ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
Volume 59, Issue 1
Displaying 1-16 of 16 articles from this issue
ARTICLES
Case report
  • Takahiro IBA, Yumiko IBA, Hiroaki ITAMOCHI, Tsuneaki TSUZAKI
    2007 Volume 59 Issue 1 Pages 1-5
    Published: 2007
    Released on J-STAGE: March 31, 2007
    JOURNAL RESTRICTED ACCESS
    Synchronous primary cancers of the endometrium and ovaries are rare. In many cases, it is difficult to differentiate between either two primary carcinomas or metastatic disease, even though this distinction is significant since the staging, further management and prognosis are completely different for these two diseases. We herein report a case which was diagnosed to be a synchronous primary cancer of the endometrium and ovaries with a review of the literature. The patient was 40s female who presented with the chief complaint of atypical genital bleeding. Endometrial cancer was diagnosed by an endometrial biopsy. An extended hysterectomy, a bilateral salpingo-oophorectomy, and a pelvic lymphadenectomy were all performed, and a histopathological diagnosis revealed low grade endometrioid adenocarcinoma in both the endometrium and left ovary. We diagnosed the patient to have synchronous primary cancer of the endometrium and left ovary, according to the criteria of Ulbright and Ree. The postoperative course was uneventful. In this case, we did not use a molecular biological technique to diagnose a synchronous primary cancer. However, molecular analysis may be important and helpful in distinction between the two groups of synchronous tumors.[Adv Obstet Gynecol, 59(1) : 1-5, 2007 (H19.2)]
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  • Naoya HARADA, Noriko HARUTA, Ichiro NOBUHARA, Taihei TSUNEMI
    2007 Volume 59 Issue 1 Pages 6-9
    Published: 2007
    Released on J-STAGE: March 31, 2007
    JOURNAL RESTRICTED ACCESS
    Torsion of a non-gravid uterus is extremely rare. This report concerns an 83-year-old woman. She was admitted to our hospital with abdominal pain and appetite loss. She had a firm, smooth, and mobile mass with an approximately 15 cm calciferous region by X-ray in the lower abdomen, rising out of the pelvis above the umbilicus. The abdomen was soft with no muscle guarding or rebound tenderness. MR image (T2-weighted sagittal image) demonstrated a cervix but not a uterine corpus (appeared as post-supracervical hysterectomy). We diagnosed malignant ovarian tumor at that time because of the enhancement on contrast enhanced images and the elevation of tumor markers. After hospitalization, her white blood cell count was elevated with high fever. In spite of antibiotic therapy, she progressively worsened. After the eleventh day, a new space-occupying region was detected on CT scan, and the preoperative differential diagnosis was also abcess in the pelvis. A laparotomy was performed. We found a huge calciferous uterine subserosal-leiomyoma. The uterus had undergone 540 rotation towards the left around the long axis of the uterus between the corpus and cervix uteri. There were no obvious ovarian tumors present. A supracervical hysterectomy with bilateral salpingo-oohorectomy was completed because of the weakness of the parametrium tissue and the uterine cervix. The patient's postoperative course was unremarkable and she was discharged in good conditon. Recognition that the parametrium had assumed a radial configuration on MRI may lead to the correct preoperative diagnosis.[Adv Obstet Gynecol, 59(1) : 6-9, 2007 (H19.2)]
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OPINIONS
Clinical view
Current topic
TRANSACTIONS of SECTIONAL MEETING
Endocrinology & Reproduction ( in the 114th Meeting of the OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN )
"Recent progress on the diagnosis and treatment of endometriosis"
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