Diagnostic and therapeutic efficacy of cervical conization.

Abstract:

:Cervical conization was perfromed on 756 patients at the University of Kentucky Medical Center from July 1, 1964, to January 1, 1973. Sixty-six patients were pregnant at the time of conization. Eighty-six per cent of patients with cytologic findings of carcinoma in situ had histologic verification of carcinoma in situ or severe dysplasia, and there was absolute correlation between cytology and histology in 75 per cent of patients will occult invasive cancer. Cervical biopsies without colposcopic direction predicted either severe dysplasia or carcinoma in situ in 77 per cent of cases but were accurate in only seven of 24 patients with occult invasive cancer. Carcinoma in situ was present in 30 per cent of hysterectomy specimens following conization but recurred in only seven per cent of patients followed without hysterectomy. Recurrent carcinoma in situ following hysterectomy was more common in patients with residual intraepithelial cancer in the uterus but was independent of the size of the vaginal cuff removed. Major postconization complications requiring hospitalization occurred in 3.4 per cent of nonpregnant patients and in 7.5 per cent of pregnant patients.

journal_name

Am J Obstet Gynecol

authors

van Nagell JR Jr,Parker JC Jr,Hicks LP,Conrad R,England G

doi

10.1016/s0002-9378(16)33288-4

subject

Has Abstract

pub_date

1976-01-15 00:00:00

pages

134-9

issue

2

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(16)33288-4

journal_volume

124

pub_type

杂志文章
  • Lymphocyte activity in the presence of peritoneal fluid from fertile women and infertile women with and without endometriosis.

    abstract::Peritoneal fluid from women with endometriosis, unexplained infertility, and fertile controls were compared to one another and to normal human serum for effects on lymphocyte proliferation in vitro. Peritoneal fluid samples were also assayed for both interleukin-1 and interleukin-2. All peritoneal fluid samples signif...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90736-9

    authors: Hill JA,Anderson DJ

    更新日期:1989-10-01 00:00:00

  • Fetal interleukin-1 receptor antagonist gene polymorphism, intra-amniotic interleukin-1beta levels, and history of spontaneous abortion.

    abstract:OBJECTIVE:The purpose of this study was to determine whether fetal carriage of specific alleles of the polymorphic interleukin-1 receptor antagonist gene is associated with variations in intra-amniotic cytokine levels and previous pregnancy outcomes. STUDY DESIGN:Fetal cells in midtrimester amniotic fluid from 189 wom...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2004.05.071

    authors: Perni SC,Vardhana S,Tuttle SL,Kalish RB,Chasen ST,Witkin SS

    更新日期:2004-10-01 00:00:00

  • Post-cesarean section splenic rupture.

    abstract::We report a case of splenic rupture after cesarean delivery for abruptio placentae. The diagnosis was not suspected until a laparotomy was performed. Diagnosis and management were complicated by disseminated intravascular coagulation and renal failure. The importance of early diagnosis and management modalities are di...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90199-x

    authors: Kaluarachchi A,Krishnamurthy S

    更新日期:1995-07-01 00:00:00

  • Calciuria in symptom-free primigravid women remote from term: is the response to an oral calcium challenge predictable?

    abstract:OBJECTIVE:This study was undertaken to compare the calciuric response in symptom-free primigravid women to an oral calcium load between those with normal urinary calcium excretions and those with relatively low urinary calcium excretions. STUDY DESIGN:This was a prospective clinical trial. Eligible primigravid women b...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0002-9378(99)70028-1

    authors: Suárez VR,Miyahira JM,Guinn DA,Fisher SG,Tomich PG,Trelles JG

    更新日期:1999-06-01 00:00:00

  • Pregnancy rates with fresh versus computer-controlled cryopreserved semen for artificial insemination by donor in a private practice setting.

    abstract::From late 1970 through December 1987, 580 women began 733 treatment programs (a total of 3405 insemination cycles) with fresh semen for artificial insemination by donor. The unadjusted pregnancy rate was 48.5% and the cumulative pregnancy rate after seven cycles by life-table analysis was 59.6% with a monthly fecundab...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90910-y

    authors: DiMarzo SJ,Huang J,Kennedy JF,Villanueva B,Hebert SA,Young PE

    更新日期:1990-06-01 00:00:00

  • The effect of hydralazine on placental perfusion in the spontaneously hypertensive rat.

    abstract::Intravenous hydralazine was administered to 16 spontaneously hypertensive rats on day 21 of gestation. The radioactive labeled microsphere technique was used to assess the change in organ perfusion produced by the drug. Vascular resistance to most organs was decreased, except to the placentas, stomach, and cecum, wher...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(87)90283-3

    authors: Lipshitz J,Ahokas RA,Reynolds SL

    更新日期:1987-02-01 00:00:00

  • Measurement of fetal forelimb movements in the lamb in utero.

    abstract::Forelimb movements in the unanesthetized fetal lamb in utero were measured by means of transit-time ultrasound in conjunction with triceps and biceps electromyographic activity. The relationships between forelimb movements and electrocortical activity, hypoxia, and spontaneous labor were studied. There was no evidence...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(81)90231-3

    authors: Natale R,Clewlow F,Dawes GS

    更新日期:1981-07-01 00:00:00

  • Stereology of human myometrium in pregnancy: influence of maternal body mass index and age.

    abstract:OBJECTIVE:Knowledge of the stereology of human myometrium in pregnancy is limited. Uterine contractile performance may be altered in association with maternal obesity and advanced maternal age. The aim of this study was to investigate the stereology of human myometrium in pregnancy, and to evaluate a potential influenc...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2013.01.019

    authors: Sweeney EM,Crankshaw DJ,O'Brien Y,Dockery P,Morrison JJ

    更新日期:2013-04-01 00:00:00

  • The epidemiology of threatened preterm labor: a prospective cohort study.

    abstract:OBJECTIVE:The purpose of this study was to describe the occurrence, timing, and outcomes of hospital-based diagnoses of preterm labor. STUDY DESIGN:Administrative records identified hospital admissions for preterm labor among 2534 women in an ongoing cohort study. Factors that were considered risks for prematurity wer...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2004.12.055

    authors: McPheeters ML,Miller WC,Hartmann KE,Savitz DA,Kaufman JS,Garrett JM,Thorp JM

    更新日期:2005-04-01 00:00:00

  • Quantitative assessment of Langerhans' cells in human cervical intraepithelial neoplasia and wart virus infection.

    abstract::Langerhans' cell density was assessed quantitatively in cervical wart virus infection (cervical condyloma), cervical intraepithelial neoplasia, and koilocytic dysplasia with use of an antibody to S100 protein and an indirect immunoperoxidase technique. When compared with normal ectocervix, Langerhans' cell density was...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90592-2

    authors: McArdle JP,Muller HK

    更新日期:1986-03-01 00:00:00

  • Cross-sectional analysis of triplet birth weight.

    abstract::Parameters of fetal growth in triplet gestations are poorly studied and controversial. A cross-sectional analysis of triplet birth weight was performed to elucidate fetal growth patterns. Birth weight and gestational age data were analyzed on 580 infants in 196 triplet sets (eight stillborn infants excluded) between 1...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(91)90643-6

    authors: Jones JS,Newman RB,Miller MC

    更新日期:1991-01-01 00:00:00

  • Carcinoma of vagina 10 or more years following pelvic irradiation therapy.

    abstract::Gynecologic cancer records of 4,238 patients treated between 1956 and 1974 were reviewed. Sixteen patients developed noeplasia in the cervix or vagina 10 or more years following pelvic irradiation. Three patients had squamous carcinoma in situ; the other 13 patients had invasive squamous cancer involving the upper vag...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(77)90445-8

    authors: Pride GL,Buchler DA

    更新日期:1977-03-01 00:00:00

  • Antibiotic treatment of preterm labor with intact membranes: a multicenter, randomized, double-blinded, placebo-controlled trial.

    abstract:OBJECTIVE:Although an association between subclinical intrauterine infection and preterm birth is well established, there is conflicting evidence regarding the benefits of antibiotic administration to women in preterm labor with intact membranes. We attempted to determine the effect of ampicillin-amoxicillin and erythr...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0002-9378(93)90003-2

    authors: Romero R,Sibai B,Caritis S,Paul R,Depp R,Rosen M,Klebanoff M,Sabo V,Evans J,Thom E

    更新日期:1993-10-01 00:00:00

  • The role of Chlamydia trachomatis in Bartholin's gland abscess.

    abstract::Chlamydia trachomatis is becoming increasingly known for its ability to cause severe injury to the female genital tract. Little investigation has been done in its role in diseases of Bartholin's glands. We present what we believe to be the first case report of an abscess of a Bartholin's gland in which Chlamydia trach...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Saul HM,Grossman MB

    更新日期:1988-03-01 00:00:00

  • 17-alphahydroxyprogesterone caproate in women with previous spontaneous preterm delivery: does a previous term delivery affect the rate of recurrence?

    abstract:OBJECTIVE:The purpose of this study was to determine the role of previous term delivery on the rate of recurrent preterm birth in women with previous spontaneous preterm delivery (SPTD) who receive 17-alphahydroxyprogesterone caproate (17P) therapy. STUDY DESIGN:Women with singleton gestations who were receiving 17P t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2011.06.039

    authors: Barton JR,Barton LA,Istwan NB,Rhea DJ,Desch CN,Sibai BM

    更新日期:2011-09-01 00:00:00

  • Colposcopy and computer graphics: a new method?

    abstract::A new method is herein described that uses the most recent computer science techniques to obtain digitalized colposcopic images that may be useful not only as documents, but also as research tools. Because computer graphics is a recent and ever-growing discipline, our method, too, might undergo considerable improvemen...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(89)80021-3

    authors: Contini V,Zobbi CL,Pasquinucci C

    更新日期:1989-03-01 00:00:00

  • Plasma estrone, estradiol, estriol, progesterone, and 17-hydroxyprogesterone in human pregnancy. I. Normal pregnancy.

    abstract::To describe normal relationships between the various plasma unconjugated estrogens and progesterone during the second half of human pregnancy, the plasma concentrations of progesterone, 17-hydroxyprogesterone (17-OHP), and unconjugated estrone (E1), estradiol (E2), and estriol (E3) were measured in 126-310 normal wom...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(72)90185-8

    authors: Tulchinsky D,Hobel CJ,Yeager E,Marshall JR

    更新日期:1972-04-15 00:00:00

  • Modern management of the breech delivery.

    abstract::Retrospective review of 457 breech deliveries failed to reveal a significant improvement in neonatal mortality and morbidity rates for those delivered by cesarean section vs. vaginal delivery. A slight but insignificant improvement in salvage was found for the 1,000 to 1,500 gram weight category when delivery was by c...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90638-0

    authors: Mann LI,Gallant JM

    更新日期:1979-07-15 00:00:00

  • The preterm placental microbiome varies in association with excess maternal gestational weight gain.

    abstract:OBJECTIVE:Although a higher maternal body mass index is associated with preterm birth, it is unclear whether excess gestational weight gain (GWG) or obesity drives increased risk. We and others have shown that the placenta harbors microbiota, which is significantly different among preterm births. Our aim in this study ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2014.12.041

    authors: Antony KM,Ma J,Mitchell KB,Racusin DA,Versalovic J,Aagaard K

    更新日期:2015-05-01 00:00:00

  • Soluble endoglin in preeclamptic patients with or without HELLP syndrome.

    abstract:OBJECTIVE:The pathogenesis of the HELLP (hemolysis, enzyme liver, low platelets) syndrome is unknown. Recently soluble endoglin (sEng) was identified as a cause of the appearance of schistocytes and liver pathology in an animal model of preeclampsia (PE). STUDY DESIGN:We explored the value of sEng in 82 women who deli...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.03.006

    authors: Hertig A,Fort J,Lefevre G,Chabbert-Buffet N,Uzan M,Rondeau E,Rozenberg P

    更新日期:2010-06-01 00:00:00

  • Diagnostic accuracy of guided cervical biopsies: a prospective multicenter study comparing the histopathology of simultaneous biopsy and cone specimen.

    abstract:OBJECTIVE:We sought to determine the validity of colposcopically directed cervical biopsies as a diagnostic test to define the degree of cervical intraepithelial neoplasia (CIN). STUDY DESIGN:In a prospective multicenter trial, patients undergoing excisional procedures of the transformation zone additionally had colpo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.ajog.2010.05.033

    authors: Zuchna C,Hager M,Tringler B,Georgoulopoulos A,Ciresa-Koenig A,Volgger B,Widschwendter A,Staudach A

    更新日期:2010-10-01 00:00:00

  • Nuchal cords: timing of prenatal diagnosis and duration.

    abstract::Nuchal cords can be diagnosed prenatally with ultrasonographic imaging. A prospective study determined the timing of nuchal cord formation and, in some cases, resolution before delivery. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90337-2

    authors: Collins JH,Collins CL,Weckwerth SR,De Angelis L

    更新日期:1995-09-01 00:00:00

  • The use of senna with docusate for postoperative constipation after pelvic reconstructive surgery: a randomized, double-blind, placebo-controlled trial.

    abstract:OBJECTIVE:The objective of the study was to compare time to first bowel movement (BM) after surgery in subjects randomized to placebo or senna with docusate. STUDY DESIGN:Ninety-six subjects completed a baseline 7-day bowel diary before and after surgery. After pelvic reconstructive surgery, the subjects were randomiz...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ajog.2010.01.003

    authors: Patel M,Schimpf MO,O'Sullivan DM,LaSala CA

    更新日期:2010-05-01 00:00:00

  • In vitro perfusion studies of the human placenta. VI. Evidence against active glucose transport.

    abstract::Previous studies in our laboratory using "in vitro" perfusion have established that glucose transport across the human placenta is a carrier-mediated process. It is not known whether these carriers require the expenditure of metabolic energy to function. In the experiments presented here we demonstrate in the perfused...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90013-9

    authors: Rice PA,Rourke JE,Nesbitt RE Jr

    更新日期:1979-03-15 00:00:00

  • The relationship between plasma estradiol and the increase in bone density in postmenopausal women after treatment with subcutaneous hormone implants.

    abstract::Twenty-three postmenopausal women with a median of 2 years past menopause (range, 1 to 12 years) and a median age of 52 years (range, 39 to 62 years) were recruited to participate in a longitudinal study designed to investigate the factors that influence the increase in bone density with subcutaneous estradiol and tes...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90608-a

    authors: Studd J,Savvas M,Waston N,Garnett T,Fogelman I,Cooper D

    更新日期:1990-11-01 00:00:00

  • Prognostic value of uterine artery Doppler velocimetry in growth-restricted fetuses delivered near term.

    abstract:OBJECTIVE:We have investigated the use of uterine artery Doppler waveform analysis in growth restricted fetuses delivered at > or =34 weeks. STUDY DESIGN:Included in the study were all consecutive euploid non-malformed singleton fetuses with accurate dating diagnosed as growth restricted (sonographic abdominal circumf...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.127137

    authors: Vergani P,Roncaglia N,Andreotti C,Arreghini A,Teruzzi M,Pezzullo JC,Ghidini A

    更新日期:2002-10-01 00:00:00

  • Functional failure of fascia lata allografts.

    abstract:OBJECTIVES:Fascia lata allografts are commonly used in urogynecologic procedures. Functional failure of several grafts has occurred, and such failure has been recognized as a materials problem in 12 patients. STUDY DESIGN:Twelve patients with failure of an initial urogynecologic procedure performed with irradiated and...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(99)70374-1

    authors: FitzGerald MP,Mollenhauer J,Bitterman P,Brubaker L

    更新日期:1999-12-01 00:00:00

  • Reduced progression of endometrial hyperplasia with oral mTOR inhibition in the Pten heterozygote murine model.

    abstract:OBJECTIVE:Phosphatase and tensin homolog (PTEN) mutations are associated with human endometrial cancers, and PTEN heterozygote(+/-) mice have a high rate of endometrial neoplasia. The objective of this study was to evaluate an oral mTOR inhibitor (mTOR-I) on the reduction of endometrial hyperplasia in an animal model. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.10.872

    authors: Milam MR,Celestino J,Wu W,Broaddus RR,Schmeler KM,Slomovitz BM,Soliman PT,Gershenson DM,Wang H,Ellenson LH,Lu KH

    更新日期:2007-03-01 00:00:00

  • Effects of prolonged infusion of beta-adrenergic agonists on uterine and umbilical blood flow in pregnant sheep.

    abstract::We have extended our evaluation of the effects of three beta-adrenergic agents in near-term pregnant sheep to include a period of infusion three times longer than previously studied. This extension has provided the following information: (1) Initial depression of uterine blood flow and mean arterial pressure associate...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(77)90708-6

    authors: Brennan SC,McLaughlin MK,Chez RA

    更新日期:1977-08-01 00:00:00

  • Elevated urine thrombomodulin/creatinine ratio in severely preeclamptic pregnancies.

    abstract::A relationship between the urine thrombomodulin/creatinine ratio and preeclampsia was investigated. Preeclamptic women had a higher urine thrombomodulin/creatinine ratio than did matched controls. However, significantly elevated urine thrombomodulin/creatinine ratios were found in severely, but not mildly, preeclampti...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(94)90111-2

    authors: Hsu CD,Lucas RB,Johnson TR,Hong SF,Chan DW

    更新日期:1994-09-01 00:00:00