Solitary fibrous mass of the omentum mimicking an ovarian tumor: case report.

There are some pelvic masses which are difficult to correctly classify as malignant or benign. The decision concerning method and choice of surgical intervention is not simple in this situation. Some tumors are extremely rare and need to be presented in the literature. The authors report a rare case of fibrous tumor of the omentum simulating a malignant ovarian tumor, which ultimately resulted to be a primary solitary fibrous tumor of the omentum. Ultrasound findings are mostly precise prognostic tools according ovarian masses. However, from time to time, Doppler blood flow examination may present false positive results.

The role of endothelin-1 and its correlation with CA125 levels, grayscale ultrasonography and doppler findings in differential diagnoses of ovarian tumors.

PURPOSE OF INVESTIGATION: Assessment of endothelin-1 (ET-1) level for the differential diagnosis of ovarian tumors was performed. METHODS: Fifty-three women with ovarian tumors (12 malignant, 41 benign) treated at the Division of Gynecological Surgery, Poznan, Poland were analyzed. ET-1 serum levels were compared with CA125 and Doppler parameters (RI, PI, PSV). The differences were evaluated using the unpaired t-test with Welch's correction (p < 0.05). RESULTS: There was statistically significant difference in ET-1 levels between the ovarian cancer and benign tumor groups (3.130 pg/ml and 1.819 pg/ml, respectively). The ROC area for ET-1 and CA125 were 0.727 and 0.791, respectively. A negative linear correlation between the level of ET-1 and RI and a positive linear correlation between the level of ET-1 and PSV in the ovarian cancer group were found. CONCLUSION: ET-1 as a new biomarker for predicting ovarian cancer is not satisfying. A correlation between ET-1 levels and Doppler parameters is very interesting and its role in angiogenesis should be studied extensively.

[Suicidal attempts among soldiers]. / Usilowania samobójstw wsród zolnierzy.

The authors conducted the analysis of 93 case histories of soldiers who were subjected to clinic observation in two four-year periods owing to suicide attempts. It was shown that the most frequent psychiatric diagnoses following observation were disadaptative syndromes (36.6%) and abnormal personality (32.3%). The reason for suicide attempts of the soldiers were mostly adjustment difficulties (45.2%) and conflicts of premature release from army (79%).

[Mentally ill patients' absconding from hospitals]. / Samowolne opuszczenia szpitala przez pacjentów z zaburzeniami psychicznymi.

Based on 677 incidents of absconding from hospitals of patients with psychiatric disorders the authors stated that the escapes took place mostly among men aged 26-45 years, hospitalizated compulsorily with the diagnosis of schizophrenia and affective illness (manic phase). It was revealed that the most popular motivation of absconding in a group of women and men were sociopsychological factors.