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Biomedical subjects

P R Copas

Publications and source records attributed to P R Copas.

10 recordsLinked to original sources
PubMed1996

Massive ovarian edema in a menopausal woman. A case report.

BACKGROUND: Massive ovarian edema is a tumorlike condition in which there is marked enlargement of one or both ovaries due to accumulation of edema fluid in the stroma. It is speculated to occur as a result of partial ovarian torsion. CASE: Massive ovarian edema occurred in a postmenopausal woman. CONCLUSION: Massive ovarian edema is a rare cause of an adnexal mass. Knowledge of its existence is important to prevent incorrect treatment. We present the first case occurring in a menopausal woman.

Edema↗
PubMed1996

Basal cell carcinoma of the vulva. A report of four cases.

BACKGROUND: Basal cell carcinoma is the most common malignant tumor of the skin, with approximately 400,000 new cases yearly in the United States. Basal cell carcinomas account for 2-3% of all vulvar malignancies. CASES: Four patients presented in the eighth and ninth decades of life (70, 78, 87 and 89 years). Seventy-five percent of patients had a unifocal lesion. Cases 3 or 4 presented with recurrent lesions at 5 and 10 years, respectively. All patients were treated with wide local excision. Surgical margins were free of disease. None of the patients had lymph nodes suspicious for malignancy. CONCLUSION: Basal cell carcinoma can present as a unifocal or multifocal lesion. The lesions are usually located on the labia majora. Patients are frequently diagnosed with basal cell carcinoma of the vulva in the eighth and ninth decades of life. Treatment consists of wide local excision. Although 50% of these cases recurred, the lesions were reexcised, with wide local resection. No metastatic lesions were identified in any of the patients.

Aged↗
PubMed1995

Squamous cell carcinoma of the cervix metastatic to a drain site.

A squamous cell carcinoma of the cervix metastatic to the skin at the site of a previous retroperitoneal drain is detailed. A review of the literature concerning skin metastases in cervical cancer is also presented. This is the only case the authors can find in the literature of squamous carcinoma of cervix metastasizing to a drain site.

Carcinoma, Squamous Cell↗
PubMed1995

Endometrial adenocarcinoma following endometrial ablation for postmenopausal bleeding.

A case of metastatic adenocarcinoma of the endometrium following endometrial ablation is described. A discussion of the development and evolution of endometrial ablation procedures is presented. Recommendations for patient selection and postablation surveillance are suggested. The authors believe this case report to be the third described in the literature. (Background. A case of endometrial adenocarcinoma developing after transcervical endometrial ablation with a resectoscope was recently reported (A. B. Copperman, A. H. DeCherney, and D. L. Olive, Obstet. Gynecol. 82, 640-642 (1993)). It is recognized that functional residual islands of endometrial tissue remain in both symptomatic and asymptomatic patients following ablation. There is only limited experience using endometrial ablation in postmenopausal patients and in others at high risk for endometrial cancer. Case. A patient presented who developed metastatic adenocarcinoma of the endometrium after endometrial ablation for postmenopausal bleeding. Conclusion. With endometrial ablation procedures, the potential exists for missed areas or buried nests of functional endometrial tissue that may later undergo malignant transformation or have already become metaplastic and invaded the myometrium. Therefore, close postoperative surveillance, including thorough evaluation of postoperative bleeding, is indicated. Further studies with long-term follow-up are needed in order to define the safety and efficacy of endometrial ablation in the high-risk patient.

Abdomen↗
PubMed1995

Adnexal torsion. A clinical dilemma.

We retrospectively reviewed 33 cases of surgically managed adnexal torsion at the University of Tennessee Medical Center, Knoxville. Our interest was to observe any trends in age, parity, side involved, size, previous surgery, pathologic diagnosis or preoperative diagnosis. We found that there was no dominance in the side involved, as hypothesized by others. The most common previous surgery was bilateral tubal ligation, and the most common preoperative diagnosis was a pelvic mass. There is no absolute profile for the patient with adnexal torsion, and the clinician must be suspicious in all cases involving abdominal pain.

Abdominal Pain↗
PubMed1993

Colovaginal fistula secondary to diverticular disease. A report of two cases.

Two cases of diverticular abscess presented with abdominal pain, pelvic mass and vaginal discharge. Both patients had previously undergone hysterectomy. Although relatively rare, colovaginal fistula secondary to diverticular disease should be considered in the differential diagnosis in an elderly woman with similar symptoms.

Aged↗
PubMed1992

Uterine prolapse after laparoscopic uterosacral transection. A case report.

Two cases of severe uterine prolapse are reported following laser uterosacral nerve ablation (LUNA). Both patients had a history of vaginal childbirth and subsequent development of secondary infertility and severe dysmenorrhea. It is suggested that this procedure be performed with caution on vaginally parous patients, and that it be reserved for use in patients who have adequate uterine support. Future studies are needed to determine the long-term incidence of uterine procidentia following this procedure.

Adult↗
PubMed1990

Vasa previa.

Diagnosis of vasa previa requires a high index of suspicion. Vasa previa must be included in the differential diagnosis of all cases of third trimester bleeding. When pulsatile vessels are palpated preceding the fetal vertex, vasa previa should be considered along with cord prolapse. Early diagnosis and intervention result in a favorable fetal outcome in this rare condition.

Adult↗