RESUMEN
A patient who underwent fertility-sparing surgery for Stage IA clear cell carcinoma may have developed de novo clear cell carcinoma in the contralateral ovary 9 years later. She underwent fertility-sparing surgery and postoperative adjuvant chemotherapy for right ovarian carcinoma at 33 years of age (when endometriosis was observed in the contralateral ovary). At the age of 41 years, a tumor was discovered in the left ovary. This was diagnosed pathologically as clear cell carcinoma with clear cell adenofibroma, which may have developed de novo. A consensus is currently taking shape that although fertility-sparing surgery is a therapeutic option for patients with Stage IA clear cell carcinoma, long-term outpatient monitoring is advised to watch for its recurrence or de novo development in the contralateral ovary.
RESUMEN
The authors obtained brain images with patients in the upright position using a newly designed and constructed vertical MR system. They found little gravitational effect on brain structures, even in the case of a severely atrophied brain. Their vertical system was practical for routine clinical usage and might provide information regarding gravitational effects on regional perfusion and other aspects of brain physiology.
