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Volume 31 (1979)
- Issue 6 Pages 593-
- Issue 5 Pages 513-
- Issue 4 Pages 387-
- Issue 3 Pages 253-
- Issue 2 Pages 109-
- Issue 1 Pages 1-
Volume 31, Issue 4
Displaying 1-3 of 3 articles from this issue
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—Recognition of Early Invasion by Colposcopy—Hidetoshi SASAKI, Masanori IKEDA, Kenzo KIMURA, Yoshiki INOUE, Masaki ...1979 Volume 31 Issue 4 Pages 387-396
Published: July 01, 1979
Released on J-STAGE: October 11, 2011
JOURNAL FREE ACCESSColposcopy was a diagnostic method to determine the locus and the extent of the focus of cervical malignancy, and there were many reports which denied that this method was capable of diagnosing the quality of the pathological changes. However, there have been strong demands for a correct preoperative diagnosis of the presence and extent of invasion and great expectations have been placed in colposcopy. From the detailed analysis of colposcopic findings and tissue reconstraction in stage Ia cancer, we investigated the characteristic colposcopic findings of stage Ia cancer and the possibility of using colposcopy for the recognition of early invasion.
Reconstruction of the cervical lesion was performed using semi-serial tissue specimens in 54 cases of stage Ia cancer undergone surgery in the department of Obstetrics and Gynecology, Kinki University Hospital in the last three years, and comparisons were made with colpophotographs.
Results are as follows:
1) The ectocervix type (the S·C·J was fully visible) was 75.9% and the endocervix type (the S·C·J was not fully visible) was 24.1%. Among the latter cases, the abnormal colposcopic findings could not be observed at all by colposcopy in four cases.
2) The correct diagnostic rate of target biopsy was 73.2% in the ectocervix type and 23.1% in the endocervix type.
3) Golposcopic findings of stage Ia cancer cases showed white epithelium, punctation and mosaic in 35 cases (85.4%), and 75.6% also showed abnormal gland openings and atypical vessels.
4) From the comparison between the locations of the invasion and the colposcopic findings, the findings which could be assumed to indicate early invasion were group of crowded abnormal gland openings, irregular punctation and mosaic with surface elevation, and atypical vessels in the surface elevasion.View full abstractDownload PDF (5882K) -
Shusei HIGASHIYAMA, Masakuni NAWA, [in Japanese], Junji KIMURA, Hiroji ...1979 Volume 31 Issue 4 Pages 397-402
Published: July 01, 1979
Released on J-STAGE: October 11, 2011
JOURNAL FREE ACCESSMalignant melanoma is a rare disease and so the occurrence is rare in pregnancy. This paper is a case report of malignant melanoma associated with pregnancy. Mrs. K. T. aged 29 who married in June, 1977 had last menstrual period which began on 8th November, 1977. The expected date of delivery was on 15th August, 1978. She noticed that a nevus on her left breast enlarged in the second trimester of pregnancy. Excision of the nevus was performed by a doctor, and microscopical findings showed malignant melanoma. On 29th May she visited our clinic. There was an operated scar on her breast with subculabiclar and axillary swelling. The uterus was 29 weeks pregnancy in size. Fetal movement was felt and fetal heart was audible. On 11th July she was taken to our hospital by car owing to dyspnea, and her chest was screened and pictures taken. Remarkbale effusion was recognized in the left pleural cavity.
In the early morning of 13th July, labor proceeded to completion at 2 p.m. and a female child was delivered normally in 34 weeks gastation. The placenta was normal in appearance. Although chemotherapy for malignant melanoma was started immidiatly after delivery, delivery of child did not bring any improvement in the patients condition. The patient was died of generalized melanoma on 26th July, 1978. The child is normally developing without melanoma.
The literature on malignant melanoma with pregnancy is reviewed.View full abstractDownload PDF (2597K) -
Kanji KASAI, Hideki AOCHI1979 Volume 31 Issue 4 Pages 403-406
Published: July 01, 1979
Released on J-STAGE: October 11, 2011
JOURNAL FREE ACCESSThis is a case of genu recurvatum with the dislocation in a hip joint. These deformities, both in the right side, were found in a female baby of weighing 3.140g immediately after her birth.
She was born at term at Shiga University Hospital on June 18, 1979, after normal and spontaneous courses of delivery. No other appearent deformities were recognized in herself. She has a sister of two years elder than her who has been entirely normal in all ways.
There is no hereditary factors of either neurological or musculoskeletal difficulties in her family. Autosomal analysis was done for both herself and her parents which proved to be normal in every individuals. Roentgenograms could diagnose the dislocation in the right hip joint and an abnormal displacement of bones in not between tibia and femur as other cases of hyperextension of one or both knees but in between tibia and fibula characteristic to this case.
Genu recurvatum is a comparatively rare deformity, which is needed a differential diagnosis from other malformations in relation to a developmental defect of patella. There are two different opinions in regard to the origin of the deformity. One is supposed to be a result of a developmental defect and the other of iiialposition in utero. Gentle manipulations and repeated castings are thought to be best ways to correct the deformity in such a case found in so early period as this.View full abstractDownload PDF (2031K)
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