[Ultrasonographic picture of endometrial tumors of ovaries]. / Ultrasonograficzny wyglad torbieli endometrialnych jajnika.

The retrospective analysis was made of 599 patients with ovarian tumours who underwent operation in Central Hospital of Ministry of Internal Affairs at Department of Obstetrics and Gynaecology during 1991-1999. All the patients were examined before operation by transabdominal and/or transvaginal ultrasonic probe. A total of 114 endometriotic masses were diagnosed (20 patients had bilateral masses). We noted 83 (72.8%) unilocular cysts, 23 (20.1%) multilocular cysts and 7 (6.2%) partially solid tumours. The so-called "typically" monolocular round-shaped, smooth-walled endometriotic cyst with diffuse low-level internal echoes was only found in 48%.

[Early diagnosis of gynaecologic and breast cancers]. / Wczesne wykrywanie nowotworów zlosliwych narzadów plciowych i sutka u kobiet.

Gynaecologic malignant neoplasms are significant medical and social problem in Poland. The majority of Polish women suffer from breast, cervix, ovary and endometrial cancer. This paper shows common and new methods in early diagnosis of neoplasmic diseases.

[Giant bilateral ovarian tumor in a 14-year-old girl]. / Olbrzymie, obustronne guzy jajników u 14-letniej dziewczynki.

We present the case of a 14-year old girl, who underwent surgical treatment at the ward in 1993 due to giant twisted bilateral ovarian tumours (cystes folliculares). She had been admitted to hospital because of pains located in the hypogastrium area, nausea and vomiting. Increased abdomen circumference had been noted. At the time of being admitted to hospital the girl was having menarche. Having considered both the course of the disease and the clinical and ultrasonographic examination results, surgical treatment was prescribed. It was decided that both adnexa should be removed. On the right side a tiny fragment of regular ovary parenchyma was left. After the surgery the girl did not menstruate. As a result of a few months' hormonal treatment the girl's menstruation processes were brought to a regular state. At the moment the patient is a 20-year old, properly developed young woman.

[A case of coexistence of polycystic ovary syndrome and ovarian carcinoma]. / Przypadek wspólistnienia zespolu policystycznych jajników i raka jajnika.

There was a case of carcinoma of the ovary that coexisted with PCO syndrome in young, 25 years old woman. After clinical examination and USG doctors suspected PCO syndrome and hydrosalpings that is why the patient underwent an operation. In intraoperative histopathological examination bilateral adenocarcinoma were found. In prophylactic examination of patient's mother ovarian tumour was found that is also turned out to be an adenocarcinoma.

[Obstetric hysterectomy]. / Okoloporodowe wyciecie macicy.

UNLABELLED: An analysis of indications for obstetric hysterectomy in Central Teaching Hospital of Ministry of Internal Affairs in Warsaw between 1985-1997 is presented. There have been 15 caesarean or post partum hysterectomies over that period, which makes 0.11% of all deliveries and 0.67% of caesarean sections. All operations followed caesarean sections. In two patients (13.3%) procedure was performed electively because of myomas. In the remainder emergency or post-partum hysterectomy was necessary. The most common indication was haemorrhage connected with placenta praevia, adherent placenta and abruption of placenta (53.3%). Other indications included ruptured uterus (6.7%), severe postpartum or intrapartum haemorrhage due to uterine atony (20.0%) and HELLP syndrome (6.7%). CONCLUSION: 1. Complications associated with pathologies of placenta are the most common indication for obstetric hysterectomy in our study. 2. Patients that are mostly exposed to the risk of obstetric hysterectomy are multiparous women especially with previous caesarean section. 3. The incidence of obstetric hysterectomy seems to be rising, possibly as a consequence of the rising rate of caesarean section and uterine curretage.

[Congenital anomalies reflected in materials of obstetric ward of the Hospital of Internal Affairs in Warsaw during the period 1988-96]. / Wady wrodzone plodów i noworodków w materiale Oddzialu Ginekologiczno-Polozniczego Szpitala MSWiA w Warszawie w latach 1988-96.

A congenital anomaly consists of a departure from the normal anatomic architecture of an organ or system. Malformations can be considered as the result of a developmental arrest of the primordium (incomplete morphogenesis), redundant morphogenesis, or aberrant morphogenesis. Congenital malformations establish more and more percentage of reason of incidence and morbidity in newborn and young children. It is also great family and social problem. The subjects studied were all cases of abnormality identified pre- or postnatally. The commonest system malformations were urogenitally tract, central nervous system, skeleton, craniofacial, heart and skin abnormalities. The most frequent single anomalies were--hypospadias, cleft lip/cleft palate, anomalies of hands and feet, vertebral malformations, meningocele, heart abnormalities and Down syndrome.

[The use of ultrasonographic studies in the early detection of ovarian tumors]. / Przydatnosc badania ultrasonograficznego we wczesnym wykrywaniu nowotworów jajnika.

In this report the authors have analyzed and presented the results of his 7 years-long research focused on estimating the usefulness of ultrasonography in diagnosing adnexal pathology. Special attention was devoted to: 1. specifying location of change, establishing whether it covered one or two of the ovaries, 2. asserting the extend of change, 3. finding whether the tumor was well capsuled or not and whether the papillary projections were present and if so, establishing if they were endo- or egzofitic, 4. estimating its structure (cystic, solid, partly cystic partly solid) and establishing the presence of calcification, 5. evaluating metastases presence (in uterus, true pelvis, omentum, liver and the lymph nodes), 6 ascites assessment. There were 341 females who underwent examination before operation between 1991-1997 who were suspected of ovarian tumors and whose status was operationally verified. Results of this research were statistically analyzed. This analysis covered the calculating of mean and standard deviation, the frequency of special category presence and conducting evaluation of malignant tumors' presence frequency. On the basis of research results obtained and the statistical analyses performed, the following conclusions have been formulated: 1. Malignant tumors characistically co-exist more frequently with the following ultrasonographics traits: thick capsule of diversified thickness, with irregular outline, solid or partly solid partly cystic structure, unhomogenous internal echogenisity and multilocular character. 2. Ultrasonography is complementary to gynecological examination but allows for earlier detection of small and soft tumors.

[Comparative study of observer agreement on location and size of ovarian tumor in transvaginal and transabdominal ultrasonic examinations with intraoperative evaluations from material of patients operated on in the Gynecology-Obstetrics Department of the Ministry of Internal Affairs Clinic in the years 1991-1994]. / Badanie Porównawcze zgodnosci oceny polozenia i wielkosci guzów przydatków w badaniu ultrasonograficznym sonda przezbrzuszna i przezpochwowa z ocena sródoperacyjna na materiale chorych operowanych w oddziale Ginekologiczno-Polozniczym CSK MSW w latach 1991-1994.

In a group of 154 women operated on because of ovarian tumors at the Gynecological-Obstetrics Department of the Ministry of Internal Affairs Clinic in Warsaw a comparison of the location and size of the tumor performed by means of transvaginal and transabdominal ultrasonography and the operational evaluation was carried out. In 76.9% of cases the agreement between the location in transabdominal and transvaginal ultrasonography and the operational evaluation was found. However, the comparison between transabdominal and transvaginal ultrasonography of the tumor size and operational evaluation was ascertained in 79.1% of cases.