- Email: [email protected]
Sauramo, Hannes: On Ovarian Hemorrhages With Special Reference to Intra-Abdominal Hemorrhages From the Corpus Luteum
894
SELECTED ABSTRACTS
Am, j. Obst. & Gvaec May,"l947
preferentially by the ge:n:ital t)ssue;;. lt appears likely that e~trogens ruay be used £m· iht· correction of pathologic changes in the skin other than those directly eaused by estrogeJJ deficiency. EDWARD C. Hcom;:--
Endometriosis Kahanpiiii., V.: Upon the Pathogenesis of Ovarian Endometriosis, Acta obst. et gyw•<· Scandinav. 26: 139·160, 1946. Kahampaa describes in considerable aetal! me mstopawowgie nuamgs l}f operative specimens taken from six cases of ovarian endometriosis and hemorrhagic cysts on the Second Women's Clinic at Helsinki. The author agrees fully with Sampson'~ observations and opinion as to pathogenesis. However, he stresses the importance of folli~ular rupture and extravasation of blood in tissueH in th(l development of a superior substrate for the subsequent implantation and survival of endometrial tissue fragments. His studies agree unusually well with similar finding~, on tlw latter aspect, of Philipp and Huber. The writer concludes that his 15 photomicrographs and studies showing evidence of better substrate to the subsequent growth of misplaced endometrial cells eventuating in ovarian endometriosis constitute valuable and substantial proof toward further confirmation of Sampson's implantation theory. C. E. FOLSOM E.
Fallon, John: Endometriosis in Youth, J. A. M.A. 131: 1405, 1946. 'l'he autlwr reports nine cases of endometriosis in teen age girls among the last 225 patients with proved endometriosis who were seen in the Fallon clinic ( 4 per cent). The youngest was 13 years of age. The cardinal symptom was increasing dysmenorrhea. The diagnosis of endometriosis should enter into the differential diagnosis of abdominal pain as soon as menstruation has been established. The author emphasizes the fact that endometriosis is a sterilizing disease, and tends to occur after about five years of incomplete sexual function, that is, menstruation without pregnancy, and these years are moot likt>ly to be the first five after the onset of menstruation. The authors advise that menstruating fems.les who are being operated upon for append<.w tomy should be opera.ted through a median incision to allow light enough for inspection of the deep pelvis. WM. BERMAN
Yin, Y. C.: Endometriosis and Adenomyosis, W.est. J. Surg. 54: 490, 1947. Endometriosis and adenomyosis are thought to be of different origins. 'l'hey differ slightly also in histopathology and symptomatology. Both ronditions are activated by high estrogen levels in the blood. It is suggested, and a case report demonstrates the validity of this suggestion, that tbe complete removal of one ovary and resection of most of tht! opposite ovary may result in involution of the implants. The author feels that implantation occurs as the result of reflux menstruation, and that in such cases implantation is favored by high estrogen levels. In adenomyosis it is felt WILI,U.M BICKERS. that the aberrant tissue is congenital in origin.
Gynecology Saura.mo, Ha.Jmes: On Ovarian Hemorrhages With Special Reference to Intra-Abdomin.al Hemorrhages From the Corpus Luteum, Acta obst. et gynec. Scandinav. 26: 105-118, 1946. Sauramo, of the Second Women's Clinic, University of Helsinki, reviews Bauman's 300 cases of ovarian hemorrhage, collects 292 additional cases from the literature and adds 2 cases of his own. In the one case the patient experienced a severe intraabdominal hemorrhage from
Yolume ;3 :.:urober 5
SELECTED ABSTRACTS
895
a ruptured corpus luteum ryst on the 21st day of a cyc:e. 'The second case was also accompanied by severe shock from rupture of corpus luteum cyst, crow-egg size, occurring on about thirtieth day of the
Sorba., M.: Gonadotropins and Ova.rlan Tumors. Gonadotropinurta. in a Case of Primary Polyembryonic Dysembryoma and Ohorionepithalioma with Incomplete PrecociouR Puberty, Gynaecologia 122: 53-67, 1946. Sorba reviews the extant literature of ovarian tumors exhibiting urinary gonadotrophic activity. He adds a case of a two-year-old female infant. The child. during a six-month interval, complained of intermittent abdominal discomfort, gradually developed a large abdominal mass. She was subjected to usual methods for diagnosis. It remained for exploratory laparotomy to reveal a primary right ovarian tumor (1,420 Gm.) with obvious metastasis to the right iliac and aortic lymph node chains. A similar type tumor, walnut sized, was found on the left ovary. The fi.rst microscopic diagnosis, by J. F. Nicod, was malignant dygembryona. Subse~ quent study classified the tumor as an embryonal teratoblastoma with chorionepithelioma. The uterus and the breasts were enlarged, indicating functional activity of the tumor. The urinary gonadotropin curve was similar to that encountered in certain testicular tumor exhibiting metastases. The postoperative fall was followed by a subsequent rise, indicating further metastatic development, which later value dropped to normal values (less than 2 units per liter) just before death. Autopsy was not granted. C. E. FOLSOME.
SELECTED ABSTRACTS
Am, j. Obst. & Gvaec May,"l947
preferentially by the ge:n:ital t)ssue;;. lt appears likely that e~trogens ruay be used £m· iht· correction of pathologic changes in the skin other than those directly eaused by estrogeJJ deficiency. EDWARD C. Hcom;:--
Endometriosis Kahanpiiii., V.: Upon the Pathogenesis of Ovarian Endometriosis, Acta obst. et gyw•<· Scandinav. 26: 139·160, 1946. Kahampaa describes in considerable aetal! me mstopawowgie nuamgs l}f operative specimens taken from six cases of ovarian endometriosis and hemorrhagic cysts on the Second Women's Clinic at Helsinki. The author agrees fully with Sampson'~ observations and opinion as to pathogenesis. However, he stresses the importance of folli~ular rupture and extravasation of blood in tissueH in th(l development of a superior substrate for the subsequent implantation and survival of endometrial tissue fragments. His studies agree unusually well with similar finding~, on tlw latter aspect, of Philipp and Huber. The writer concludes that his 15 photomicrographs and studies showing evidence of better substrate to the subsequent growth of misplaced endometrial cells eventuating in ovarian endometriosis constitute valuable and substantial proof toward further confirmation of Sampson's implantation theory. C. E. FOLSOM E.
Fallon, John: Endometriosis in Youth, J. A. M.A. 131: 1405, 1946. 'l'he autlwr reports nine cases of endometriosis in teen age girls among the last 225 patients with proved endometriosis who were seen in the Fallon clinic ( 4 per cent). The youngest was 13 years of age. The cardinal symptom was increasing dysmenorrhea. The diagnosis of endometriosis should enter into the differential diagnosis of abdominal pain as soon as menstruation has been established. The author emphasizes the fact that endometriosis is a sterilizing disease, and tends to occur after about five years of incomplete sexual function, that is, menstruation without pregnancy, and these years are moot likt>ly to be the first five after the onset of menstruation. The authors advise that menstruating fems.les who are being operated upon for append<.w tomy should be opera.ted through a median incision to allow light enough for inspection of the deep pelvis. WM. BERMAN
Yin, Y. C.: Endometriosis and Adenomyosis, W.est. J. Surg. 54: 490, 1947. Endometriosis and adenomyosis are thought to be of different origins. 'l'hey differ slightly also in histopathology and symptomatology. Both ronditions are activated by high estrogen levels in the blood. It is suggested, and a case report demonstrates the validity of this suggestion, that tbe complete removal of one ovary and resection of most of tht! opposite ovary may result in involution of the implants. The author feels that implantation occurs as the result of reflux menstruation, and that in such cases implantation is favored by high estrogen levels. In adenomyosis it is felt WILI,U.M BICKERS. that the aberrant tissue is congenital in origin.
Gynecology Saura.mo, Ha.Jmes: On Ovarian Hemorrhages With Special Reference to Intra-Abdomin.al Hemorrhages From the Corpus Luteum, Acta obst. et gynec. Scandinav. 26: 105-118, 1946. Sauramo, of the Second Women's Clinic, University of Helsinki, reviews Bauman's 300 cases of ovarian hemorrhage, collects 292 additional cases from the literature and adds 2 cases of his own. In the one case the patient experienced a severe intraabdominal hemorrhage from
Yolume ;3 :.:urober 5
SELECTED ABSTRACTS
895
a ruptured corpus luteum ryst on the 21st day of a cyc:e. 'The second case was also accompanied by severe shock from rupture of corpus luteum cyst, crow-egg size, occurring on about thirtieth day of the
Sorba., M.: Gonadotropins and Ova.rlan Tumors. Gonadotropinurta. in a Case of Primary Polyembryonic Dysembryoma and Ohorionepithalioma with Incomplete PrecociouR Puberty, Gynaecologia 122: 53-67, 1946. Sorba reviews the extant literature of ovarian tumors exhibiting urinary gonadotrophic activity. He adds a case of a two-year-old female infant. The child. during a six-month interval, complained of intermittent abdominal discomfort, gradually developed a large abdominal mass. She was subjected to usual methods for diagnosis. It remained for exploratory laparotomy to reveal a primary right ovarian tumor (1,420 Gm.) with obvious metastasis to the right iliac and aortic lymph node chains. A similar type tumor, walnut sized, was found on the left ovary. The fi.rst microscopic diagnosis, by J. F. Nicod, was malignant dygembryona. Subse~ quent study classified the tumor as an embryonal teratoblastoma with chorionepithelioma. The uterus and the breasts were enlarged, indicating functional activity of the tumor. The urinary gonadotropin curve was similar to that encountered in certain testicular tumor exhibiting metastases. The postoperative fall was followed by a subsequent rise, indicating further metastatic development, which later value dropped to normal values (less than 2 units per liter) just before death. Autopsy was not granted. C. E. FOLSOME.