[Fine-needle biopsy of the breast in the material of Gynecology and Obstetrics Hospital in Walbrzych]. / Biopsja aspiracyjna cienkoiglowa sutka w materiale Specjalistycznego Szpitala Ginekologiczno-Polozniczego w Walbrzychu.

OBJECTIVES: Since the year of 2000 we have done more than 500 fine-needle aspiration biopsies in our hospital. DESIGN: The main cause was a breast lesion interpreted as suspicion of cancer in ultrasonography or mammography and its verification between benign tumor and a cancer. MATERIALS AND METHODS: 508 women with clinical findings of breast tumor were qualified for fine-needle biopsy procedure. RESULTS: The most common diagnosis was a benign cystic tumor found in 183 cases and the second one--fibro-cystic mastopathy (132 cases). Surgical operation of the breast was performed in 32 cases. In 17 we found breast cancer and in 14 the diagnosis was suspicion of breast cancer. CONCLUSIONS: Fine-needle biopsy is valuable for diagnosis of breast cancer and can be easily learned and used by the clinician. It's safe, cost-effective, and accurate technique, which has no counter-indications and causes little discomfort. Results are available in a short time so the decision about the necessity for excisional biopsy or mastectomy is made quickly.

[Delayed delivery of the second twin--a case report]. / Poród odroczony drugiego blizniaka--opis przypadku.

Delayed interval delivery of the second twin is not a conventional procedure in case of early delivery of the first one. The routine procedure is the provocation of the uterine activity and terminating pregnancy. Patient's willingness to have a desired child presents difficulties for obstetricians and necessitates unconventional steps. The described delivery of the second twin took place in the fifth week after the delivery of the first one. The patient was discharged on the 7th day after caesarean section and the new-born was discharged in good general condition on the 64th day when reaching body weight 3490 gram. Postponing the delivery of the second twin gave time for treatment with glucocorticoids and it prepared the fetus's lungs for extrauterine life. Therapeutically the most essential problem was the prevention of intrauterine infection. The described procedure posing a threat to both mother and foetus gives rise to understandable doubts. Possible risks should be thoroughly discussed with the patient as well as possible future child's problems.