Assuntos
Humanos , Feminino , Relatos de Casos , Adulto , Neoplasias das Tubas Uterinas , Leiomioma , Dor AbdominalRESUMO
A case of choriocarcinoma of the fallopian tube presenting as a ruptured tubal ectopic pregnancy is described. The patient's satisfactory clinical course over a twelve-month period is documented, and factors that govern the prognosis of this once rapidly fatal disease are disclosed (AU)
Assuntos
Adulto , Feminino , Humanos , Gravidez , Coriocarcinoma/patologia , Neoplasias das Tubas Uterinas/patologia , Complicações Neoplásicas na Gravidez/patologia , Gravidez Tubária/patologia , Diagnóstico Diferencial , Ruptura Espontânea , JamaicaRESUMO
A clinical and pathological study on 108 cases of endometriosis observed at the University Hospital of the West Indies during a 15-year period (1968-1982) is reported. A low incidence was found when compared with similar studies conducted elsewhere. The peak age at occurence was 36 years. Common clinical manifestations were pelvic pain, infertility, dysmenorrhoea, menorrhagia and dyspareunia. A preoperative diagnosis of endometriosis was made very infrequently. A high index of suspicion, careful clinical examination, including family history, pelvic examinatiuon and laparoscopy are required to improve the accuracy of the clinical diagnosis. The ovaries and the pelvic peritoneum were the commonest sites affected. There was a relatively high frequency of involvement of the fallopian tubes, laparotomy scars, umbilicus, uterine cervix and the vagina (AU)
Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Endometriose/patologia , Neoplasias dos Genitais Femininos/patologia , Diagnóstico Diferencial , Endometriose/diagnóstico , Endometriose/epidemiologia , Neoplasias das Tubas Uterinas/patologia , Neoplasias dos Genitais Femininos/diagnóstico , Neoplasias dos Genitais Femininos/epidemiologia , Neoplasias Ovarianas/patologia , JamaicaRESUMO
Primary adenocarcinoma of the right Fallopian tube is reported in a 53-year-old Negro woman. The diagnosis was established by histopathological examination of the surgically resected specimen, there being no suspicion of the tumour pre-operatively. Metastates occurred to the iliac lymph nodes. The patient was treated by hyterectomy and bilateral salpingo-oophorectomy followed by high voltage irradiation of the pelvis. This is the first example of primary tubal carcinoma encountered at the University Hospital of the West Indies. The relevant literature is reviewed and discussed (AU)