Partial Oophorectomy Research Articles

Identical twins with mature ovarian teratomas

A report of identical twins is presented in which both sisters had mature ovarian teratomas. One of the sisters, who had bilateral teratomas, underwent unilateral oophorectomy and contralateral partial oophorectomy to allow preservation of some of the less affected ovary.

Severe abdominal complications after transvaginal ultrasonographically guided retrieval of oocytes for in vitro fertilization and embryo transfer

Severe life-threatening complications as a result of ultrasonically guided ovum pick-up for IVF may rarely occur. We report 14 cases, out of 3,656 patients undergoing the procedure, presenting with a clinical picture of acute abdomen. In 9 patients tubo-ovarian and pelvic abscess were diagnosed; 3 were treated by laparotomy, whereas in the other 6, culdocentesis and drainage were performed. In 3 cases severe intra-abdominal bleeding occurred with 1 requiring laparotomy and hemostasis, whereas in the others laparoscopic drainage and hemostasis were sufficient. Ruptured endometriotic cystic masses caused acute abdomen in 2 patients; partial oophorectomy and drainage were essential operative procedures. We conclude that although severe postovum retrieval complications are rare, one has to be aware of their occurrence with the aim of accurate diagnosis and prompt intervention.

Anticonvulsant Syndrome with Multiple Symptoms, Including Porphyria, IgA Deficiency, and Liver Dysfunction

A 19-year-old Japanese female who had been treated for epilepsy with a combined phenytoin-phenobarbital preparation for the past three years presented with increasing skin pigmentation and hirsutism. She had suffered two attacks of loss of consciousness after bilateral partial oophorectomy at the age of 16. Investigations revealed a marked increase in coproporphyrin levels in the urine and feces, a marked decrease in her serum IgA level, and liver dysfunction. All these manifestations gradually improved upon the withdrawal of her antiepileptic treatment. In vitro studies revealed B cell dysfunction producing IgA deficiency, which normalized within one year after discontinuation of the antiepileptic therapy. It was assumed that her treatment had worsened preexisting porphyria, which was misdiagnosed as epilepsy because of abnormal EEG findings. The type of porphyria appeared to be hereditary coproporphyria, despite the lack of a family history.

Ovarian serous borderline tumors with stromal microinvasion: A report of 21 cases

The clinicopathologic features of 21 cases of otherwise typical serous borderline tumors that contained small foci of stromal invasion were reviewed. The mean age of the patients was 43 years and six of them were pregnant at the time of diagnosis. Nineteen tumors were stage I, one was stage III (para-aortic lymph node involvement) and one was stage IV (parenchymal liver metastasis). The tumor invaded the stroma predominantly as individual cells or nests or clusters of cells with abundant eosinophilic cytoplasm (17 cases), as small confluent nests with a cribriform pattern (two cases) and as rounded aggregates of papillae (two cases). Seven women were treated with bilateral salpingo-oophorectomy and hysterectomy; 13 had less than bilateral oophorectomy. Of the 17 patients for whom followup data were available, 16 were without evidence of disease 1 to 11 (mean, 5.2) years postoperatively, and one patient had a serous borderline tumor with microinvasion in a conserved contralateral ovary 2.8 years postoperatively, but was well 6 months after a partial oophorectomy. These data suggest that serous borderline tumors with microinvasion have a prognosis similar to that of the usual serous borderline tumor, and that conservation of the contralateral ovary and uterus may be acceptable therapy in young women who wish to preserve their fertility.

SPIEGLER-FENDT SARCOID

The last case report of Spiegler-Fendt sarcoid was that of Rostenberg and Siskind in 1950. 1 Since then very little additional light has been shed on its etiology or its nosologic position. Lewis' 2 review of the literature and classification, published in 1935, remains outstanding to the present. Perhaps continued reports, such as the one which follows, may help to place this disease in its proper classification. History A 46-year-old white married woman was referred to me on March 11, 1955, by Dr. Nelson Karbach Jr. She had had a complicated medical history dating back to 1942, when she reported having recovered from pulmonary tuberculosis. At various times since 1942 she had had cystitis, a cholecystectomy, an appendectomy, a uterine dilatation and curettage, a bilateral salpingectomy and a partial oophorectomy. She had suffered repeated prolonged upper respiratory infections resistant to therapy and always with normal roentgenograms of the