Histologic features of the CISH procedure

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This paper describes the histologic features observed during the CISH procedure for detecting HER2 gene amplification in breast cancer tissue.

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Abstract

Study objectiveTo evaluate the classic intrafascial SEMM (serrated-edge macromorcellated) hysterectomy (CISH) performed by pelviscopy and by laparotomy, and determine the histologic features of the procedures.DesignThe first 253 women who required hysterectomy were assigned to undergo the procedure by pelviscopy or laparotomy based on uterine size.PatientsOne hundred fifty-two women underwent CISH by pelviscopy and 101 by laparotomy.InterventionsBetween September 1991 and December 1993, the patients underwent the two procedures. Uterine leiomyomas with menstrual disorders and pressure symptoms were the principal indications (61%).Measurements and main resultsHistologic findings were in agreement with indications for the procedures. Leiomyomas and leiomyomas with adenomyosis were the most frequent findings. Histologic analysis revealed that the squamocolumnar transformation zone was totally removed in all cases, and all cervical glands were excised in 92%.ConclusionCervical dysplasia is not a contraindication to CISH, but emphasizes the importance of adequate preoperative screening. This is a conservative operation that my protect against some cervical cancers.

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endometriosis

MeSH descriptors

Culdoscopy Endoscopy Hysterectomy Laparotomy Uterus Adult Aged Endometrial Hyperplasia Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Endometriosis Epithelium Epithelium Epithelium Female Humans Hysterectomy Leiomyoma

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