RESUMO
Primary malignant melanomas of the urethra are extremely rare. Clinically they are usually mistaken for other malignant diseases or even benign lesions. The case of a 66-year-old woman is reported, who presented with local bleeding of the urethra. Macroscopically a polypoid tumor was seen on the meatus externus of the urethra. A biopsy was taken and the histology report revealed a malignant melanoma. There were no signs of metastases and therefore the treatment consisted of a wide local excision only. A review of literature regarding therapy and prognosis is presented.
Assuntos
Melanoma , Neoplasias Uretrais , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Melanoma/diagnóstico , Melanoma/cirurgia , Prognóstico , Resultado do Tratamento , Neoplasias Uretrais/diagnóstico , Neoplasias Uretrais/cirurgiaRESUMO
A case of spontaneous rupture of the uterine artery in the third trimester of pregnancy is described. Review of the literature reveals only three similar cases. Clinical signs are sudden abdominal pain with hemodynamic collapse and a decrease in the level of hemoglobin. Treatment consists in performing a laparotomy with suturing of the ruptured artery.
Assuntos
Artérias , Complicações Cardiovasculares na Gravidez/diagnóstico , Útero/irrigação sanguínea , Doenças Vasculares/diagnóstico , Dor Abdominal , Adulto , Transfusão de Sangue , Diagnóstico Diferencial , Feminino , Hemodinâmica , Hemoglobinas/análise , Humanos , Gravidez , Complicações Cardiovasculares na Gravidez/fisiopatologia , Complicações Cardiovasculares na Gravidez/cirurgia , Terceiro Trimestre da Gravidez , Ruptura Espontânea , Técnicas de Sutura , Doenças Vasculares/fisiopatologia , Doenças Vasculares/cirurgiaRESUMO
STUDY OBJECTIVE: To assess the efficacy of operative laparoscopy to confirm the diagnosis of benign adnexal masses, and treat the lesions. DESIGN: Consecutive patients evaluated for this indication between January 1989 and December 1993, who met the inclusion criteria. SETTING: The Jan Palfijn General Hospital, Antwerp, Belgium, and the Department of Obstetrics and Gynecology, University of Varese, Varese, Italy. PATIENTS: One hundred twenty-one women with a clinical, biochemical, and ultrasound diagnosis of benign adnexal mass. INTERVENTIONS: Operative videolaparoscopy was carried out in all patients using the carbon dioxide or argon laser, electrical, or mechanical means. MEASUREMENTS AND MAIN RESULTS: Depending on the patient's age and the appearance of the adnexal mass aspirate, biopsy, cystectomy, or adnexectomy was performed. The conversion rate to laparotomy was 2.4%. A pathologic diagnosis was made in all cases. In this series no malignancy was encountered. CONCLUSION: Operative laparoscopy is safe and effective for treating adnexal masses provided that the preoperative diagnosis indicates that the lesions are benign.
