[Prospects for success in sterility cases. Analysis of 1,296 sterile couples].
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Biomedical subjects
Publications and source records attributed to S Samartzis.
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Experience obtained by the authors from the use of ultrasonography in the diagnosis of the polycystic ovary syndrome is reported in this paper, with particular reference being made to examination of 32 probands. The ultrasonic findings are described, and a more general assessment is made of the accuracy which can be achieved by the use of the method for diagnosis of polycystic ovaries. These findings were compared, for all probands, with results obtained from pneumopelviography and with surgical as well as with histological findings recorded from seven cases. The potential role of diagnostic ultrasonography for routine examination of probands for polycystic ovaries is discussed in somewhat greater detail.
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In the study reported here, 554 cases of postmenopausal bleeding were analyzed, i.e. 4.1% of the gynecological cases admitted during the 11 years from 1961 to 1971. In over one-third of these cases (35.3%) bleeding was caused by genital carcinoma. Among nonmalignant causes, endometrial atrophy was the most common (28.5%) followed by uterine polyposis (21.2%). As expected, corpus carcinoma (51%) was the most commonly found malignant genital disease, followed by cervical cancer (38%) which, surprisingly, is almost as common. The time-lapse between onset of bleeding and hospitalization with diagnosis is alarmingly long. In our patients it averages 19.2 weeks, is 36.3 weeks in corpus carcinoma cases and 16.3 weeks in women with cervical cancer.
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