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Gynecologic operations
1010
Shaw, Henry N.: Prolapse of the Vaginal Vault of Repair, West. J. Surg. 56: 127, 1948.
Following
Prolapse of the vaginal vault following total technique. Failure to sut.ure the broad ligament, the vault will often be followed by this unfortunate
hysterectomy uterosacral sequel.
Hysterectomy:
and
A New Method
is t,he result uterovesieal
of poor surgical ligaments into
Various methods have been described for replacing the prolapsed vagina: suture to tltt, presacral fascia, the use of fascia lata loops, abdominal fixation, and the LeFort operation. There are reported successful operations upon three patients with vaginal prolapse by thl* These st,rips were brought down extra use of fascia strips from the anterior rectus sheath. peritoneallg and sntnwtl to the vaginal vault, thus maintaining the vagina in its normal anatomical relation. \~ILI,L4M BIC'KEKS.
Mammary Davison,
T. C., and Letton, A. H.: 14: 170, 1948.
Glands
Testosterone
in Far Advanced
Breast
Cancer, Soutli.
Surgeon
Ulrich first reported the treatment of breast cancer with androgen. Adnir and Androgens apparently delay or Herman have contributed to the study by further publications. retard the cellular activity particularly of the metastatie neoplastie cell. Reealciflcation of bone in the site of metastases has been observed and biopsy of metastatic region following treatment with 50 mg. of testosterone daily reveals some fibrosis about the neoplastic cells with apparent inhibition of nuclei activity in the malignant cells. Eight patients are reported. The first had a mastectomy for cancer followed by x-raq therapy and subsequently developed metastases of the ilium. Calcification of the ilium occurred following testosterone therapy. The second rase had a somewhat similar history and the vaginal smear showed evidence of estrogenic activity. Following testosterone therapy there was partial rocaleification of the right ilium and she gained weight. The third patient had metastases to the rib and lung and her vaginal smear showed marked esfrogenic aet.ivitp. Large doses of testosterone failed to change the picture in this case. Case 4 was similar, but there testosterone and the patient returned period. The other four cases showed Four tissue found those tients relief
was marked regression of rib metastases to full improvement and wtis comfortable similar response to treatment.
Seven of eight patients had some pain relief and gained weight on patients with extensive metastases were able to return to work. metastases only had an excellent result for over fifteen months. in patients who show evidence of estrogenic depression. Poorer who show persistent estrogenic activity. Masculinizing effects are do not object, since they realize the gravity of their condition and of pain.
J. B. Enticknap: 53, July
Angioblastoma
of the Breast-Complicating
following for a long
testosterone therapy. One patient who had The best results are results are shown in noted, to which pnare grateful for the
Pregnancy,
WILLIAM
Brit.
BICKERS.
M.
J. 4462:
13, 1946.
This case is tumor complicating malignancy. The about one-third of When three in her left breast.
reported because pregnancy has general incidence these are malignant, months pregnant, When she was
of the rarity nol previously is probably
of
the condition, the fact. that this type Qf been reported, and the unusual degree of about 0.1 per cent of breast tumors and only
a twenty-year-old primipara admitted to Chafing Cross
noticed Hospital
a hardness three months
developing later, the
Shaw, Henry N.: Prolapse of the Vaginal Vault of Repair, West. J. Surg. 56: 127, 1948.
Following
Prolapse of the vaginal vault following total technique. Failure to sut.ure the broad ligament, the vault will often be followed by this unfortunate
hysterectomy uterosacral sequel.
Hysterectomy:
and
A New Method
is t,he result uterovesieal
of poor surgical ligaments into
Various methods have been described for replacing the prolapsed vagina: suture to tltt, presacral fascia, the use of fascia lata loops, abdominal fixation, and the LeFort operation. There are reported successful operations upon three patients with vaginal prolapse by thl* These st,rips were brought down extra use of fascia strips from the anterior rectus sheath. peritoneallg and sntnwtl to the vaginal vault, thus maintaining the vagina in its normal anatomical relation. \~ILI,L4M BIC'KEKS.
Mammary Davison,
T. C., and Letton, A. H.: 14: 170, 1948.
Glands
Testosterone
in Far Advanced
Breast
Cancer, Soutli.
Surgeon
Ulrich first reported the treatment of breast cancer with androgen. Adnir and Androgens apparently delay or Herman have contributed to the study by further publications. retard the cellular activity particularly of the metastatie neoplastie cell. Reealciflcation of bone in the site of metastases has been observed and biopsy of metastatic region following treatment with 50 mg. of testosterone daily reveals some fibrosis about the neoplastic cells with apparent inhibition of nuclei activity in the malignant cells. Eight patients are reported. The first had a mastectomy for cancer followed by x-raq therapy and subsequently developed metastases of the ilium. Calcification of the ilium occurred following testosterone therapy. The second rase had a somewhat similar history and the vaginal smear showed evidence of estrogenic activity. Following testosterone therapy there was partial rocaleification of the right ilium and she gained weight. The third patient had metastases to the rib and lung and her vaginal smear showed marked esfrogenic aet.ivitp. Large doses of testosterone failed to change the picture in this case. Case 4 was similar, but there testosterone and the patient returned period. The other four cases showed Four tissue found those tients relief
was marked regression of rib metastases to full improvement and wtis comfortable similar response to treatment.
Seven of eight patients had some pain relief and gained weight on patients with extensive metastases were able to return to work. metastases only had an excellent result for over fifteen months. in patients who show evidence of estrogenic depression. Poorer who show persistent estrogenic activity. Masculinizing effects are do not object, since they realize the gravity of their condition and of pain.
J. B. Enticknap: 53, July
Angioblastoma
of the Breast-Complicating
following for a long
testosterone therapy. One patient who had The best results are results are shown in noted, to which pnare grateful for the
Pregnancy,
WILLIAM
Brit.
BICKERS.
M.
J. 4462:
13, 1946.
This case is tumor complicating malignancy. The about one-third of When three in her left breast.
reported because pregnancy has general incidence these are malignant, months pregnant, When she was
of the rarity nol previously is probably
of
the condition, the fact. that this type Qf been reported, and the unusual degree of about 0.1 per cent of breast tumors and only
a twenty-year-old primipara admitted to Chafing Cross
noticed Hospital
a hardness three months
developing later, the