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West Indian med. j ; 43(1): 20-2, Mar. 1994.
Artigo em Inglês | MedCarib | ID: med-8354


Ultrasound examination was performed on 66 patients with suspected ectopic pregnancy. Of 23 women who had the diagnosis confirmed at laparotomy, 16 (69.6 percent) were correctly identified on ultrasound, 4 were reported as unliklely ectopic pregnancies and 3 were undetermined. Two patients with false negative ultrasound reports had positive findings on the ultrasound, but the findings were misinterpreted. Correct identification of these would have increased the true positive rate to 78.3 percent and decreased the false negative rate to 8.8 percent. There were 5 false positive reports due to overian cysts (AU)

Humanos , Gravidez , Feminino , Gravidez Ectópica/diagnóstico , Ultrassonografia , Diagnóstico Diferencial , Laparotomia , Doenças Uterinas/diagnóstico
West Indian med. j ; 42(3): 124-5, Sept. 1993.
Artigo em Inglês | MedCarib | ID: med-9232


Sixty users of the IUD who complained of abnormal menstural blood loss were evaluated by hysteroscopy, and the findings were compared with a matched group who had this investigation for "missing strings". Submucous fibroids and endometritis were more frequent in the study group whereas malposition of the IUD was commoner in the controls (p<0.05) (AU)

Humanos , Feminino , Dispositivos Intrauterinos/efeitos adversos , Histeroscopia , Doenças Uterinas/diagnóstico , Hemorragia Uterina/diagnóstico , Hemorragia Uterina/etiologia
West Indian med. j ; 41(4): 160-1, Dec. 1992.
Artigo em Inglês | MedCarib | ID: med-15393


Diagnostic hysteroscopy was performed on 100 patients. The most frequent indication was abnormal uterine bleeding. In premenopausal women, submucous fibroids were the main findings and in postmenopausal women, 59 per cent had an atrophic endometrium. Precise localization of the missing intrauterine contraceptive devices was achieved in all cases. Hysteroscopy improved diagnostic accuracy and reduced the need for blind curretage. (AU)

Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Feminino , Histeroscopia , Doenças Uterinas/diagnóstico
West Indian med. j ; 21(3): 177, March 1972.
Artigo em Inglês | MedCarib | ID: med-6236


This communication presents data on the occurrence of uterine cervical cancer as it has been observed in a standard urban population in Jamaica for a 13-year period (1958-1970). The case card of each patient entered in the files of the Jamaica Cancer Registry has been examined personally. During the 13-year period under study, a total of 2,607 cases of cervical diagnosis was obtained in 88 percent. The peak age at occurrence was 50-54 years. Of the total number, 1,170 cases were permanently resident in the parishes of Kingston and St. Andrew where few or no cancer cases go undetected and cancer registration is fairly complete. Only these were therefore used for calculation of accurate incidences using an estimated yearly population for the period 1958-1970 based on the 1960 census. The mean annual incidence for the whole period was 33.2 per 100,000. When this rate was adjusted to a standart population thereby enabling meaningful comparisons with other areas, the Jamaican incidence was found to be the third highest in the world next to Cali, Colombia, and the Southern Rhodesian African in Bulawayo. Comparisons on an age-specific basis revealed similar patterns between Jamaica and the South African Bantu with the highest incidence in the 7th decade whereas in European populations the peak age was in middle life with a gradual decline after the menopause. The peak age incidence obtained in this study for Jamaica discards earlier impressions (Pinkerton, 1956) that in this country the condition occurs 10-15 years earlier than in the United States and Britain. Analysis of the annual trend in cervical cancer incidence showed higher rates for the first few years due perhaps to an accumulation of cases diagnosed before the Jamaican Cancer Registry was established. Another trend observed was a relative rise in incidence during the period 1967-1969 which coincided with an increase in the number of cases of carcinoma in situ diagnosed following the introduction of routine cytology in 1966. Cervical cancer comprised 16 percent of all cancers in Jamaica (males and females). It is the commonest female malignancy accounting for 27 of all cases. Cervix and breast cancer together make up about half of all female cancers and interestingly, they both show an almost identical age-specific pattern (AU)

Humanos , Feminino , Neoplasias do Colo do Útero , Doenças Uterinas , Jamaica
Carib Med J ; 17(1/2): 7-14, 1955.
Artigo em Inglês | MedCarib | ID: med-4181


Confusing and conflicting theories of the aetiology of uterine fibroids have been presented. Clinical investigations and animal experimenters have provided multiple theories, some coinciding and others conflicting. Pathologists have not universally accepted the clinical and laboratory material presented, but oestrogenic stimulation and heredity have been accepted to be the factors that act upon immature or susceptible cell elements in the myometrium. (AU)

Humanos , Leiomioma/etiologia , Doenças Uterinas
West Indian med. j ; 1(1): 26-32, Sept. 1951.
Artigo em Inglês | MedCarib | ID: med-10438


A series of one hundred and twenty hysterectomies is reported. Sixty-seven (56 percent) total or panhysterectomies were performed with no deaths and an average length of stay in hospital of 13.5 days. Thirty-one (26 per cent) sub-total vaginal hysterectomies were perfomed with one death from pulmonary embolism one week after discharge from hospital. The average length of stay in hospital was 13.2 days. Twenty-two (18 per cent) vaginal hysterectomies combined with vaginal repair were performed. There were no deaths and the average length of stay in hospital was sixteen days (AU)

Feminino , Humanos , Histerectomia , Histerectomia Vaginal , Doenças Uterinas/patologia , Jamaica
Monografia em Inglês | MedCarib | ID: med-16727


The textbook picture of a ruptured tubal ectopic pregnancy is well known, but anyone who works for any length of time in the tropics will see other varieties which present in very different ways, produce a multiplicity of symptoms and signs, and masquerade as many other conditions. Ectopic pregnancies may occur in many different sites, and they may cause trouble very soon after implantation or at any time up to term. The following discussion deals mainly with the varied clinical features of the conditions (AU)

Feminino , Humanos , Gravidez , Complicações na Gravidez , Doenças Uterinas/complicações , Medicina Tropical/métodos , Gravidez Ectópica/diagnóstico , Países em Desenvolvimento