Carcinoma of the endometrium in women under forty years of age; report of three cases.
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Biomedical subjects
Publications and source records attributed to W B McGEE.
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Study was made of 234 cases of placenta previa occurring in 48,752 deliveries at one hospital during the period 1947-1956. There was no maternal mortality. The uncorrected fetal mortality rate for all weight groups was 21.4 per cent. The rate varied from 88 per cent in babies under 1,500 grams to 5.7 per cent in babies over 2,500 grams. Initial conservative management to permit gestation to continue as close to term as possible is advisable. Ultimate termination of the pregnancy by cesarean section under spinal anesthesia gave the best results. The incidence of transverse and breech presentations in association with placenta previa was inordinately high. A progressive trend toward more conservative treatment of placenta previa was noted in the present series, with a concomitant reduction in fetal mortality rate.
Decidual reaction of the cervix is a benign growth produced by the hormones of pregnancy. These reactions or changes in the cervix are present in about 20 per cent of normal pregnant women. They may look like cancer but are not cancer. They are benign lesions. Bleeding is a common symptom and may occur at any stage of pregnancy. The presence of decidual reaction does not predispose to spontaneous miscarriage. In most cases no treatment is required; in a few light cauterization may be needed to control bleeding. Any suspicious lesion should be biopsied to rule out malignancy. By microscopic examination any experienced pathologist can differentiate a decidual reaction from cancer. The consensus of opinion is to let the pregnant woman deliver, normally, with this benign lesion, for it disappears after the baby is born. If cancer is found during pregnancy, it should be actively treated.