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Volume 49 (1997)
- Issue 6 Pages 623-
- Issue 5 Pages 507-
- Issue 4 Pages 365-
- Issue 3 Pages 171-
- Issue 2 Pages 91-
- Issue 1 Pages 1-
Volume 49, Issue 4
Displaying 1-8 of 8 articles from this issue
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Hiroshi HIRAI, Koji KUMAGAI, Takemichi TSURUNAGA, Yoshiaki OKAMOTO, Ta ...1997 Volume 49 Issue 4 Pages 365-371
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSResults of screening for cervical cancer, endometrial cancer and breast cancer using ultrasonography were reviewed. The screening was performed at our hospital between January 1989 and December 1994. Overall, 7607 subjects underwent uterine cancer screening for cervix and 712 for endometrial cancer. The number of subjects undergoing these screening annually did not show any significant change. Breast cancer screening was performed in 2451 subjects. The annual number of subjects undergoing breast cancer screening gradually increased. In the breast cancer screening, 6 cases of early cancer were detected. There were 1803 subjects (21.7 %) who underwent simultaneous screening for both breast and uterine cancers. The number of simultaneous screening has increased each year. Ultrasonography was useful for detecting tumor mass as well as for qualitative diagnosis when combined with inspection and palpation for breast cancer screening. In conclusion, breast cancer screening by gynecologists may play a significant role in improving the cancer detection rate. Furthermore, the simultaneous screening for breast cancer, cervical cancer and endometrial cancer may increase patient awareness of the importance of cancer screening. [Adv Obstet Gynecol 49 (4); 365-371, 1997 (H9.7)]View full abstractDownload PDF (5479K) -
Takenori NISHI1997 Volume 49 Issue 4 Pages 372-377
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSIn utero diagnosis of choroid plexus cysts (CPC) causes us to perform a more detailed examination for the associated chromosomal abnormalities, especially trisomy 18. During a 35-month period, 569pregnant women underwent ultrasound examinations in the second trimester and 15 cases of isolated CPC were detected during their 14 to 21 weeks of gestation (2.6 %). CPC resolved itself spontaneously at 16 to 26 weeks of gestation in all cases. Through councelling of the parents, none of them underwent amniocentesis nor showed any structural or chromosomal abnormalities in post-delivery observation. It is suggested that with extensive examination for the associated abnormalities, there's no need to undergo an invasive examination for an isolated case of CPC. [Adv Obstet Gynecol 49 (4); 372-377, 1997 (H9.7)]View full abstractDownload PDF (3065K) -
Ichiro YAMADE, Kenji TAKAKURA, Miran Kirvi, Masaya HIROSE, Koji WAKUDA ...1997 Volume 49 Issue 4 Pages 378-382
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSThe advantages of autologous blood donation for elective surgery are commonly accepted. Phlebotomy for predepositing blood in the pregnant patient has been shown to be safe for both mother and fetus. However, it is difficult to select candidates for antepartum autologous blood donation. From April 1994 to March 1996, five pregnant patients of placenta previa totalis were treated with autologous blood donation in the third trimester of pregnancy in our hospital. Autologous blood transfusion was performed in all cases after cesarean delivery without significant side effects, and two patients required further homologous blood transfusion. Placenta previa appears to be an appropriate indication for autologous blood donation during pregnancy. Although autologous blood donation/transfusion is useful in obstetric practice, further studies should be done to establish adequate predeposition volumes, storage methods, prevention of bacterial contamination, and timing of phlebotomy or re-transfusion. [Adv Obstet Gynecol 49 (4); 378--382, 1997 (H9.7)]View full abstractDownload PDF (913K) -
Kyoko MAEDA, Tetsuji TANAKA, Masato MIYAMA, Naohiko UMESAKI, Sachio OG ...1997 Volume 49 Issue 4 Pages 383-386
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSWe investigated 79 patients, who had repeatedly aborted for unknown causes, as to their pregnancy and neonatal outcomes after they had been immunized with their husbands' leukocytes. After the immunotherapy, 65 cases resulted in pregnancy, and in 50 (76.9 %) abortion could be prevented. Among the 47 live birth, there was one case with severe preeclampsia, and two cases with maternal hepatic dysfunction, although no specific maternal complications due to the immunotherapy were identified. Neither were there any specific neonatal complications attributable to the immunotherapy but a rare case of transient neonatal thrombocytopenia resulting from maternal anti-HLA antibody was found among the 48 neonates. Five subjects experienced subsequent spontaneous pregnancy without any additional immunotherapy, and four of them resulted in live births. Allogenic leukocyte immunization for women who repeatedly abort for unknown reasons can therefore be generally considered to be safe and to induce very few specific complications. [Adv Obstet Gynecol 49 (4); 383-386, 1997 (H9.7)]View full abstractDownload PDF (751K) -
[in Japanese], [in Japanese]1997 Volume 49 Issue 4 Pages 387-391
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSWe encountered a nullipara with nonpuerperal uterine inversion accompanied by myoma delivery. A 31-year-old female without a history of sexual intercourse had received hormone therapy for dysmenorrhea and hypermenorrhea for about one year. However, there was no improvement in symptoms. The patient had also received cystitis treatment for a one-month history of frequent urination and a sensation of residual urine. The patient noted a mass in the vulva, and consulted our hospital. Internal and external examinations and ultrasonography revealed myoma delivery in the vagina. However, genital bleeding and severe pain in the lower abdomen developed, and the patient was emergently hospitalized. Magnetic resonance imaging (MRI) suggested uterine inversion accompanied by myoma delivery. After anemia was inproved, the pedicle of myoma delivery was transvaginally excised. However, manual reposition was impossible. Laparotomy was performed, but manual reposition was not successfully achieved. Surgical reposition was successfully performed through incision in the anterior wall of the uterus. [Adv Obstet Gynecol 49 (4); 387-391, 1997 (H9.7)]View full abstractDownload PDF (2325K) -
Koji KUMAGAI, Ken UEKI, Masatsugu UEDA, Yoshiaki OKAMOTO, Minoru UEKI, ...1997 Volume 49 Issue 4 Pages 392-400
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSCarcinosarcomas (CSs) of the corpus uteri are rare and occur predominantly in elderly women. They have been subdivided into two categories with new terminologies since 1996 in the new General Rules for Clinical and Pathological Management of Uterine Corpus Cancer, homologous and heterologous, according to its sarcomatous elements. Since their prognosis has been reported to be quite poor, early diagnosis and treatment are of crucial important. We present the clinical and pathologic features of the two patients with CS; heterologous of the corpus uteri. A 29-year-old and 70-year-old women visited our hospital with a complaint of abnormal genital bleeding. In both cases endometrial cytology before operation showed atypical epithelial cells with large round pleomorphic nuclei and prominent nucleoli, which were regarded as a adenocarcinoma cells. Preoperative biopsy specimens from the uterine cavity also showed endometrial adenocarcinomas. After radical surgery, in both cases, chondrosarcoma was identified histologically in the primary lesion as well as malignant epithelial elements. Other histologic components of fibrosacoma, rhabdomyosarcoma, malignant myxoma, and spindle cell sarcoma were detected. Imprint smears of the resected tumors showed many atypical cells of both epithelial and non-epithelial origin. The adenocarcinoma cell were in papillary clusters or in acinar form with varying degrees of cytoplasmic vacuolization, enlarged nuclei, abnormal chromatin patterns and prominent nucleoli. On the other hand, non-epithelial components were seen as isolated cells or loose aggregates. They were elongated or caudate with scant and cyanophilic cytoplasm, which suggested connective tissue or muscle origin. Rhabdomyosarcoma cells appeared independently and sporadicaIly, were relatively large with a polyhedral band form. The cell margins were rather unclear and the cytoplasm was generally stained light green. Chondrosarcoma cells are round to oval in shape with large round nuclei and one or two prominent nucleoli. Their cytoplasm was rather thick and the cell border was sharp. These cytologic findings were comparable to the histologic features of the original tumors. Despite the postoperative chemotherapy, two patiens died from the original disease 9 months after surgery. The detection of non-epithelial atypical cells in endometrial cytology is considered to be of prognostic value. [Adv Obstet Gynecol 49 (4); 392-400, 1997 (H9.7)]View full abstractDownload PDF (7121K) -
1997 Volume 49 Issue 4 Pages 401-455
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSDownload PDF (27047K) -
1997 Volume 49 Issue 4 Pages 456-493
Published: July 01, 1997
Released on J-STAGE: September 27, 2010
JOURNAL FREE ACCESSDownload PDF (15009K)
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