ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 44, Issue 5
Displaying 1-5 of 5 articles from this issue
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  • A case report of mixed mesodermal tumor of the ovary with good response to chemotherapy
    Shinichiro KOBAYASHI, Junko MURANAKA, Hiroshi FUNAUCHI, Tomohiro SHIOT ...
    1992 Volume 44 Issue 5 Pages 475-481
    Published: September 01, 1992
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.44.475
    JOURNAL FREE ACCESS
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    Mixed mesodermal tumors of the ovary are rare gynecological malignancies. In Japan, only 19 cases of mixed mesodermal tumors of the ovary have been reported. This type of tumor is not only rare but also presents an usual poor prognosis. To date, no good post-surgical therapy involving chemotherapy and radiation therapy has been proven.
    A case of mixed mesodermal tumor of the ovary arising in a multiparous female has been reported. The tumor consisted of adenocarcinoma in the epithelial component and homologous sarcomatous elements in the interstitial component.
    Post-operative multi-agent chemotherapy using CDDP, CBDCA and etoposide was performed and up to the time of the reporting, the patient stayed alive with no signs of recurrence.
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  • Measurement of menstrual blood loss and hysteroscopic examination in patients with subjective hypermenorrhea
    Hirosumi IMOTO, Kiyoji OKUDA, Michio SAEKI, Tadashi OKAZAKI, Chiharu I ...
    1992 Volume 44 Issue 5 Pages 482-485
    Published: September 01, 1992
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.44.482
    JOURNAL FREE ACCESS
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    There is a conciderable incidence of out-clinic patients who complained of hypermenorrhea (10 %). Menstrual blood loss was measured by alkali hematine method and uterine abnormalities were examined by ultrasonography and hysteroscopy in the 18 patients who complained of hypermenorrehea. Only eight patients had a mean menstrual blood loss of over 60ml and anemia. The other 10 patients whose menstrual blood loss was less than 60ml, had no severe anemia. These results suggest that over 60ml of menstrual blood loss should be abnormal as objective hypermenorrhea. The number of used pads was not correlated with menstrual blood loss. In the eight patients with objective hypermenorrhea, uterine myomas were found in four patients and endometrial polyp was found in one patient by hysteroscopic and ultrasonographic examination. However, in two patients out of eight, no organic, endocrinological and blood coagulation cause of hypermenorrhea was found.
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  • Ultrasonographic Observation of Fetal Cystic Hygroma
    Takenori NISHI, Mareo YAMOTO
    1992 Volume 44 Issue 5 Pages 486-490
    Published: September 01, 1992
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.44.486
    JOURNAL FREE ACCESS
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    Ultrasonography enabled us to detect numerous anomalies in utero. We have encountered two cases of fetal cystic hygroma diagnosed in the first trimester and early in the second trimester. Ultrasonography revealed an edematous change around the neck and head, followed by a cystic change at the neck with hydrops fetalis. This cystic lesion increased in size and expanded from the posterior to the anterior portion of the neck. These changes indicate that the embryological progress of the jugular lymphatic obstruction sequence depends on the fetal development. Some cases requiring differential diagnoses were discussed.
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  • A case report of an endometriotic cyst of the ovary with adenomatous hyperplasia
    Yoshiaki YAMAMOTO, Nobuyuki KITA, Hiromi NISHIMURA, Toshio TENZAKI, Ta ...
    1992 Volume 44 Issue 5 Pages 491-497
    Published: September 01, 1992
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.44.491
    JOURNAL FREE ACCESS
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    We present a case of an adenomatous hyperplasia arising at the site of an endometriotic cyst of the ovary. The patient was a 41-year-old woman, who visited our outpatient clinic complaining of dysmenorrhea. A gynecological examination and a CT scan revealed cystic tumors at both ovaries. Postoperatively, a small papillary lesion was found at the inner wall of the right cyst. By histological examination, a benign papillary lesion was found, and classified as endometriosis with adenomatous hyperplasia.
    The present case indicates that adenomatous hyperplasia may arise from endometriosis of the ovary as well as from endometrium of the uterus.
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  • [title in Japanese]
    1992 Volume 44 Issue 5 Pages 529-564
    Published: September 01, 1992
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.44.529
    JOURNAL FREE ACCESS
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