RESUMO
107 patients, aged 40 to 87, after surgical intervention with diagnosis of uterine corpus cancer were clinically examined. 68.1 percent of them were 51 to 70 year old women. 20.5 percent had been never pregnant, and 22.47 been pregnant for one time. In 93.2 percent, corpus cancer was revealed after menopause. Among risk factors, there was observed: diabetes mellitus in 7.4%, hypertension in 35.5%, and obesity in 78% of cases. It was stated interdependence between the depth of uterine infiltration, parametrium metaplastic focuses, adnexa metaplastic focuses, cervix infiltration and decrease of adenocarcinoma maturity. The concord between biopsy and clinical stage I degree was stated in 86 percent of cases.
Assuntos
Adenocarcinoma/cirurgia , Neoplasias Uterinas/cirurgia , Adenocarcinoma/etiologia , Adenocarcinoma/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Complicações do Diabetes , Feminino , Humanos , Hipertensão/complicações , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Obesidade/complicações , Fatores de Risco , Neoplasias Uterinas/etiologia , Neoplasias Uterinas/patologiaRESUMO
The circadian changes in serum estriol concentration in the case of gestosis (at 30-36 weeks gestation) and intra-uterine growth retardation-IUGR (at 28-36 weeks) were examined. The control group consisted of pregnant patients without placental insufficiency at 26-34 weeks gestation. No circadian rhythms of estriol secretion was found in patients with gestosis and IUGR, whereas such a rhythm was confirmed in normal pregnancies. The evaluation of circadian changes in estriol concentration in the third trimester of gestation may be useful when diagnosing chronic placenta insufficiency.
Assuntos
Ritmo Circadiano/fisiologia , Estriol/metabolismo , Retardo do Crescimento Fetal/sangue , Pré-Eclâmpsia/sangue , Estriol/sangue , Feminino , Retardo do Crescimento Fetal/fisiopatologia , Humanos , Masculino , Pré-Eclâmpsia/fisiopatologia , Gravidez , Terceiro Trimestre da GravidezRESUMO
Efficacy of the intraperitoneal and intravenous blood transfusions guided ultrasonographically was evaluated in severe cases of fetal hemolytic disease due to Rh conflict. It was shown, that survival rate of fetuses without generalized edema is two-fold higher in the group treated with intraperitoneal blood transfusions in comparison with the control group. It was found, that the proportion of erythrocytes containing HbA in umbilical blood of newborn is related to the number of intraperitoneal transfusions. One has to underline the failure of such a treatment in features with generalized edema. In such case intravenous blood transfusion is a method of choice.