ABSTRACT
A case of mucinous cystadenoma mimicking ovarian cancer is reported. Serum carcinoembryonic antigen (CEA) concentration was raised, and computed tomography of the abdomen and pelvis demonstrated a long oval shaped cystic mass measuring 9 cm in length on the right anterior side of the uterus. Because of possible right ovarian cancer, laparotomy was performed and the mass was found to be a mucinous cystadenoma of the appendix. This case indicates that mucinous cystadenoma of the appendix may show an unusual presentation including its location as well as the high serum CEA, mimicking ovarian cancer. Therefore, gynaecologists as well as gastroenterologists should consider its possibility as a differential diagnosis of the right adnexal mass in a patient without previous appendectomy.
Subject(s)
Appendiceal Neoplasms/diagnosis , Biomarkers, Tumor/blood , Carcinoembryonic Antigen/blood , Cystadenoma, Mucinous/diagnosis , Aged , Appendiceal Neoplasms/blood , Cystadenoma, Mucinous/blood , Diagnosis, Differential , Female , Humans , Ovarian Neoplasms/diagnosis , Tomography, X-Ray ComputedABSTRACT
We investigated a possible relationship between the Kobe earthquake (January 17, 1995) and the quality of semen. We assessed sperm concentration and motility of 27 male patients who had a concentration of more than 30 million/ml and >40% sperm motility within 5 months before the earthquake. Twelve male patients from districts with a magnitude of <4 on the Richter scale showed no difference in sperm concentration and motility before and after the earthquake. Of 15 male patients from districts with a magnitude of >6, five patients whose houses received no damage showed no distinct changes in sperm concentration and motility. In contrast, 10 patients whose houses were partially or completely destroyed showed significantly (P < 0.001) lower sperm motility after the earthquake than before, although no significant difference of sperm concentration could be observed. Of these latter 10 patients, seven could be followed. In six patients, sperm motility was restored between 2 and 9 months after the earthquake; the sperm motility in one patient, whose father died a victim of the house crash, has not yet recovered. Thus, the acute stress resulting from such a catastrophic earthquake could be a possible cause of reduced sperm motility.
Subject(s)
Disasters , Sperm Motility , Adult , Humans , Japan , Male , Sperm Count , Stress, Physiological/physiopathologyABSTRACT
Thirty-six patients with hypermenorrhea, dysmenorrhea, and/or anemia were examined by transvaginal sonography (TVS) and by transvaginal hysterosonography using an endometrial balloon catheter and saline (TVHS). Those patients who showed distinct intramural myomas by TVS were excluded from this study. Of 36 patients, 22 were diagnosed with submucous myomas, 10 with intramural myomas, and 4 with endometrial polyps by TVS, but 20 patients were diagnosed as having submucous myomas, 12 patients intramural myomas, and 4 patients endometrial polyps by TVHS. The correlation between ultrasound findings and surgery (hysterectomy or hysteroscopy) indicated that there were 13 misdiagnoses (36%) by TVS and only one misdiagnosis (2.8%) by TVHS.
Subject(s)
Endometrial Neoplasms/diagnostic imaging , Myoma/diagnostic imaging , Diagnosis, Differential , Endometrial Neoplasms/surgery , Female , Humans , Hysterectomy , Hysteroscopy , Mucous Membrane , Myoma/surgery , Ultrasonography , VaginaSubject(s)
Prune Belly Syndrome/diagnostic imaging , Ultrasonography, Prenatal , Adult , Female , Fetal Death , Humans , Pregnancy , Pregnancy Trimester, SecondABSTRACT
Fetal seizure activity is very rare: only three cases have been reported. A case of fetal seizure activity was detected with ultrasound. Such activity can be associated with a poor outcome.
Subject(s)
Developmental Disabilities/etiology , Fetal Diseases/diagnosis , Seizures/diagnosis , Child, Preschool , Electroencephalography , Female , Fetal Diseases/diagnostic imaging , Humans , Monitoring, Physiologic , Pregnancy , Pregnancy Outcome , Seizures/complications , Seizures/diagnostic imaging , UltrasonographyABSTRACT
The changes in serum CA125, CA19-9, CEA, Ferritin, TPA, IAP and LDH concentrations were measured in 22 primary cases and 7 recurrent cases of adenocarcinoma of the uterine cervix and endometrial carcinoma in order to examine the clinical usefullness of CA125 and CA19-9 as a tumor marker. Localization of CA125 and CA19-9 was also examined in adenocarcinoma, normal endocervix and endometrium immunohistochemically. 1. Twenty-seven percent of primary cases had increased serum CA125 and CA19-9 which decreased rapidly after operation or chemotherapy, reflecting reduction of the tumor mass. 2. In these cases, CA125 or CA19-9 was localized in carcinoma tissues immunohistochemically. On the other hand, in normal endocervical and endometrial glands, CA125 was localized, but CA19-9 was not. 3. In most recurrent cases, serum CA125 and CA19-9 increased early and markedly, compared with the other markers. 4. The change in serum Ferritin, CEA, TPA, IAP and LDH didn't reflect clinical courses such as operation and chemotherapy. In recurrent cases they increased even more slowly and slightly than CA125 or CA19-9. These results show that CA125 and CA19-9 are useful tumor markers in the management of adenocarcinoma of the uterine cervix and endometrial carcinoma, especially in advanced or recurrent cases.
