巻号一覧
45 巻 (1993)
- 6 号 p. 665-
- 5 号 p. 589-
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45 巻, 5 号
選択された号の論文の4件中1～4を表示しています
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とくに粘液性状、糖鎖抗原について梅嵜 圭吾1993 年 45 巻 5 号 p. 589-601
発行日: 1993年
公開日: 2011/07/05
ジャーナル フリーForty cases of glandular abnormalities of the uterine cervix were identified histologically by our department from January, 1984 to April, 1992. These included 17 cases of endocervical glandular dysplasia (EGD), 6 of adenocarcinoma in situ (AIS), 5 of microinvasive adenocarcinoma (MI), and 12 of invasive adenocarcinoma (AD). Epithelial mucin and immunohistochemical localizations of CEA, CA19-9, SLX, and STN in EGD and related lesions were examined histochemically. Serial sections were examined by the following procedures : 1) Periodic acid Schiff reaction 2) Alcian blue pH2.5 staining 3) High iron diaminealcian blue pH2.5 staining 4) Immuno-peroxidase method.
Histochemically, sialomucin was predominant in EGD while CEA was predominant in AD immunohisto-chemically. The CA19-9, SLX, and STN antigens were found in EGD. However, they were present in AIS, MI, and AD with increasing frequency, with AD having the highest level.
We noted that initially, glycosynthesis were beginning and aberrant glycosylations were accumulating in EGD. EGD therefore, may involve precancerous lesions. [Adv Obstet Gynecol 45 (5); 589-601, 1993 (H5. 9)]抄録全体を表示PDF形式でダウンロード (11689K) -
山田 聖, 武田 守弘, 村上 雅治1993 年 45 巻 5 号 p. 602-606
発行日: 1993年
公開日: 2011/07/05
ジャーナル フリーThe incidence of a cervical pregnancy is very rare and the early diagnosis was difficult before the ultrasonography was introduced to the daily clinical practice. The recent advances of transvaginal ultrasonography have made it possible to make an earlier diagnosis and treat more safely by chemotherapeutic means instead of conservative surgery. Presented is the case of a 35 year-old woman, gravida-0, para-O, with a cervical pregnancy documented by transvaginal ultrasound in the eight weeks of gestation and successfully treated with a 5-day course of methotrexate. The ultrasound examination revealed the gestational sac of 6 mm in diameter located in the uterine cervix before the treatment, which disappeared 15days after the treatment. The β-hCG concentration fell to the normal level 36 days later, and no adverse effect was found throughout the treatment. [Adv Obstet Gynecol 45 (5); 602-606, 1993 (H5. 9)]抄録全体を表示PDF形式でダウンロード (3026K) -
津田 浩史, 藤野 祐司, 川端 和女, 梅咲 直彦, 荻田 幸雄, 山本 久美夫1993 年 45 巻 5 号 p. 607-610
発行日: 1993年
公開日: 2011/07/05
ジャーナル フリーWe recently treated a patient with unusual cervical pregnancy. A 38-year-old woman, gravida 3, para 3, was admitted to our hospital for artificial abortion at 8 weeks of gestation. She had had abnormal genital bleeding without abdominal pain, and pelvic examination demonstrated a goose-egg-sized uterus with an enlarged and soft cervix. Sonographic findings included an intact gestational sac (GS) with fetal echo and a beating heart ; and thus corresponded to those of an eight-week fetus. However, the GS was partially present in the endocervix. Dilatation and curettage was performed under intravenous anesthesia, but was associated with the immediate occurrence of heavy uterine bleeding (total amount, 700ml). An emergency laparotomy with simple total hysterectomy was performed. The wall of the uterine cervix was found to be thin on gross examination, and chorionic trophoblast was present in the cervical portion. [Adv Obstet Gynecol 45 (5); 607-610, 1993 (H5. 9)]抄録全体を表示PDF形式でダウンロード (4830K) -
大野 洋介, 藤本 泰子, 田中 一範, 川嶋 満子, 細川 健一, 岡田 弘二1993 年 45 巻 5 号 p. 611-614
発行日: 1993年
公開日: 2011/07/05
ジャーナル フリーFluoroscopic transcervical fallopian tube recanalization was performed in sixteen patients inappropriate for in vitro fertilization-embryo transfer (IVF-ET) : poor responders, severe oligozoospermia, uterine abnormality. Tubal obstruction in fourteen patients was demonstrated by laparoscopy, in three patients by previous laparotomy and in one patient by hysterosalpingography.
Recanalization was attempted and patency was achieved in ten tubes of twenty ones with interstitial fallopian tubal obstruction (IFTO). Eight tubes with hydrosalpinx could not be opened. Of fourteen patients with IFTO, tubal patency was achieved in at least one fallopian tube in eight patients (57%). One pregnancy occurred during the six month follow-up period. This patient was not suitable for IVF-ET because of a uterine anomaly. No pregnancy occurred in the patients who failed to get pregnant by IVF-ET.
Transcervical tubal recanalization of IFTO is safe, easy and effective method. However, the rate of conception was very low in our series. [Adv Obstet Gynecol 45 (5); 611-614, 1993 (H5. 9)]抄録全体を表示PDF形式でダウンロード (819K)
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