[Giant retroperitoneal liposarcoma]. / Le liposarcome rétropéritonéal géant.

The authors report a case of giant retroperitoneal liposarcoma. The diagnosis was suspected after scanography and magnetic resonance imaging and confirmed by the histological analysis of the extracted piece after surgical treatment. Postoperative evolution was favourable after one year without recurrence or distant metastasis. The authors discuss the pathologic and therapeutic aspects and the prognosis of retroperitoneal liposarcoma.

[Management of dermoid ovarian cysts. Report of 58 cases]. / Prise en charge des kystes dermoides de l'ovaire. A propos de 58 cas.

OBJECTIVE: To assess diagnosis and therapeutic problems of der mo id cysts.' METHODS: A retrospective study of 58 patients having undergone surgery for dermoid cyst between 1991 and 1999. Clinical, ultrasonographic and therapeutic data were analysed. RESULTS: Dermoid cyst accounts for 21.8% of all ovarian tumours. The mean age of patients was 34.75 years (17-73 years). 48 patients (82.7%) presented symptoms. In 10 cases (17.3%), the cysts were discovered during gynaecological and or ultrasonographic examination. The pre-operative diagnosis was precised with the help of ultrasonography in 52 cases, with standard abdominal X-ray in 19 cases and with computed tornography scan in 4 cases. Laparotornic and laparoscopic treatment were performed in respectively 51 and 7 cases. One case of granulornatous peritonitis after laparoscopic surgery was observed. Histological findings were 64 dermoid cysts and 2 serous cysts. Dermoid cysts were bilateral in 6 cases (10.34%) and associated with contro-laterally serous cyst in 2 cases. CONCLUSION: Dermoid cysts are tumors encountered mainly in young patients. After a careful pre-operative assessment, the laparoscopic approach is very interesting. However, a laparotomy should be considered in case of suspected malignancy.

[Struma ovarii. Report of a malignant and a benign case]. / Struma ovarii. A propos d'un cas malin et un cas benin.

Struma ovarii is a rare type of ovarian teratoma, composed entirely or in part of thyroid tissue. Malignant Struma ovarii were exceptional. We report one benign and one malignant cases of Struma ovarii. We insist upon their rarety and the difficulty of preoperatory diagnosis. Prognosis is good after surgery.

[Role of uterine curettage in endometrial pathology. Report of 200 cases]. / Intérêt du curetage biopsique dans l'exploration de l'endomètre. A propos de 200 cas.

UNLABELLED: The aim of this study is to evaluate the reliability of the uterine curettage in endometrial pathology. It is a retrospective analysis of 200 uterine curettages carried out in the military hospital of Tunis over 4 years (1994-1998). The reasons of consultation were genital hemorrhage, sterility and amenorrhea. Histological lesions were classified as follows: 40.8% hyperplasia, 8.4% atrophy, 1.34% endometrite, and 1.34% adenocarcinoma. CONCLUSION: Uterine curettage associated to hysteroscopy is far the best technique for the diagnosis of intrauterine lesions.