Revue francaise de gynecologie et d'obstetrique

The authors report a case of müllerian adenosarcoma in an 86 year old woman. This tumor is characterized by the association of proliferative benign epithelium with a sarcomatous mesenchyma. It was described for the first time in 1974 by Cle…

The development of GnRH analogues enabling a hypophyseal desensitization with suppression of the gonadotrophic activity has opened new therapeutic possibilities in early puberty of central origin, metastatic prostate and breast cancers, end…

Based on a personal series of 54 cases of endo-uterine haemorrhage with normal endometrium, the authors show that lesions of the myometrium which may result in haemorrhages, consist mainly of interstitial or submucous myomas and adenomyosis…

Colic endometriosis is a classical but rare localization. The authors present one case treated by partial colectomy associated with a total hysterectomy and preservation of ovarian parenchyma. The hysterectomy was necessary because of adeno…

Adenocarcinoma of the endometrium has often wrongly the reputation of being a good cancer. The study of prognostic factors enables to differentiate between patients with low and high risk of recurrence. The frequency of early recurrences re…

The authors evaluate the incidence of the main risk factors in endometrial cancer by comparing a continuous series of 101 patients with a matched reference series. Among these factors, obesity and multiparity are significantly more frequent…

The authors report a case of tubal choriocarcinoma discovered by chance during an ectopic pregnancy. The literature was reviewed on this subject. The treatment vary according to the authors, but, it would seem that chemotherapy has clearly …

Although endometriosis appears as a rare cause in long series of cases of extrauterine pregnancy, the study of pregnancies which survive after treatment of endometriosis show a significant increase of extrauterine pregnancy, especially in c…

Carcinomatous degeneration of the endometrium is rarely seen. The authors consider the pathogenesis of this disorder based on two authentic cases. On the basis of their previous studies of the endometrium, the authors suggest that endometri…

Some of the malformations affecting the female genital system are discovered too late and these may have serious repercussions on the subsequent genital activity of the adult woman. These abnormalities include partial aplasia and, in partic…

141 patients affected by tubal pregnancy have been treated by total salpingectomy at the Port-Royal university clinic between the 1st January 1977 and the 31st January 1984. Tubal pregnancy occurred in the majority of cases in a pathologica…

The prevention of tubal sterility necessitates not only the diagnosis and treatment of venereal infections, but also the prevention of post-partum, post-abortum, and especially iatrogenic infections. Equally, the surgeon has a role to play,…

The authors study the etiologies of organic uterine bleeding during the menopause in 66 of their own cases. Benign lesions of the endometrium and of the myometrium are, of course, the most common, but the possibility of pregnancy and partic…

189 cases were selected, representing 26 admissions per 1 000. From their analysis of the case files, the authors conclude that the development of endometriosis does not need any specific anatomical or hormonal condition and that it is diff…

After recalling the possible risks of conservation of adnexae, the authors stress the advantages of such an approach. Taking into account the patient's age, ovarian disease, certain hormonal conditions and the risks of cancer, the authors g…

With reference to 207 observations of lesions associated with uterine fibronias. the authors have tried to discover a distinct anatomo-pathological entity. Associated lesions are found in 31 percent of cases. and this frequency should be pa…

With reference to 70 patients, the authors studied the pathology of the stump of the cervix left after subtotal hysterectomy. The wide range of disorders presented by women after partial hysterectomy included metrorrhagia (44.2 percent of c…

Diathermocoagulation is not a therapeutical procedure devoid of risk. Its indication should take into account potential drawbacks: infection episodes, haemorrhage and, first of all, sclerosing scarrs of the chorion that can give rise to pav…