Comparative study of colposcopic and histologic findings in cervical lesions

Volume

53

SELECTED

Number 3

533

ARSTRACTB

findings of several authors who have used the method he emphasizes the variety of x-ray pictures described by them. He criticizes the so-called ‘ ‘lacunar image” which is observed in ectopic pregnancies only exceptionally; however, he presents one such case of his own. He also presents several hysterosalpingograms made to test tubal patency in sterility cases, which show pictures identical to those observed by several authors during tubal abortions, and described as ( ‘ lacunar images ’ ’ ; in the author’s opinion they represent the contrast medium spreading into the peritoneal cavity. Based on this observation, he emphasizes the need for taking several pictures, He establishes a difference between a (‘permanent picture” and a “transitional picture. ” In discussing the dangers of the hysterosalpingography in the diagnosis of tubal pregnancy, he reports a case in Dr. A. Sarmento’s private practice in which rupture of the tube occurred at the exact moment an exploration was performed. J. P. GREENHILL. Weyeneth, 120:

R.: Simultaneous 129-140, 1945.

in Both Tubes, Monatschr.

Pregnancy

f. Geburtsh.

u. GynLk.

il case of simultaneous bilateral tubal pregnancy, probably of the same age, is reported by the author. On the right side a rupture of the tube occurred with profuse bleeding into the peritoneal cavity, while on the left side the tubal abortion had taken place with the formation of a tubal hematoma. The etiology was most likely postpartum endometritis and endosalpingitis. This is the seventy-first case of simultaneous bilateral extrauterine pregnancy reported in the literature. J. P. GREENHILL.

Gynecology Diouisi,

H., and Ferraris, latino-am. 3: 797-811,

L. V.:

Struma

Ovarico

With

Hyperth~oidism,

Obst.

y ginec.

1945.

The case of a patient with “struma ovarico ” presenting the typical signs of h.vperthyroidism and a basal metabolism ascillatini between plus 37 and plus 54, is presented. The symptoms disappeared after subtotal thyroidectomy, but manifested themselves again one and one-half years later, when the basal metabolism reached plus 64. The cervix was normal, there were no accessory nor aberrant glands; nevertheless a tumor was discovered in the ovary, the histologic examination of which indicated: struma with marked hyperplasia of the epithelium. The tumor was removed, and a month later the basal metabolism decreased to plus 8, the signs of hyperthyroidism vanished completely, which plainly shows the relation that existed between the clinical picture and the ovarian struma. J. P. GREENHILL. Rieper,

J. P.: Comparative Study of Colposcopic Lesions, An. brasil de ginec. 10: 300-308, 1945.

and

Histologic

Findings

in

Cervical

The author examined twenty women by means of the colposcope and then removed areas of diseased cervical tissue for histologic study. Comparative studies showed that colposeopy permit3 a correct interpretation of cervical lesions in most, instances. In the opinion of the author, biopsy may not correctly explain some cervical lesions. Early carcinoma and atypical epithelial proliferations may readily be recognized by the colposcope, but this instrument is not suitable for advanced cases. Syphilitic and edematous lesions interfere Personal experience with the colposcope is essential for proper with colposcopic diagnosis. utilization of this instrument. J. P. GREENIIILL.

Schockaert,

J. A., and Ferin, J.:

of the Internal Female Vlaamsche Academic Voor have

Endometrial Biopsy as a Diagnostic Genitalia, Uit de Verhandelingen Geneeskunde Van Belgie 4: 5, 1942.

Thanks to the systematic use of endometrial biopsies been able to discover tuberculosis of the endometrium

Aid van

in gymecologic in more than

in Tuberculosis de Koninklijke

cases, the authors 2 per cent of their