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08-07-1999
Avaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
Abstract
Avaliação da imunoexpressão do anticorpo monoclonal MIB-1 no epitélio mamário adjacente ao fibroadenoma de mulheres no menacme tratadas com tamoxifeno
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):423-423
DOI 10.1590/S0100-72031999000700013
Views55Avaliação da Imunoexpressão do Anticorpo Monoclonal MIB-1 no Epitélio Mamário Adjacente ao Fibroadenoma de Mulheres no Menacme Tratadas com Tamoxifeno […]See more
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
08-07-1999
Avaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
Abstract
Avaliação dos efeitos vasculares do 17beta: estradiol sobre as artérias uterinas de mulheres na pós-menopausa através da dopplervelocimetria transvaginal colorida
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
DOI 10.1590/S0100-72031999000700011
Views55Avaliação dos Efeitos Vasculares do 17b – Estradiol sobre as Artérias Uterinas de mulheres na pós-menopausa através da Dopplervelocimetria Transvaginal Colorida […]See moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
08-07-1999
Estudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
Abstract
Estudo da citometria de fluxo e de outras variáveis prognósticas em carcinoma invasivo da mama
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):422-422
DOI 10.1590/S0100-72031999000700010
Views48Estudo da Citometria de Fluxo e de outras Variáveis Prognósticas em Carcinoma Invasivo da Mama […]See moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Case Report08-07-1999
Squamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
Abstract
Case ReportSquamous cell carcinoma of the breast tissue: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
DOI 10.1590/S0100-72031999000700009
Views94See moreSquamous cell carcinoma of the mammary tissue is a very rare neoplasm, representing less than 1% of all breast carcinomas. The present study reports a case of squamous cell carcinoma of the breast, treated at the Hospital Araújo Jorge/ACCG. The tumor diagnosis, treatment and prognosis are also discussed.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article08-07-1999
Massive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
Abstract
Original ArticleMassive hemorrhage in gynecologic cancer surgery: the use of hemostatic pack
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):415-418
DOI 10.1590/S0100-72031999000700008
Views132See morePurpose: to introduce the use of the hemostatic pack, a tampon consisting of compresses tied to the bleeding surface and left in place for 48 to 72 h and which is one of the therapeutic alternatives to be used in this situation. Patients and Methods: we evaluated 3 cases of massive bleeding during surgery, with the exchange, on average, of 1.4 blood volumes (1.2-2.4), in terms of hemostatic effectiveness of the pack and of some patient parameters such as age and amount and type of volume infused. Results: the mean age of the patients was 57 years (51, 56 and 64). Only one had been previously irradiated. The bleeding was of venous origin, from the fossa of the obturator nerve, the iliac plexus and the presacral plexus. The volume expander most often used was 0.9% physiological saline solution, followed by blood derivatives and by Ringer lactate. Two patients were submitted to ligation of the hypogastric vein during surgery, with no improvement. The use of hemostatic synthetic material was inefficient in all three cases. In one of the patients, the use of nonabsorbable sutures to close the bleeding area led to a considerable reduction of bleeding, but did not eliminate it completely. One patient died before 24 h had elapsed, with signs and symptoms of heart failure. The other two patients developed acute renal failure and one of them developed aspirative pneumonia during surgical reexploration. Conclusion: massive bleeding is related to high morbidity and mortality. Among the emergency measures used for hemostasis, the pack seems to be the most adequate.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article08-07-1999
Human embryo coculture in vero cells and blastocyst stage transfer
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):409-414
Abstract
Original ArticleHuman embryo coculture in vero cells and blastocyst stage transfer
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):409-414
DOI 10.1590/S0100-72031999000700007
Views70See morePurpose: to determine whether the transfer day or the stage that the embryo is transferred interferes in pregnancy and implantation rates. Methods: oocytes we recovered from 107 patients and submitted to in vitro fertilization. The embryos were cocultured on Vero cells and transferred on day 3 or day 5 post-fertilization, after morphological assessment. Results: the implantation rate of the transferred embryos on day 5 was significantly higher than when the embryos were transferred on day 3, but the pregnacy rates did not change. However, a significant difference was observed in the pregnancy rates for embryos transferred at the expanded blastocyst stage (70.6% of pregnancy) when compared to 20.0% and 10.5% at the earlier blastocyst and morula stages, respectively. Conclusions: the implantation and pregnancy rates were significantly increased when the embryos were transferred at the expanded blastocyst stage, but the culture media and culture conditions now available are not able to provide a satisfactory rate at this stage.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article08-07-1999
Use of the cotton swab in cervical cytology
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):401-405
Abstract
Original ArticleUse of the cotton swab in cervical cytology
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):401-405
DOI 10.1590/S0100-72031999000700006
Views75See morePurpose: to investigate if the addition of a cotton “swab” to the Ayre spatula and its previous moistening with physiologic saline solution increase the obtention of endocervical cells in colpocytologic smears. Methods: a random and single-blind diagnostic study was performed, involving three techniques of collection (Ayre spatula, combination of Ayre-dry cotton swab spatula and combination of Ayre-moist cotton swab spatula). A total of 307 smears prepared by Medicine students and residents of Gynecology and Obstetrics were evaluated. Results: there was no significant increase in the number of endocervical cells (columnar and/or metaplastic), obtained with the addition of dry swab (p = 0.2) or with the addition of a moistened swab (p = 0.8). Conclusions: the author concluded that mainly when the collections were performed by trainee professionals and in the absence of other more effective endocervical collecting device, it is more economical to use only the Ayre spatula to prepare the smear.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Original Article08-07-1999
The use of sulfonylureas by pregnant diabetic women and fetal malformations
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):393-397
Abstract
Original ArticleThe use of sulfonylureas by pregnant diabetic women and fetal malformations
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):393-397
DOI 10.1590/S0100-72031999000700005
Views73Purpose: to evaluate a possible relationship between fetal malformations (FM) and the use of sulfonylureas (SF) by diabetic pregnant women. Methods: we retrospectively studied 35 type 2 diabetic pregnant women followed at the Pathological Prenatal Care Outpatient Clinic of the University Hospital, Faculty of Medicine of Ribeirão Preto, from 1993 to 1995. Twenty-two of these women had been inadvertently using sulfonylureas during the 1st trimester of gestation (SF group). We determined their prevalence of FM and compared it to that observed for pregnant diabetic women who were only on diet or insulin therapy (group C). We also analyzed other variables such as time of disease, age, metabolic control, and prenatal care. Results: there was no significant difference between groups in terms of age range, duration of diabetes, glycemic control, or early start of prenatal care, with the prevalence of FM being similar for the two groups (8.3% in group C and 13.6% in group SF). The malformations observed in group SF were: renal agenesis, pulmonary hypoplasia and ribbon gonads (patient 1); short limbs and abnormally implanted toes (patient 2); cleft palate, low implanted ears, neck webbing and saddle nose (patient 3), and micrognathia, dysplastic ears, imperforate anus, hypospadia, polydactily, ventricular septal defect and atrial septal defect (patient 4) in group C. Conclusions: these data do not allow us to attribute the malformations detected in group SF to the use of sulfonylureas, although not usually described alterations in diabetic embryopathy occurred in this group.
Key-words Diabetes mellitusFetal malformationsSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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