RESUMO
No disponible
Assuntos
Feminino , Humanos , Masculino , Extração de Catarata/métodos , Extração de Catarata/tendências , Fibrinolíticos , Fibrinolíticos/uso terapêutico , Extração de Catarata , Anticoagulantes , Anticoagulantes/uso terapêutico , Estudos ProspectivosAssuntos
Anticoagulantes/uso terapêutico , Extração de Catarata , Hemorragia Ocular/prevenção & controle , Fibrinolíticos/uso terapêutico , Inibidores da Agregação Plaquetária/uso terapêutico , Hemorragia Pós-Operatória/prevenção & controle , Anestesia/efeitos adversos , Anestesia/métodos , Anticoagulantes/administração & dosagem , Catarata/complicações , Contraindicações , Hemorragia Ocular/induzido quimicamente , Hemorragia Ocular/etiologia , Fibrinolíticos/efeitos adversos , Humanos , Coeficiente Internacional Normatizado , Inibidores da Agregação Plaquetária/efeitos adversos , Hemorragia Pós-Operatória/induzido quimicamente , Guias de Prática Clínica como Assunto , Medição de Risco , Trombofilia/complicações , Trombofilia/tratamento farmacológicoRESUMO
The results of a study performed on a case series of 250 women treated in our out-patient department for abnormal uterine bleeding are reported. Half of these patients (125) were 45 years of age or over and therefore at risk of adenocarcinoma or endometrial hyperplasia while the other half were under 45 years of age. All the patients were submitted to hysteroscopic examination as out-patients (no important side-effects occurred), together with cytologic and/or histological examination of the endometrium. This procedure revealed no disease in 59 cases (23.6%) and the presence of one or more benign conditions in 188 patients (75.2%) (inflammation, polyposis, myomatosis, endocervical or uterine adenomiosis, endometrial hyperplasias, dysfunctional patterns, intrauterine foreign bodies). Endometrial adenocarcinoma was diagnosed in 3 patients (1.2%). The discovery of 3 cases (1.2%) of adenocarcinomas and 62 cases (24.8%) of endometrial hyperplasias (58 simple glandular hyperplasia, 3 cystic-glandular hyperplasias and 1 polypoid hyperplasia) emphasive the reliability of hysteroscopy in the diagnosis of endometrial neoplasias and their precursors.
Assuntos
Lesões Pré-Cancerosas/diagnóstico , Neoplasias Uterinas/diagnóstico , Assistência Ambulatorial , Endoscopia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
From 1978 to 1985 a total of 151 patients were treated for endometrial carcinoma. Of these, 25 patients underwent extrafascial abdominal hysterectomy and pelvic lymphadenectomy, 25 were treated according to Wertheim procedure and pelvic lymphadenectomy and 32 underwent intrafascial abdominal hysterectomy; 62 women underwent vaginal surgery, 7 of whom according to Shauta. A correlation between the degree of myometrial invasion, histological grading, hystological type and stage of the tumor showed no statistically significant difference. The 5-year actuarial survival rate was found to be 76.5%. A comparison between survival and age of patients showed a significant difference in the survival (p less than .01) of the group less than 55 years as compared to the older age group. As far as the surgical treatment instituted is concerned, no statistical difference in survival was found between patients operated vaginally and those operated abdominally (p greater than .05). The site of recurrences were then analyzed in 22 patients, 50% were local recurrences, and the remaining distant metastases. Of these only one patient was cured and is still free of disease 5 years after recurrence. The criteria used to select patients for vaginal surgery are also indicated.
