ABSTRACT
PURPOSE OF INVESTIGATION: The obturator veins and their network contribute to major bleeding complications during gynaecologic surgery. MATERIALS AND METHODS: The anatomical variations of the obturator veins were studied on 106 patients in which a thorough bilateral pelvic lymphadenectomy was performed. RESULTS: Symmetrical drainage on right and left sides was found in 75 cases: only in internal iliac vein in 32 cases, both in external iliac vein and internal in 41 cases, and only in external in two cases (so called "pubic vein"). In 31 procedures, asymmetric drainage was found between the two sides: one side in internal, the other side both in internal and external in 25 patients; in three patients, in external on one side and in both internal and external on the other; and in external on one side and in internal on the other side in one patient. CONCLUSIONS: Anatomical variations of the obturator veins appear quite often.
Subject(s)
Blood Loss, Surgical , Genital Neoplasms, Female/surgery , Gynecologic Surgical Procedures/adverse effects , Iliac Vein/anatomy & histology , Lymph Node Excision/adverse effects , Blood Loss, Surgical/prevention & control , Female , Humans , Iliac Vein/injuries , Surgical Wound/etiology , Surgical Wound/prevention & controlABSTRACT
PURPOSE OF INVESTIGATION: Cervical cancer is one of the most frequent malignant diseases diagnosed during pregnancy. Abdominal or vaginal radical trachelectomies are fertility-preserving alternatives to radical hysterectomy for young women with early-stage cervical cancer that can be performed during ongoing pregnancy. MATERIAL AND METHODS: The authors report a pregnancy complicated by cervical cancer treated by abdominal radical trachelectomy (ART) at 16-17 gestational weeks with preservation of the concurrent pregnancy. RESULTS: The pregnancy evolved normally and delivery occurred at 38-39 gestational weeks by elective caesarean section. CONCLUSIONS: Radical trachelectomy could be offered as an option for pregnant patients with early invasive cervical cancer. It may help women to avoid the triple losses of a desired pregnancy, fertility, and motherhood.
Subject(s)
Carcinoma in Situ/surgery , Pregnancy Complications, Neoplastic/surgery , Trachelectomy , Uterine Cervical Neoplasms/surgery , Carcinoma in Situ/pathology , Female , Humans , Pregnancy , Pregnancy Complications, Neoplastic/pathology , Uterine Cervical Neoplasms/pathologyABSTRACT
The occurrence of synchronous primary gynaecologic malignancies is a relatively common event. However, the occurrence of three different pelvic cancers is very rare. In this report, the authors describe the clinical, surgical, and pathological findings of a patient with synchronous primary malignancies of the fallopian tube, endometrium, and sigmoid colon. To the authors' knowledge, it is the first case described in the literature with such an association of primary synchronous cancers.
Subject(s)
Colon, Sigmoid/pathology , Colonic Neoplasms/pathology , Endometrial Neoplasms/pathology , Fallopian Tube Neoplasms/pathology , Neoplasms, Multiple Primary/pathology , Female , Humans , Middle AgedABSTRACT
The authors describe a case report of spontaneous pregnancy after an abdominal radical trachelectomy because of cervical cancer Stage IB2.
