Subject(s)
Cervix Uteri/surgery , Conization/methods , Uterine Cervical Dysplasia/surgery , Uterine Cervical Neoplasms/surgery , Adult , Aged , Cervix Uteri/pathology , Female , Follow-Up Studies , Humans , Hysterectomy/methods , Middle Aged , Neoplasm Recurrence, Local , Neoplasm, Residual/pathology , Neoplasm, Residual/surgery , Uterine Cervical Neoplasms/pathology , Uterine Cervical Dysplasia/pathologyABSTRACT
OBJECTIVE: To evaluate the follow-up results of patients with cervical intraepithelial neoplasia III (CIN III) after surgical treatment. METHODS: A retrospective analysis of consecutive patients with CIN III after surgical treatment between Jan 1st, 1999 and Jun 30th, 2004 was performed. The follow-ups of the patients after surgical treatment were assessed. RESULTS: In the follow-up of patients with CIN III after surgical treatment, the rate of abnormal cytology was 9.3%. The rate of follow-up was higher in patients with cervical conization than in patients with initial hysterectomy and in patients of the oncological group than of the non-oncological group. The rate of follow-up was lower in patients over 40 years old. There was no difference in the residential areas of the patients. CONCLUSIONS: Cytological follow-up of patients with CIN III after operation is varied. The rate of follow-up is lower in patients over 40 years old, in patients having initial hysterectomy and in patients of the non-oncological group. The rate of follow-up is associated with the knowledge about CIN of both surgeons and patients.
Subject(s)
Cervix Uteri/pathology , Uterine Cervical Dysplasia/surgery , Uterine Cervical Neoplasms/surgery , Adult , Age Factors , Aged , Cervix Uteri/surgery , Conization , Female , Follow-Up Studies , Humans , Hysterectomy , Middle Aged , Neoplasm Recurrence, Local/diagnosis , Neoplasm Recurrence, Local/epidemiology , Neoplasm Recurrence, Local/pathology , Retrospective Studies , Treatment Outcome , Uterine Cervical Neoplasms/pathology , Uterine Cervical Dysplasia/pathologyABSTRACT
OBJECTIVE: To explore the characteristics and treatment of bone mineral density (BMD) change in complete androgen insensitivity syndrome (CAIS) of Chinese patients. METHODS: Fourteen cases of CAIS were studied retrospectively through analyzing and comparing BMD of pre- and post-orchidectomy with normal Chinese men and women. BMD at the lumbar spine and the femur were measured by dual energy X-ray absorptiometry (DXA). RESULTS: Ten cases of CAIS had pre-orchidectomy DXA, in which 6 cases had very significantly reduced L(2-4) BMD (0.92 +/- 0.08) g/cm(2) compared with normal men and women (P < 0.01). Five cases had significantly reduced femur neck BMD (0.89 +/- 0.12) g/cm(2) compared with normal male (P < 0.05). Seven cases had 12 post-orchidectomy DXA, in which all L(2-4) BMD (0.95 +/- 0.06) g/cm(2) were very significantly reduced compared with normal male and female (P < 0.01), femur neck BMD (0.91 +/- 0.08) g/cm(2) was also significantly reduced compared with normal male (P < 0.01) and normal female (P < 0.05). CONCLUSIONS: There are different degrees of osteopenia in patients of CAIS, especially in lumbar vertebra. This suggests that estrogen and androgen play important roles in the acquirement and maintenance of bone mass.
