[Histopathologic status of endocervical canal epithelium in CIN changes localized to the ectocervix]. / Stan morfologiczny kanalu szyjki macicy w zmianach CIN zlokalizowanych wylacznie na tarczy czesci pochwowej.

The histopathologic assessment of endocervical canal epithelium in the presence of ectocervical CIN is a major determinant of therapy. The presence or absence of neoplastic changes within the endocervical canal is one of the main modifying factors of the therapeutic approach. In the group of 97 women examined colposcopically, ectocervical punch biopsies of the cervix and endocervical curettage samples were obtained. Patients were divided into two groups based on colposcopic ectocervical appearance. The first group of 44 patients had a mildly suspicious colposcopic ectocervical appearance. The second group of 53 cases had a highly suspicious colposcopic ectocervical appearance. A comparison of the histopathological results of ectocervical punch biopsies with those of the endocervical curettage samples presented the following: in 44 women with a mildly suspicious colposcopic ectocervical appearance, 5 (11%) had CIN type endocervical lesions. Of 57 women with a highly suspicious colposcopic ectocervical appearance 13 (24%) had endocervical CIN type lesions. Curettage of the endocervical canal is an equally important part of the assessment of CIN type changes on pair with ectocervical punch biopsy. This is particularly true in cases of a highly suspicious colposcopic ectocervical appearance.

[Intrauterine pregnancy complicated by coexisting ectopic pregnancy]. / Ciaza wewnatrzmaciczna powiklana równoczesna ciaza jajowodowa.

Authors have presented the case of coexisting 11 week intrauterine and ectopic pregnancies in the 25 years old woman, which had earlier been operated on the left ovary dermoid cyst. That operation could be regarded as an ectopic pregnancy risk factor, but the suspicion of an ectopic pregnancy has been suggested only by physical examination, and sonography and laparoscopy were most important in final diagnosis. Ectopic pregnancy has been removed by laparotomy according to the progression of the disease. The case has drawn the attention to the necessity of thorough diagnosis in pregnant women particularly in those ones with lower abdominal pain in early pregnancy and with unfavorable gynaecological and obstetric past, for example appendages operation such as in our case. It was also been emphasized, that the complex diagnosing of patients with already recognized ectopic pregnancy should be proceeded. Sonography, especially the one equipped with the endovaginal probe, plays the most important part in diagnosing. In some questionable cases laparoscopy, along with diagnostical significance, also makes the surgical treatment possible.

[An enormous oviduct hematoma coexisting with a residual uterus horn in an adolescent]. / Olbrzymi krwiak jajowodu wspólistniejacy z rogiem szczatkowym macicy u nastolatki.

The case of tremendous salpinx hematoma coexisting with a residual uterus horn has been described. A menstrual blood from the little cavity of residual horn filled progressively the salpinx, which had abdominal ostium closed. A congenital malformation, in consequence of Muller tubes defective development, has been a direct cause of the disease. The ethology of the malformation has not been found. Primary diagnosis suggested an ovarian cyst or a malignant tumour. Neither physical examination nor USG made the diagnosis easier. The case has showed, how difficult the recognition of pelvic tumours in young women is. Sonography may be very helpful in diagnosing of such malformations but in early stages only.