Gonadectomía translaparoscópica en una paciente con síndrome de insensibilidad androgénica / Laparoscopic gonadectomy in patient with androgen insensitivity syndrome

Se presenta el caso clínico de una paciente con síndrome de insensibilidad androgénica completo. Se describen los estudios complementarios, el tratamiento realizado y la anatomía patológica de las gonadas extirpadas. La laparoscopía quirúrgica es una técnica mínimamente invasiva para el manejo terapéutico comparada con la laparotomía. Se revisa la literatura

[Uterine lipoma localized in the myometrium. Report of a case, and review of the literature]. / Lipoma uterino de localización miometrial. Presentación de un caso, con revisión de la literatura.

Lipomatous benign neoplasms of uterus are very rare entities in women. The present paper presents a case of uterine lipoma. The diagnosis is easily made at the time of surgery or at autopsy, but before this, they may lead to many problems in the differential diagnosis with another uterine tumors. Recent papers suggest the possibility of a preoperative diagnosis made by computed tomography and magnetic resonance imaging. Cytogenetic analysis of this benign tumor have established chromosomal abnormalities in sites that may control cell proliferation.

Rapid karyotyping in ectopic pregnancies.

The aim of this study was to determine the feasibility of karyotyping ectopic Fallopian tube pregnancies utilizing dividing cytotrophoblast cells. Villi from 78 ectopic conceptuses were processed by the direct chromosome technique and cytogenetic diagnosis was successful in 60 cases (76.9 per cent). The amount of villi obtained, as well as villus morphology, was correlated with cytogenetic success rate. Histological examination of the Fallopian tube was also carried out. A total of 47 cases were chromosomally abnormal (78.3 per cent), which is the highest frequency of cytogenetic abnormalities reported to date.