A critical analysis of prophylactic medical examination of population was conducted for detecting early oncological pathology. Methodological approaches in the practice of selecting persons with pretumorous diseases were examined. Great emphasis was put on the necessity of ascertaining the rates of accelerating functional changes as the most characteristic and accessible sign of tissue change from normal into pathological. A diagram-inset for the case histories of ambulatory patients to be included into prospective programme of prophylactic medical examination is suggested.
To describe the current clinical presentation of complete (CHM) and partial (PHM) hydatidiform mole in a Swedish setting.
A retrospective analysis of medical charts from 331 women with hydatidiform mole (HM) between 1991 and 2010 was performed. Demographics and clinical features were analyzed, and symptoms in women with CHM were compared to those from a historic group (1988 to 1993) from the New England Trophoblastic Disease Center.
In women with CHM, bleeding was more common than in women with PHM (57% vs. 41%, p
The screening program for cervix cancer in the Province of British Columbia appears to have reached a stable state. It has achieved a reduction in incidence of clinical squamous carcinoma in women over 20 of about 75% and reduction in mortality of about two thirds. Data has been presented to suggest that no further improvement in these rates should be forthcoming in a voluntary program such as ours. There has been a real increase in the numbers of in situ carcinomas found in our population but despite this increase clinical invasive carcinoma has not risen and we attribute this to the success of the program in intercepting disease before it becomes invasive. Endometrial carcinoma has not increased in our population and we do not feel that the current methods for early detection of this disease are applicable to a province-wide study. We intend to continue to emphasize the earliest possible investigation of abnormal peri- and postmenopausal bleeding by fractional curettage, as our mainstay of detection.
Seventy-three women experienced bilateral proximal tubal occlusion caused by adhesions or polyps arising from the uterotubal junction in at least one tube. There were no other identifiable causes of infertility. All patients were treated with cryosurgery, which restored tubal patency in 61 (83.6%). Of 45 women with restored patency, who were followed 6 to 12 months, 20 (27.4% of 73) conceived and 16 (21.9%) delivered viable babies.