Embajador Eduardo Ponce (Perú) / Embajadora Beatriz Ramacciotti (Perú) / Embajador Werner Corrales (Venezuela) / Embajadora Rosario Orellana (Venezuela)

In 1691 pelvic malignancies genital we find 23 early carcinomas of the ovary; This carcinoma standing in third place among the gynecological cancers, with an incidence of 1.20 percent. 60.3 percent of patients consulting for the first time within the first 6 months of the onset of symptoms; however all had very advanced stages of the disease. The most common symptoms are pain and "abdominal tumor." In 83 percent the size of the tumor being 15 cms. in diameter. The clinical diagnosis was made in 50 percent. The cytodiagnosis no practical value in ovarian carcinoma. We have only one case of group III cells between 14 extended. Metastases were found in 83 percent of cases. Ascites was present in 60 percent of patients tested by laparotomy. More than 50 percent of neoplasms papilíferos correspond to carcinomas. Ovarian carcinoma causes high mortality; before 2 years they have killed 45 perc...

From july 1952 to december 1954 we have attended in the I.N.E.N. 1,041 patients with carcinoma of the uterus, of which 1,005 belong to the cervix and 36 to the body. It gives us a rate of 1 carcinoma of the body for 30 of the cervix. The vaginal smear, as diagnostic procedure, was accurate in the 48.27%, which has a low incidence of accuracy. The smear procedure is a good aid for diagnosis when it considers : 1) exocervical, 2) endocervical and 3) endometrial smear. Many kinds of implements can help us to get the smear without disturbance for the patient, (Clamps, applicators, pipets, spatulas, brushes, polietilene tubes, etc., etc.). It is recommended that the smear must always be confirmed by the biopsy before any treatment.

Oncology Workshop - Part I

We conducted a study with 80 patients ginecópatas, mortadores of infection problems. Of these, 60 were treated with a new drug trimethoprim + sulfamethoxazole association and comparatively 10 patients with ampicillin and tetracycline 10 others. In the 60 patients studied with trimethoprim-sulfamethoxazole (TMP / SMX) association is summarized as follows: The finding was between 4 and 58 years old. The group of women aged 20-40 years accounted for 54% of gynecological infections. 44.4% of infections were caused by Escherichia coli, Staphylococcus aureus coagulase corresponding to 24% positive infections. The E. coli / staphylococcus aureus association was found with some frequency. Vaginitis and vulvovaginitis were prevailing clinical infections (59%). Except for a few cases, particularly mixed infections, the standard treatment for 7 days with the association trimethoprim + sulfamethoxa...

The primary carcinoma of the tube is a rare neoplasm. At the National Institute of Neoplastic Diseases in the last four years it has an incidence of 0.12 percent among all malignancies pelvic genital tract. The clinical symptoms are not typical. The diagnosis has been a surgical and pathology findings. The cytodiagnosis by the method of the three sheets, completed its examination of the biopsies, help you think about the possibility of carcinoma of the tube. In our case, one of adeno-carcinoma well differentiated papilliferum, is alive and in good condition; two of anaplastic type, showed recurrence within a few months and ended up dying at 6 and 7 months, respectively. You may histologic type is related to prognosis. The treatment is subject to the stage of evolution. It should be as radical as possible. Often it is complemented by X-ray and chemotherapy.

Editorial

The AA present a study on the epidemiology of cervical cancer, based on a review of medical records of 5,092 patients with this cancer in 10 years and attended the National Institute of Neoplastic Diseases, a hospital with 120 beds, specialized and State, which referred patients arrive throughout the Republic. This study suggests a link between sexual relations and the development of cervical cancer, similar to some VD form (as in the acuminatus genital warts (?)). In addition, it is noted that aggravate this link, other factors, including socio-economic and cultural poverty.

The uterus is the organ par excellence carcinogenic, and which carries the highest incidence of malignancy in women. Also, it is the fact that segments of the body, such as the neck and body, presenting disparate incidence of cancer, at least in our midst.

The authors present a retrospective study of 60 patients with cervical dysplasia to demonstrate the linkages of dysplasia and cancer in situ. In addition an analysis of epidemiological factors linking estdas ending injury to sexual activity is.

ONCOLOGY COURSE - PART IV

The authors present their experience with the sequential treatment: Radium and Surgery in 10 cases of cervical cancer in stages I and II. Histopathological studies have shown no residual tumor or lymph node metastases. Morbidity, especially urinary (fistulas), is exactly the same as when surgery alone is used. At present the 10 cases are alive without evidence of disease. Conduct with the possibility of obtaining better results is recommended.

The study of early ovarian cancers, is one of the most important chapters of Gynecology; first, by how often served as their incidence is 3 to 4 percent among malignancies of the female genital tract; secondly for its intricate, difficult and controversial of histopathology and thirdly so depressing, both in early diagnosis difficult, as overlapping of their clinical evolution and the limited therapeutic results.

Oncology Workshop.

The author has studied 90 patients with cancer of the ovary at the Instituto Nacional de Enfermedades Neoplásicas, Lima from 1953-62; the overall age of the women was 47 years, and the histological classification as follows: 48.4% were serous carcinoma, 12.1 were pseudomucinous and 31.8 adenocarcinomas. The treatment in most of the cases was surgical plus roentgen therapy and chemotherapy with Thiotepa and chlorambucil; the overall survival rate was 19%. The authors remarks that the effect of radioactive gold is limited to control of the ascites, and that the cancer of the ovary is the most difficult type of neoplasm of the female tract.

From the anatomical point of view a cervix is incompetent when its inner ring is abnormally dilated causing a broadened level of corpo-cervical junction channel. From the point of view obstetrician, it is considered that a cervix is incompetent when it allows a painless dilation to a degree sufficient to allow the membrabas herniation with consequent breakage and abortion before the end of the 36th. week of pregnancy.

Hysterectomy is defined. The indications for it are reviewed. Vaginal and abdominal: two routes for hysterectomy are considered. The indication of each are highlighted; facilities, difficulties and limitations that each offers.

"The integration and dependence of the breast in the female reproductive system is expressed. By reason of being a significant organ in the reproductive system and by reason of having a common pathology in relation to tax disendocrinias considered knowledge of gynecological field on the one hand, and on the other by the fact that the gynecological examination is incomplete if the breasts are not examined, the gynecologist is bound to know, diagnose, treat or at least steer you in the problems and pathology mom ".

The most important advance for global of control cervical cancer is the emergence of prophylactic vaccines against human papillomavirus (HPV) 16 and 18. A new phase starts that changes cervical cancer prevention and control paradigms, whose impact in the reduction in incidence and mortality will be observed by many of us in the next 20 years. The main challenge will be to establish an organized social response according to our physical infrastructure and human resources, our finantial factibility to implement the new technologies in the people and very importantly to consider the need of education and health promotion according to local and regional needs; all this to guarantee one of the main health rights, equity of access to all our population.

etoledo@ulima.edu.pe