RESUMO
A case of the chronic type of placental polyp, occurring in a 37-year-old woman approximately 9 years after abortion of her last known pregnancy, is reported. The placental polyp was predominantly composed of necrotic and hyalinized chorionic villi without identifiable lining trophoblast; however, some villi showed a thin rim of apparently viable syncytiotrophoblast that exhibited focal strong positivity for human chorionic gonadotropin by immunohistochemical studies. Intermediate trophoblast, especially abundant within the intervillous fibrin, appeared most viable and showed strong positivity for human placental lactogen (hPL); syncytiotrophoblast also showed focal positivity for hPL. The basal aspect of the polyp was composed of abundant decidua that contained dilated and ectatic blood vessels. This study demonstrates the presence of cytoplasmic markers for pregnancy in a chronic type of placental polyp, apparently of 9 years' duration, and draws attention to an entity that may be encountered more frequently due to the current prevalence of induced abortions.
Assuntos
Doenças Placentárias/patologia , Pólipos/patologia , Adulto , Gonadotropina Coriônica/análise , Feminino , Humanos , Doenças Placentárias/metabolismo , Pólipos/análise , GravidezRESUMO
A retrospective study of 165 Jehovah's Witnesses and 164 Jehovah's Witnesses and 164 control patients compared the morbidity and mortality associated with major obstetric and gynecologic surgery in the 2 groups. There were no deaths and few complications in either group. There were few differences in preoperative and postoperative hemoglobin values. Medicolegal implications of performing major surgery without blood transfusions are discussed. The study adds evidence that major operative procedures can be carried out on Jehovah's Witness patients without blood transfusions or blood products.
Assuntos
Cesárea , Cristianismo , Histerectomia , Religião e Medicina , Procedimentos Cirúrgicos Operatórios , Adolescente , Adulto , Idoso , Análise de Variância , Transfusão de Sangue , Feminino , Hemoglobinas/análise , Humanos , Pessoa de Meia-Idade , Unidade Hospitalar de Ginecologia e Obstetrícia , Gravidez , Estudos Retrospectivos , Doenças Vaginais/cirurgiaRESUMO
An otherwise asymptomatic 17-year-old phenotypic female examined because of primary amenorrhea and hypoplastic reproductive organs was found to have a 45,XO karyotype. She had some of the stigmata of Turner syndrome. Laparoscopy revealed streak ovaries and an infantile uterus. Ovarian biopsy contained gonadoblastoma that was treated by total abdominal hysterectomy and bilateral salpingo-oophorectomy. Rationale for laparoscopy and ovarian biopsy of this asymptomatic patient and the serendipitous discovery of a malignant neoplasm are discussed.
