s)
Humans , Adolescent , Adult , Middle Aged , Aged , Female , Uterine Cervical Neoplasms/surgery , Electrosurgery/methods , Biopsy , Carcinoma in Situ , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Neoplasms/therapyABSTRACT
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.
