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The aim of this study was to investigate whether the tissue polypeptide-specific antigen (TPS) levels in cystic fluid, peritoneal fluid, and blood could be used as a marker for the management of ovarian mass. Forty-one patients participated in the study with preoperative diagnosis of an ovarian mass. The patients were divided into two groups according to the results of the histopathologic examination. Group 1 included patients with a benign ovarian mass, and Group 2 included patients with ovarian cancer. Blood samples were taken just before surgery, and cystic fluid and peritoneal fluid were taken at the time of the operation. Comparison of the results between the two groups was performed with the Wilcoxon signed-rank test. There was a statistically significant difference between the TPS serum values in Group 1 compared with Group 2 (p = 0.004). Also, the mean levels of TPS in the serum of patients in Group 2 were significantly higher compared with the cutoff value provided by the manufacturer (80 U/L) an...

The purpose of the study was to present a case series reporting the clinical presentation, evaluation, and management of seven adolescent girls with symptomatic vaginal septa who were treated in the Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery of the 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, from September 1997 to June 2000. The patients were divided in two groups depending on the type of vaginal septum. Group A consisted of three patients with transverse vaginal septum, all with hematometra, endometriosis, and congenital abnormalities of the urinary tract. One patient had a bicornuate uterus. Group B consisted of four patients with oblique vaginal septum, three with hematometra and congenital abnormalities of the urinary tract, all with endometriosis, two with didelphys uterus, and one with a bicornuate uterus. The patients of both groups underwent total excision of the septum followed by the administration of GnRH analogues for 6 mo...

The purpose of this study was to describe the diagnosis, treatment, and follow-up of patients with concomitant primary ovarian and endometrial carcinomas. From a database of 339 endometrial and ovarian carcinomas, 9 patients with synchronous primary ovarian and endometrial malignancies were studied. Four patients (44%) had endometroid carcinoma in the ovaries and the endometrium, and 5 (56%) had differing histology. The mean age of the 9 patients was 55.4 ± 5.1 years. Abnormal uterine bleeding was the main symptom in 4 patients (44.4%), whereas three (33.3%) presented with pelvic pain and 2 (22.3%) with ascites. All 9 women underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. In 4 cases, omentectomy and lymphadenectomy was also carried out. Peritoneal washing showed positive results for malignant cells in 4 cases. In 8 patients, chemotherapy was administered after the operation. All patients have remained alive without evidence of recurrence 5–8 years after the operation (...

The authors present their experience on the rare syndrome of a double uterus with obstruction. Between the years 1979 and 1992, the records of 22 patients with didelphys, bicornuate, or se...