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1.
Trop Anim Health Prod ; 52(3): 1073-1079, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-31701398

RESUMO

Housing nursery pigs according to body weight is an observed common practice in production systems and, supposedly, improves growth performance and reduces body weight (BW) variation. This 42-day study evaluated the effects of housing nursery pigs according to BW on performance, onset of feed intake, and aggressive behavior. A total of 504 pigs were ranked by BW at weaning and categorized into three groups of 168 pigs each: light, medium, and heavy. Pigs were randomly distributed to unsorted pens (Unsorted) containing 6 pigs of each weight group and sorted pens with 18 pigs from just one group per pen (Sorted). From weaning to day 3, pigs were fed a diet containing 1% iron oxide dye and rectal swabs presenting red coloration were evaluated to assess feed intake onset. Eight pens were video recorded to evaluate aggressive behavior. Sorted-Heavy pigs delayed the onset of feed intake (P ≤ 0.011) and presented more aggressive behaviors than Sorted-Light and Sorted-Medium pigs (P ≤ 0.036). In Unsorted, onset of feed intake showed no differences between weight categories. Also, no differences were observed for aggressive behavior between Sorted and Unsorted. Final BW showed no differences between Sorted and Unsorted pigs. The within-pen weight coefficient variation (CV) was slightly different (P = 0.042) between Sorted and Unsorted pigs (13.3 and 15.6%, respectively), at the end of the study. Thus, sorting nursery pigs by BW did not improve growth performance and also, induce a lag of post-weaning feed intake onset and increased fights in Heavy pigs.


Assuntos
Agressão , Comportamento Animal , Comportamento Alimentar/fisiologia , Abrigo para Animais , Suínos/fisiologia , Ração Animal/análise , Animais , Feminino , Masculino , Suínos/crescimento & desenvolvimento
2.
Arq. bras. med. vet. zootec. (Online) ; 69(4): 1062-1065, jul.-ago. 2017. tab
Artigo em Português | LILACS, VETINDEX | ID: biblio-876947

RESUMO

The aim of this study was to evaluate a new source of injectable organic zinc (zinc edetate) on the energy and oxidative profile in sheep during the immediate postpartum period. Twenty-six Texel breed animals were previously identified and divided into two experimental groups: the treated group (TG; n= 13) that comprised the animals that received a subcutaneous (SC) injection of 100 mg of zinc edetate (2 mL) fifteen days before the parturition expected date and the control group (CG; n=13) that comprised the animals that received 2mL of physiological solution at the same date of TG. Blood samples were collected on the parturition day for the assessment of serum fructosamine, cholesterol and triglycerides, insulin-like growth factor type 1 (IGF-1), the oxidative stress index (OSi) and blood zinc concentration. In addition to these parameters, the measurement of zinc was made in food given to the animals. There was no difference in metabolic parameters and OSi between the experimental groups (P>0.05), as well as in blood zinc concentrations (P>0.05). The parenteral zinc edentate does not change the energy and oxidative profile of sheep in immediate postpartum.(AU)


Assuntos
Animais , Feminino , Ácido Edético/análise , Metabolismo Energético , Estresse Oxidativo , Período Pós-Parto/metabolismo , Ovinos/metabolismo , Zinco/administração & dosagem
3.
Arq. bras. med. vet. zootec. (Online) ; 69(4): 1062-1065, jul.-ago. 2017. tab
Artigo em Português | VETINDEX | ID: vti-17993

RESUMO

The aim of this study was to evaluate a new source of injectable organic zinc (zinc edetate) on the energy and oxidative profile in sheep during the immediate postpartum period. Twenty-six Texel breed animals were previously identified and divided into two experimental groups: the treated group (TG; n= 13) that comprised the animals that received a subcutaneous (SC) injection of 100 mg of zinc edetate (2 mL) fifteen days before the parturition expected date and the control group (CG; n=13) that comprised the animals that received 2mL of physiological solution at the same date of TG. Blood samples were collected on the parturition day for the assessment of serum fructosamine, cholesterol and triglycerides, insulin-like growth factor type 1 (IGF-1), the oxidative stress index (OSi) and blood zinc concentration. In addition to these parameters, the measurement of zinc was made in food given to the animals. There was no difference in metabolic parameters and OSi between the experimental groups (P>0.05), as well as in blood zinc concentrations (P>0.05). The parenteral zinc edentate does not change the energy and oxidative profile of sheep in immediate postpartum.(AU)


Assuntos
Animais , Feminino , Ovinos/metabolismo , Período Pós-Parto/metabolismo , Zinco/administração & dosagem , Metabolismo Energético , Ácido Edético/análise , Estresse Oxidativo
4.
Clin Microbiol Infect ; 17(11): 1653-8, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21199152

RESUMO

Leprosy is an important health problem in Brazil despite extensive use of multidrug therapy. The nasal mucosa is the preferential site of entry and exit of Mycobacterium leprae, and although lesions have been found in the oral mucosa, its potential involvement in the transmission of leprosy bacilli has never been investigated. We investigated the presence of the M. leprae DNA in buccal swabs of leprosy patients (334) and household contacts (1288) through polymerase chain reaction (PCR), and correlated this with clinical and laboratorial evaluations. The overall positivity for patients and contacts was 18.26% and 6.83%, respectively. Subclinical infection among contacts was considered when PCR and anti-PGL-1 ELISA presented positive results. This study provides evidence that the oral mucosa may be a secondary site of M. leprae transmission and infection, and contacts with bacillary DNA may be actively involved in transmission. We have also shown that bacilli DNA is more frequently found in the oral mucosa of PB patients. Our findings have great epidemiological relevance and indicate an additional strategy for leprosy control programmes and dental clinics.


Assuntos
DNA Bacteriano/isolamento & purificação , Hanseníase/diagnóstico , Hanseníase/microbiologia , Mucosa Bucal/microbiologia , Mycobacterium leprae/isolamento & purificação , Adulto , Anticorpos Antibacterianos/sangue , Brasil , Estudos Transversais , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mycobacterium leprae/genética , Mycobacterium leprae/imunologia , Reação em Cadeia da Polimerase
5.
Braz J Biol ; 69(1): 171-4, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19347161

RESUMO

Causes and implications of sexual dimorphism have been studied in several different primates using a variety of morphological characters such as body weight, canine length, coat color and ornamentation. Here we describe a peculiar coat color characteristic in the squirrel monkey that is present only in adult females over five years old and which increases with age. Neither males nor young animals manifest this phenomenon, which is characterized by a spot of black hairs located anteriorly to the external ear (pinna). This characteristic could be used to discriminate adult females of Saimiri sciureus in the wild without the need of capture techniques.


Assuntos
Cor de Cabelo , Saimiri/anatomia & histologia , Caracteres Sexuais , Animais , Feminino , Masculino
6.
Braz. j. biol ; Braz. j. biol;69(1): 171-174, Feb. 2009. ilus
Artigo em Inglês | LILACS | ID: lil-510138

RESUMO

Causes and implications of sexual dimorphism have been studied in several different primates using a variety of morphological characters such as body weight, canine length, coat color and ornamentation. Here we describe a peculiar coat color characteristic in the squirrel monkey that is present only in adult females over five years old and which increases with age. Neither males nor young animals manifest this phenomenon, which is characterized by a spot of black hairs located anteriorly to the external ear (pinna). This characteristic could be used to discriminate adult females of Saimiri sciureus in the wild without the need of capture techniques.


As causas e implicações do dimorfismo sexual têm sido estudadas em diferentes espécies de primatas utilizando uma variedade de características morfológicas tais como peso corporal, comprimento de caninos, coloração do pelo e ornamentação. Este trabalho descreve uma característica peculiar da coloração do pelo em micos-de-cheiro, que está presente somente em fêmeas adultas após cinco anos de idade e que se acentua com a idade. Nem machos nem animais jovens manifestam esse fenômeno, que se caracteriza por uma mancha de pelos pretos localizada anteriormente à orelha. Esta característica poderia ser usada para discriminar fêmeas adultas de Saimiri sciureus na natureza sem necessidade de técnicas de captura.


Assuntos
Animais , Feminino , Masculino , Cor de Cabelo , Caracteres Sexuais , Saimiri/anatomia & histologia
7.
J Clin Microbiol ; 43(8): 3932-7, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16081933

RESUMO

Infection with oncogenic human papillomavirus (HPV) is considered to be the major risk factor for cervical cancer. Tumor necrosis factor (TNF) is a pluripotent cytokine that plays an important role in inhibiting the action of microbial agents, and TNF microsatellite polymorphisms have been associated with several diseases, including cancer and viral infections. This study analyzed the associations between TNFa to -e microsatellite polymorphisms and the severity of squamous intraepithelial lesions (SIL), according to the presence of the oncogenic HPV16 and HPV18 types. Samples from 146 HPV-positive women with low-grade SIL (LSIL) and high-grade SIL (HSIL) and samples from 101 healthy women were studied. TNF microsatellite polymorphism typing and HPV detection and typing were performed using PCR-amplified DNA hybridized with sequence-specific primers. Data were analyzed by Fisher's exact test using the GENEPOP software. Significant associations were observed between LSIL and the TNFa-8 allele (4/166; P = 0.04), as well as between TNFa-2 with HPV18 only (16/44; P = 0.002) and TNFa-2 with HPV18 coinfection with HPV16 (16/44; P = 0.001). Patients exhibiting the TNFa-2 allele and harboring HPV18, in the presence or absence of coinfection with HPV16, had an increased risk of HSIL occurrence (13/38; P = 0.04; 5/10; P = 0.04) compared to patients with other HPV types. These results suggest that the TNFa-8 allele is associated with increased susceptibility to the occurrence of LSIL and that despite the presence of a high TNF-alpha production allele, the ability of HPV18 to resist the inhibitory effects of TNF-alpha may contribute to the occurrence of infection and consequently to HSIL in women with cervical HPV18 infection.


Assuntos
Alelos , Repetições de Microssatélites , Papillomaviridae , Infecções por Papillomavirus/genética , Lesões Pré-Cancerosas/genética , Fator de Necrose Tumoral alfa/genética , Neoplasias do Colo do Útero/genética , Adolescente , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Infecções por Papillomavirus/etiologia , Lesões Pré-Cancerosas/etiologia , Neoplasias do Colo do Útero/etiologia
8.
Eur J Obstet Gynecol Reprod Biol ; 114(2): 221-7, 2004 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-15140519

RESUMO

OBJECTIVES: The progression of immunosuppression in human immunodeficiency virus (HIV)+ women has been correlated with elevated incidence of squamous intraepithelial lesions (SIL), probably indicating the role of local immune milieu. In this study, we analysed S100, and HLA class II molecule expression in cervical biopsies according to HIV status, to the severity of SIL and to human papillomavirus (HPV) type. METHODS: Biopsies from 34 HIV+ and 44 HIV- patients with normal cervix or low- or high-grade SIL were studied. Langerhans' cells (LC) (S100), HLA class II and HLA-DQ molecules were evaluated by immunohistochemistry. HPV detection was performed using polymerase chain reaction (PCR). For statistical analysis Mann-Whitney (P< or =0.05) and Spearman test were used. RESULTS: Epithelial S100 and HLA class II density were significantly increased with the severity of lesion (P=0.032; P=0.005). Epithelial S100+ increased in HPV+ (P=0.038), and HLA class II density decreased in HPV 16+ (P=0.035) or 18+ (P<0.0001) samples. HIV infection was associated with increased stromal S100+ (P=0.0005) and decreased HLA class II densities (P=0.0001). Decreased stromal S100+ was observed in women with CD4<500 cells/microl (P=0.050). Among HIV+ patients with SIL, the lowest S100 and epithelial HLA class II densities were detected in women with CD4<200 cells/microl (P=0.045). CONCLUSIONS: After the establishment of AIDS, increased numbers of immature LCs and a reduction in HLA class II occurred, possibly turning the cervical milieu more favourable to HPV persistence. HPV 16 and 18 infections may interfere with the antigen presenting activity, possibly as an evasion mechanism.


Assuntos
Infecções por HIV/imunologia , Antígenos de Histocompatibilidade Classe II/análise , Células de Langerhans/patologia , Displasia do Colo do Útero/imunologia , Displasia do Colo do Útero/virologia , Adulto , Contagem de Células , Colo do Útero/patologia , Colo do Útero/virologia , DNA Viral/análise , Feminino , Infecções por HIV/patologia , Antígenos HLA-DP/análise , Antígenos HLA-DQ/análise , Antígenos HLA-DR/análise , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Papillomaviridae/genética , Infecções por Papillomavirus/imunologia , Proteínas S100/análise , Displasia do Colo do Útero/patologia
9.
Acta cir. bras ; Acta cir. bras;18(supl.5): 24-27, 2003. tab
Artigo em Português | LILACS | ID: lil-358578

RESUMO

INTRODUÇAO: A oxibutinina atua como agente anticolinérgico que tem ação anti-muscarínica e, principalmente, ação antiespasmódica na musculatura lisa vesical. Assim, ela causa aumento da capacidade vesical e diminui a frequência miccional e bloqueia o estímulo inicial da micção. OBJETIVO: Verificar se a oxibutinina atua sobre a hiperatividade vesical causada pela cistite hemorrágica, dependente do óxido nítrico. MÉTODOS: Foram estudados dois grupos de animais. O controle com 5 ratas e o experimental com 10 ratas, cujos pesos variaram entre 200g a 250g. A cistite hemorrágica foi provocada pela injeção intraperitoneal de ciclofosfamida 200mg/kg, na véspera do experimento. Após 24 horas, as ratas foram anestesiadas com uretana 1,25mg/kg. A seguir, foi feita cistostomia com cateter P-50. Esse cateter foi conectado em Y a uma bomba de infusão contínua com fluxo de água de 0,3ml/min e a um polígrafo para o registro da cistometria. O registro cistométrico foi feito com a velocidade do papel de 0,05cm/seg, com sensibilidade de 20 e calibração para um curso de 60mm para uma pressão de 100mmHg. Os parâmetros estudados foram: freqüência de contração (Fc), intensidade das contrações (Ic), tempo de enchimento vesical (Te), tempo de contração vesical (Tc) e capacidade vesical (Cv), que foi determinado pelo Te x Fluxo. Esses parâmetros foram determinados por suas médias durante o período de observação de 10 min. Após o registro, foi infundido por gavagem 71 mg/kg de cloridato de oxibutinina. Uma hora depois foi feita nova cistometria. A análise estatística foi feita pelo método de Kruskal-Wallis que comparou os valores do grupo controle com o experimental. O p foi considerado significante quando menor que 0,05. RESULTADOS: A comparação entre os dois grupos dos parâmetros estudados antes da infusão do cloridrato de oxibutinina mostrou: Fc - p=0,007; Ic - p=0,0002; Te - p=0,768; Tc - p=0,492; Cv - p=0,056 A comparação dos parâmetros estudados depois da droga mostrou: Fc - p= 0,055; Ic - p=0,0002; Te - p=0,957; Tc - p=0,181; Cv - p=0,206. CONCLUSÕES: O cloridrato de oxibutinina nesse modelo experimental atuou de forma a alterar somente a freqüência das miccções, controlando a hiperatividade e não promovendo alterações nos demais parâmetros estudados.


Assuntos
Animais , Feminino , Ratos , Ácidos Mandélicos/efeitos adversos , Anti-Infecciosos Urinários , Ciclofosfamida , Cistite , Imunossupressores , Parassimpatolíticos/efeitos adversos , Cistostomia , Ratos Wistar , Bexiga Urinária
10.
Acta cir. bras ; Acta cir. bras;16(supl.1): 7-8, 2001. tab
Artigo em Português | LILACS | ID: lil-317536

RESUMO

No presente trabalho estudou-se a fisiologia urinária de pacientes com Doença de Chagas nas suas diversas formas. Grupo A (controle) com 21 indivíduos normais; Gupo B: 16 pacientes com sorologia positiva; Grupo C: com 16 pacientes com cardiopatia chagásica e Grupo D: 21 pacientes com esofagopatia e/ou megacolon chagásicos. Os resultados mostraram que näo houve diferenças significantes (p > 0,05) entre os 4 grupos estudados para os parâmetros: capacidade cistométrica, pressäo de micçäo e fluxo urinário. Entretanto, houve diferenças significantes (p < 0,05) para os parâmetros: pressäo abdominal, pressäo do detrusor, pressäo uretral e tempo de micçäo na análise comparativa entre o grupo D e o controle A. Esses achados sugerem que a Doença de Chagas, em sua forma digestiva, também pode comprometer o trato urinário baixo, alterando sua fisiologia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Doença de Chagas/urina , Urodinâmica/fisiologia , Urografia
11.
Int J Gynaecol Obstet ; 66(3): 273-9, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10580675

RESUMO

OBJECTIVE: To evaluate by hysteroscopy and histopathology the influence of tamoxifen in the endometrium of post-menopausal women with previous breast cancer. METHOD: Out of 46 patients studied, 20 of them had been using tamoxifen for an average length of 12 months, and are still being followed-up. Hysteroscopy with endometrial biopsy was performed before and after the use of the drug. RESULTS: The prevalence of endometrial activity before and after this hormoniotherapy was the same, i.e. 10.0%, showing a non-significant variation. CONCLUSION: The hormoniotherapy with tamoxifen has not increased the endometrial proliferactive activity of postmenopausal patients with breast cancer. The most common hysteroscopical finding was numerous vesicles disseminated throughout the uterine cavity probably due to atrophy of the endometrium.


Assuntos
Antineoplásicos Hormonais/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Endométrio/patologia , Tamoxifeno/uso terapêutico , Biópsia , Neoplasias da Mama/patologia , Estudos de Casos e Controles , Endométrio/efeitos dos fármacos , Feminino , Humanos , Histeroscopia , Pessoa de Meia-Idade , Pós-Menopausa , Estudos Prospectivos
12.
Int J STD AIDS ; 10(12): 803-7, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10639061

RESUMO

Among HIV-positive women, infection with multiple human papillomavirus (HPV) types is known to be more frequent and persistent, as well as a greater prevalence of high-grade genital lesions. This study aims to characterize, for the first time in Brazil, HPV presence and types among HIV-positive women of a high-risk population for genital intraepithelial neoplasia (GIN) development. A non-anonymous, voluntary, cross-sectional epidemiological survey was conducted, from June 1996 to April 1997, among 141 HIV-positive women followed at the Center of Reference in AIDS (CRAIDS). They were submitted to gynaecological examination, cytological screening and biopsies whenever necessary, for GIN and HPV DNA detection through polymerase chain reaction (PCR) technique. Positive HPV DNA were found in 80.8% patients. Two or more HPV types were detected in 45% of the samples. The most frequent HPV types detected were 16, 18 (30.5%); 61, 53 (24.4%), and non-identified types (18.7%). According to the oncogenic potential, 34.8% were considered of high-risk types. Among these HIV-positive patients, a great variety of HPV types, including high-risk types, was found in anogenital environment, as well as among young women, a great prevalence of high-grade genital lesions. Thus, it should strengthen the need for a periodical careful gynaecological examination among those women.


Assuntos
Infecções por HIV/complicações , Papillomaviridae/genética , Infecções por Papillomavirus/virologia , Infecções Tumorais por Vírus/virologia , Displasia do Colo do Útero/virologia , Síndrome da Imunodeficiência Adquirida/complicações , Adulto , Brasil , Colo do Útero/virologia , Estudos de Coortes , Estudos Transversais , DNA Viral/análise , Feminino , Genótipo , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Infecções por Papillomavirus/epidemiologia , Reação em Cadeia da Polimerase , Fatores de Risco , Infecções Tumorais por Vírus/epidemiologia , Vagina/virologia , Vulva/virologia , Displasia do Colo do Útero/epidemiologia
13.
Minerva Ginecol ; 50(9): 341-6, 1998 Sep.
Artigo em Italiano | MEDLINE | ID: mdl-9842200

RESUMO

OBJECTIVE: To study the uterine mucosa of women with breast cancer in order to evaluate the frequency of endometrial diseases. EXPERIMENTAL DESIGN: Prospective, controlled study carried out from January to December 1996. SURROUNDINGS: Patients with breast cancer and normal controls from 4 out-patient university services in Porto Alegre, Brazil. PATIENTS: Postmenopausal women without hormonal therapy were compared: 67 of them with breast cancer and 101 normal controls. METHODS: Hysteroscopy followed by endometrial biopsy carried out in both groups as an out-patient procedure. RESULTS: In patients with breast cancer, 29.85% abnormal biopsies were found as follows: 10 endometrial polyps (15.0%), 8 with proliferative changes (11.9%), 1 case of cancer (1.5%), and one case of hyperplasia (1.5%). In the control group 8% abnormal morphological findings were found, as follows: 4 (4%) with endometrial polyps and 4 (4%) with proliferative changes. The differences in abnormal biopsies were statistically significant, mainly in patients with corporal mass index above 27.3. The sensibility of hysteroscopy was 82.14%; its specificity 97.16%; its predictive positive value 85.18% and its predictive negative value 96.48% in detecting endometrial activity, for a prevalence of 16.7% of endometrial activity. CONCLUSIONS: Endometrial evaluation must be included in the initial evaluation of patients with breast cancer, mainly if they were obese. Hysteroscopy, performed in out-patient basis, showed to be an adequate method to evaluate the uterine mucosa, helping to select the area of this cavity for biopsy.


Assuntos
Neoplasias da Mama/patologia , Endométrio/patologia , Histeroscopia , Idoso , Idoso de 80 Anos ou mais , Biópsia/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Histeroscopia/estatística & dados numéricos , Pessoa de Meia-Idade , Obesidade/patologia , Pós-Menopausa , Estudos Prospectivos , Sensibilidade e Especificidade
14.
São Paulo; SMS;Instituto Pasteur de São Paulo; 1998. 1 p.
Não convencional em Inglês | Sec. Munic. Saúde SP, COVISA-Producao, Sec. Munic. Saúde SP, Sec. Munic. Saúde SP | ID: sms-4247
15.
São Paulo; SMS;Instituto Pasteur de São Paulo; 1998. 1 p.
Não convencional em Inglês | Sec. Munic. Saúde SP, COVISA-Producao, Sec. Munic. Saúde SP, Sec. Munic. Saúde SP | ID: sms-4250
17.
São Paulo; SMS;Instituto Pasteur de São Paulo; 1998. 1 p.
Não convencional em Inglês | Coleciona SUS, COVISA-Producao, Sec. Munic. Saúde SP, Sec. Munic. Saúde SP | ID: biblio-937991
18.
São Paulo; SMS;Instituto Pasteur de São Paulo; 1998. 1 p.
Não convencional em Inglês | Coleciona SUS, COVISA-Producao, Sec. Munic. Saúde SP, Sec. Munic. Saúde SP | ID: biblio-937994
19.
São Paulo; Instituto Pasteur;SMS; 1998. 1 p.
Não convencional em Português | Coleciona SUS, COVISA-Producao, Sec. Munic. Saúde SP, Sec. Munic. Saúde SP | ID: biblio-938032
20.
Rev. bras. cancerol ; 32(2): 89-93, jun. 1986. tab
Artigo em Português | LILACS | ID: lil-35834

RESUMO

Junto ao "Istituto Nazionale per lo studio e la cura dei Tumori di Milano", no período de 1975 a 1985, 201 pacientes acometidas de carcinoma do ovário, näo tratadas anteriormente com quimioterapia ou radioterapia, foram submetidas a estadiamento cirúrgico completo para estabelecer a difusäo da doença e planificar o tratamento. O estadiamento cirúrgico compreende: coleta de líquido peritoneal, líquido de ascite ou lavado peritoneal, histerectomia total com anexectomia bilateral, omentectomia, apendicectomia, dissecçäo linfonodal ilíaca e lombo-aórtica e biópsias múltiplas. Em 153 pacientes foi efetuado pré-operatoriamente estadiamento clínico/instrumental compreendendo laparoscopia com inspeçäo diafragmática, biópsias múltiplas e lavado peritoneal, linfografia, enema opaco e urografia. Nestes casos uma estadiaçäo clínica insuficiente comparada com o estadiamento cirúrgico foi observada em 41,9% no estádio I, 44,4% no estádio II e em 7,9% no estágio III. A sensibilidade da linfografia e da laparoscopia relacionada com os achados anátomo-cirúrgicos foi respectivamente de 79,6% e 49,6%. O estadiamento cirúrgico permitiu conhecer melhor a modalidade de difusäo do carcinoma ovariano e em particular esclareceu a entidade da metastatizaçäo linfonodal em uma neoplasia considerada quase exclusivamente de difusäo peritoneal. Metástases linfonodais estavam presentes em 16,3% no estádio I, 18,1% no estádio II, 58,8% no estádio III e 46,1% no estádio IV. Os dados aparesentados confirmam que o estadiamento anátomo-cirúrgico é o único procedimento correto para estabelecer a difusäo da neoplasia em fase aparentemente localizada


Assuntos
Adulto , Pessoa de Meia-Idade , Humanos , Feminino , Neoplasias Ovarianas/cirurgia , Metástase Linfática , Estadiamento de Neoplasias , Neoplasias Ovarianas/patologia
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